contractures caused by deep partial thickness burns that have limited the motion of two or more extremities or of at least one extremity and the trunk, OR contractures caused by full thickness or subdermal burns that have limited the motion of one or more extremities or the trunk, OR residuals of inhalation injury (including, but not limited to, pulmonary fibrosis, asthma, and chronic obstructive pulmonary disease). Continued on next page , Continued Use the table below to request medical evidence of medical feasibility on e. Requesting Evidence of behalf of Loan Guaranty. Medical Feasibility When Then … … the RLC is uncertain as to whether it it sends an encrypted e-mail to the would be medically feasible for the SAH/SHA point of contact at the Veteran to reside in a specially VSC, requesting a medical feasibility adapted home determination. the Veteran or serviceperson is the VSC requests a hospitalized current interim hospital summary including the complete medical findings, and completed VA Form 10-4555b. You may also request a Note: VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and to ascertain the extent of Attendance, disability, when warranted. Once the medical evidence is obtained, immediately deliver it to the Note: SAH agent in Loan Guaranty at either the RLC or an out-based location. Continued on next page , Continued
contractures caused by deep partial thickness burns that have limited the motion of two or more extremities or of at least one extremity and the trunk, OR contractures caused by full thickness or subdermal burns that have limited the motion of one or more extremities or the trunk, OR residuals of inhalation injury (including, but not limited to, pulmonary fibrosis, asthma, and chronic obstructive pulmonary disease). Continued on next page , Continued e. Requesting Evidence of Medical Feasibility Use the table below to request medical evidence of medical feasibility on behalf of Loan Guaranty. When … Then … the RLC is uncertain as to whether it would be medically feasible for the Veteran to reside in a specially adapted home it sends an encrypted e-mail to the SAH/SHA point of contact at the VSC, requesting a medical feasibility determination. the Veteran or serviceperson is hospitalized the VSC requests a current interim hospital summary including the complete medical findings, and completed VA Form 10-4555b. Note: You may also request a VA Form 21-2680, Examination for Housebound Status or Permanent Need for Regular Aid and Attendance, to ascertain the extent of disability, when warranted. Note: Once the medical evidence is obtained, immediately deliver it to the SAH agent in Loan Guaranty at either the RLC or an out-based location. Continued on next page , Continued
pt09_sp1_ch3.docx