D9421 - Treatment, Aggravations & Historic Injuries Medical Impairment Assessment

Form ID
D9421
Audience
For providers
Compensation provider

An Impairment Assessment aims to determine the impact of the veteran’s service-related medical conditions.

If you are using an Apple computer and want to fill out your form electronically, please download the form and open it with Acrobat 7 or later.

How can I access this form?
na
Form file format