Va Dbq Prostate Cancer

Not Needed by RO Date of diagnosis.

Va dbq prostate cancer. When evaluating any claim involving loss or loss of use of one or more creative organs refer to 3350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. Indicate status of the disease 1a. Describe the history including onset and course of the Veteran s prostate cancer condition brief summary. VA Forms 21-4142 and 21-4142a are used in conjunction with each other and both forms must be completed in order to obtain treatment records.

When I filed for PC my VSO sent a copy of my bio and a dbq my urologist filled out. Each DBQ template contains a standard footer containing a note stating that VA may request. PLEASE READ THE PRIVACY ACT AND RESPONDENT BURDEN INFORMATION ON REVERSE BEFORE COMPLETING FORM. INTERNAL VETERANS AFFAIRS USE PROSTATE CANCER DISABILITY BENEFITS QUESTIONNAIRE IMPORTANT - THE DEPARTMENT OF VETERANS AFFAIRS VAWILL NOT PAYORREIMBURSEANY EXPENSES OR COST INCURRED IN THE PROCESS OF COMPLETING ANDOR SUBMITTING THIS FORM.

If Yes complete Item 1C 2. NAME OF PATIENTVETERAN PATIENTVETERANS SOCIAL SECURITY NUMBER. If there is no DBQ for your specific condition VA will use the DBQ that is the most general and all-encompassing for that category. Does the veteran now have or has he ever been diagnosed with prostate cancer.

I got award letter in 60 days. Provide only diagnoses that pertain to prostate cancer 2b. Each DBQ template contains a standard footer containing a note stating that VA may request additional medical information including additional examinations if necessary to complete VAs review of the Veterans application see Figure 1 and 2. Name of patientveteran patientveterans social security number.

8 months later the contractor for VA QTC called me for a CP. I went they checked my psa number and ask was was I having any problems. On 422020 VA sent a bulletin stating the Discontinuance of Publicly Available Disability Benefits Questionnaires DBQs. For example erectile dysfunction and urinary incontinence are common residual symptoms of prostate cancer.

PROSTATE CANCER DISABILITY BENEFITS QUESTIONNAIRE. Prostate Cancer ICD code. The Veteran was diagnosed with prostate cancer by our urologist back in 5102013. I had 2 cores cancer with a low gleason.

21-0960K-1 Breast Conditions and Disorders. He is here for C. INDICATE STATUS OF THE DISEASE. The PROSTATE CANCER DBQ provides the ability to capture information related to Prostate Cancer and its treatment.

The VA discontinued public facing DBQ Disability Benefit Questionnaire forms online. PROVIDE ONLY DIAGNOSES THAT PERTAIN TO PROSTATE CANCER. 21-0960J-4 Urinary Tract including Bladder and Urethra Conditions excluding Male Reproductive System Gynecological. If prostate cancer is no longer active VA will likely reduce the disability rating for that condition and assign new ratings based on the severity of the veterans erectile dysfunction and urinary incontinence if present.

However there are other conditions in this section which. How To Incorporate Federal Records With Your VA Claim. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation. Vaform oct 2012.

The purpose of a DBQ is to ensure that the physician performing the exam records all the information needed for VA to properly rate a disabled veterans conditions. I went with AS. Viewdownload VA Form 21-4142 and VA Form 21-4142a. Was never called for a CP exam.

Tell us about your Federal records from any federal agency and we will gather these on your behalf.