Form VS-113 Universal Medical Evaluation / Progress Report - Vermont

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Form VS-113 Universal Medical Evaluation / Progress Report - Vermont

What Is Form VS-113?

This is a legal form that was released by the Vermont Department of Motor Vehicles - a government authority operating within Vermont. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form VS-113?
A: Form VS-113 is the Universal Medical Evaluation/Progress Report used in Vermont.

Q: What is the purpose of Form VS-113?
A: The purpose of Form VS-113 is to collect medical information for evaluating an individual's eligibility for various programs.

Q: Who uses Form VS-113?
A: Form VS-113 is used by medical professionals, individuals applying for programs in Vermont, and program administrators.

Q: What kind of information is collected on Form VS-113?
A: Form VS-113 collects information about medical history, current health status, functional abilities, and treatments.

Q: Can I fill out Form VS-113 myself?
A: No, Form VS-113 must be completed by a medical professional.

Q: Are there any fees associated with submitting Form VS-113?
A: There are no fees associated with submitting Form VS-113.

Q: How long does it take to complete Form VS-113?
A: The time it takes to complete Form VS-113 can vary depending on the complexity of the individual's medical history.

Q: What should I do if I have questions about Form VS-113?
A: If you have questions about Form VS-113, you can contact the Vermont Department of Health for assistance.

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Form Details:

  • Released on December 1, 2016;
  • The latest edition provided by the Vermont Department of Motor Vehicles;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form VS-113 by clicking the link below or browse more documents and templates provided by the Vermont Department of Motor Vehicles.

Download Form VS-113 Universal Medical Evaluation / Progress Report - Vermont

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