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Step 1: First, access the pdf editor by clicking the "Get Form Button" at the top of this page.
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As for the blank fields of this particular PDF, here's what you should do:
1. The 2012 requires specific details to be inserted. Make sure the subsequent fields are complete:
2. Right after completing the previous part, head on to the next stage and enter the essential details in these blank fields - A DESCRIBE THE HISTORY INCLUDING, B DOES THE VETERANS TREATMENT PLAN, YES, If Yes list only those medications, C WAS THE VETERANS INITIAL, YES, UNKNOWN, If Yes provide BP readings used to, READING, READING, DATE OF READING, READING, READING, READING, and READING.
3. This third step is easy - complete all the fields in READING, READING, DATE OF READING, DATE OF READING, VA FORM OCT, SUPERSEDES VA FORM A JAN WHICH, and Page to finish this segment.
4. Filling out A DOES THE VETERAN HAVE ANY SCARS, YES, NO If Yes complete Item B, B ARE ANY OF THE SCARS PAINFUL, YES, NO If Yes ALSO complete VA Form F, C DOES THE VETERAN HAVE ANY OTHER, YES, NO If Yes describebrief summary, DOES THE VETERANS HYPERTENSION OR, YES, NO If Yes describe the impact of, and SECTION IV FUNCTIONAL IMPACT is paramount in the next section - make sure you invest some time and take a close look at every single blank area!
People who use this PDF generally make errors when completing NO If Yes describebrief summary in this part. Make sure you reread what you enter here.
5. The pdf must be completed by going through this segment. Here you can find a full list of blank fields that require correct information for your form usage to be faultless: REMARKS If any, CERTIFICATION To the best of my, A PHYSICIANS SIGNATURE, B PHYSICIANS PRINTED NAME, C DATE SIGNED, SECTION VI PHYSICIANS, D PHYSICIANS PHONE AND FAX NUMBER, E PHYSICIANS MEDICAL LICENSE NUMBER, F PHYSICIANS ADDRESS, NOTE VA may request additional, IMPORTANT Physician please fax, NOTE A list of VA Regional Office, VA Regional Office FAX No, and PRIVACY ACT NOTICE VA will not.
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