VA Form 21-0960g-1 Esophageal Conditions (Including Gastroesophageal Reflux Disease (GERD), Hiatal Hernia and Other Esophageal Disorders) Disability Benefits Questionnaire

What Is VA Form 21-0960g-1?

This is a legal form that was released by the U.S. Department of Veterans Affairs on September 1, 2016 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is VA Form 21-0960g-1?
A: VA Form 21-0960g-1 is a questionnaire used for evaluating disability benefits related to esophageal conditions.

Q: What does this form assess?
A: This form assesses esophageal conditions, including Gastroesophageal Reflux Disease (GERD), Hiatal Hernia, and other Esophageal Disorders.

Q: Who can fill out this form?
A: This form should be filled out by a qualified healthcare provider or a medical professional.

Q: What is the purpose of this form?
A: The purpose of this form is to gather medical information that will help determine eligibility for disability benefits related to esophageal conditions.

Q: What information is required to fill out this form?
A: To complete this form, you will need to provide details about your medical history, symptoms, and any relevant test results or treatments.

Q: How long does it take to process this form?
A: The processing time for this form may vary. It is best to check with the VA or consult a VSO for estimated processing times.

Q: What should I do if I need further clarification on this form?
A: If you need further clarification or have questions about this form, you should contact the VA or consult a VSO for assistance.