VA 21-0960L-2 2016-2026 free printable template

This document is a questionnaire used by the U.S. Department of Veterans Affairs for evaluating claims for disability benefits related to sleep apnea. It collects patient information, diagnosis details,

How to fill out va form 21 0960l 2 sleep apnea

How to fill out VA 21-0960L-2

1. Download the VA Form 21-0960L-2 from the VA website.
2. Fill out the veteran's identification information at the top of the form including name, Social Security number, and service number.
3. Indicate the specific diagnosis related to the lower extremity condition you are claiming.
4. Provide medical history relevant to the condition, including previous treatments and surgeries.
5. Document any functional limitations or effects on daily living caused by the condition.
6. Include any relevant tests or evaluations that support the claim.
7. Sign and date the form at the bottom.
8. Submit the completed form to the appropriate VA regional office or along with your claim.

Who needs VA 21-0960L-2?

1. Veterans who are seeking disability compensation for lower extremity conditions.
2. Service members who have experienced injuries or conditions affecting their legs or feet during service.
3. Individuals seeking increased evaluations for existing lower extremity disabilities.

People Also Ask about va dbq sleep apnea form

Is it hard to get VA disability for sleep apnea?

But there are several challenges to winning veterans (VA) disability for sleep apnea, and many veterans receive denials after they apply. The legal team at Chisholm Chisholm & Kilpatrick LTD can help you file an appeal and prove your sleep apnea is a result of an in-service illness, injury, or event.

What are the secondary symptoms of sleep apnea?

OSA Symptoms and Long-Term Consequences Sore throat or dry mouth when waking. Sudden waking by choking or gasping. Extreme daytime sleepiness. High blood pressure.

What causes secondary sleep apnea?

The causes of sleep apnea in military members and Veterans can be related to toxin exposure (such as smoke from burn pits), trauma, both physical and mental, weight gain secondary to disabilities that prevent exercise, among other things.

Do I have to use my CPAP to get VA disability?

The short answer to whether you'll lose VA benefits if you don't use your CPAP machine is no. While the VA may track your compliance, and they will not revoke your disability benefits if you don't use your machine. However, it is important to use your CPAP machine as prescribed so you can get the best results possible.

What disabilities can sleep apnea cause?

Is Sleep Apnea a Disability? Sleep apnea not considered a disability by the SSA, but sleep apnea can cause other breathing disorders and heart problems, which can be considered disabilities by the SSA.

What Dbq is used for insomnia?

During a C&P exam, you will likely also be required to fill out an insomnia DBQ, or disability service questionnaire. An insomnia DBQ will provide information to the doctor on symptoms you're experiencing, details on the event you believe caused insomnia, and why you believe your insomnia is service-connected.

Is sleep apnea considered a disability?

The Social Security Administration (SSA) does not recognize sleep apnea as a disability. However, if you suffer from severe enough sleep apnea, you may meet eligibility standards with the other symptoms resulting from your sleep apnea.

What sleep disorders are considered a disability?

People who suffer from sleep apnea repeatedly start and stop breathing while they sleep. There are two types of sleep apnea: obstructive sleep apnea (more common) and central sleep apnea, both of which can qualify for SSDI or SSI.

Is sleep apnea a medical condition?

Sleep apnea is a serious medical condition. Complications of OSA can include: Daytime fatigue. The repeated awakenings associated with sleep apnea make typical, restorative sleep impossible, in turn making severe daytime drowsiness, fatigue and irritability likely.

What is the highest VA disability rating for insomnia?

So this means, insomnia could be rated like mental disorders which range from 0% to a 100% disability rating, per the Schedule of Ratings for Mental Disorders (38 CFR § 4.130) meaning it is possible to receive over $3,000 from the VA for service connected insomnia issues.

How do I get a secondary connection for sleep apnea?

To qualify for secondary service connection, you have to show that: You have a current medical diagnosis of sleep apnea; and. There is evidence showing that you had another medical condition before you developed sleep apnea that was caused or made worse by your military service.

How much disability do you get for sleep apnea?

Disability ratings for sleep apnea are assigned at 0, 30, 50, or 100 percent. If sleep apnea causes disordered breathing but no other symptoms, the veteran will be assigned a 0 percent rating, meaning the veteran will not receive any monthly payment amount for sleep apnea.

What is the VA rating for sleep disturbances?

A 30 percent rating is awarded when a veteran experiences chronic daytime sleepiness (i.e. hypersomnolence). A 50 percent rating tends to be the most common evaluation assigned as it is consistent with the veteran's use of a CPAP machine.

Can hypertension be secondary to sleep apnea?

Obstructive sleep apnea (OSA) is a recognized cause of secondary hypertension. OSA episodes produce surges in systolic and diastolic pressure that keep mean blood pressure levels elevated at night.

How do I get a VA sleep apnea rating?

Veterans can also prove service connection for sleep apnea by showing that their sleep apnea began in service using service medical records, or by providing a nexus opinion from a medical professional that links their current diagnosis of sleep apnea to signs or symptoms they experienced in service.

How do you assess for insomnia?

Three criteria must be met for a diagnosis of insomnia: complaint of trouble falling or staying asleep, adequate opportunity for sleep, and daytime dysfunction. If a patient reports trouble sleeping for the expected 7‐8 hours but does not have daytime consequences, he/she may be a short sleeper.

How do I prove VA disability for sleep apnea?

NOTE: The diagnosis of sleep apnea must be confirmed by a sleep study; provide sleep study results in Diagnostic testing section. If other respiratory condition is diagnosed, complete the Respiratory and / or Narcolepsy Questionnaire(s), in lieu of this one.

Does the VA recognize insomnia?

Insomnia itself does not have a diagnostic code under the VA rating schedule. The disability is currently rated by analogy to a mental health disorder, and the Board finds that the diagnostic codes for mental health disorders most closely approximate the Veteran's insomnia.

What conditions are secondary to sleep apnea?

8 Conditions Linked to Sleep Apnea PTSD. The most common condition that sleep apnea is connected to is PTSD. Depression. Stroke. Hypertension. Heart Disease. Gastroesophageal Reflux Disease (GERD) Asthma. Sinusitis & Rhinitis.

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What is VA 21-0960L-2?

VA 21-0960L-2 is a form used by veterans to report their peripheral neuropathy symptoms and limitations for VA disability compensation purposes.

Who is required to file VA 21-0960L-2?

Veterans who are seeking disability compensation for peripheral neuropathy are required to file VA 21-0960L-2.

How to fill out VA 21-0960L-2?

To fill out VA 21-0960L-2, veterans need to provide personal information, details about their diagnosis, symptom severity, limitations, and related medical information as prompted in the form.

What is the purpose of VA 21-0960L-2?

The purpose of VA 21-0960L-2 is to help the VA assess the severity of a veteran's peripheral neuropathy and determine eligibility for disability benefits.

What information must be reported on VA 21-0960L-2?

On VA 21-0960L-2, veterans must report their personal details, diagnosis, the location of neuropathy, symptom severity, frequency of symptoms, and limitations caused by the condition.