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OCR for page 141
Appendix J
Examples of Persian Gull Registry
Follow-Up Letters
SAMPLE PERSIAN GULF VETERANS FOLLOW-UP LETTER
(MEDICAL PROBLEMS INDICATED)
DEPARTMENT OF VETERANS AFFAIRS
Medical Center
Anywhere,USA85012
(Date)
(Name/Address)
Dear
-
In Reply Refer to:
We sincerely appreciate your recent participation in the Department of
Veterans Affairs (VA) Persian Gulf Registry. This effort should prove to be
helpful in assisting us to serve you and other veterans who are concerned about
the possible health problems which may have resulted from service in
Southwest Asia during the Persian Gulf War.
As discussed at the conclusion of your visit, results of your examination and
laboratory tests showed certain problems (optional these findings may be
described in lay terms). In view of these findings, we have scheduled you for
treatment of these health problems on (date). If for any reason you cannot keep
141
OCR for page 142
142
ADEQUACYOF THE VA PERSIAN GULFREGISTRYAND UCAP
this appointment, please call (telephone number) at the earliest possible time to
cancel and reschedule.
The results of your examination will be maintained by VA and will be
available for future use as needed. If you have any questions or concerns about
your Persian Gulf Registry examination, please contact the Veterans' Registry
Coordinator at (telephone number) for assistance.
Whether you are entitled to cost-free treatment or will be responsible for
partial co-payment will be determined by your income and other factors unless
the VA determines that your health problems are service connected. You may
wish to file a claim for compensation to establish possible service connection.
The injury or illness need not have been incurred in combat; the law requires
only that a disease or disability was incurred or aggravated during military
service.
Please remember that this examination does not automatically initiate a
claim for VA benefits. If you wish to file a claim, please contact your nearest
VA Regional Office. In your area the Regional Office is located at (address).
Their telephone number is (telephone number). If you need any further
assistance, you may contact a Veterans' Benefits Counselor by calling the VA
toll-free telephone number 1-800-827-1000.
An outreach program has been implemented by which VA notifies all
individuals listed in the Registry of significant VA activities, including the
health consequences of military service in the Persian Gulf theater of operations
during the Persian Gulf War. You will be receiving a "Persian Gulf Review"
which is published periodically by VA's Environmental Agents Service. A
copy of this "Review" is enclosed for your reference.
We trust this information is helpful to you. Once again, your participation
in the registry is appreciated.
Sincerely,
(Signature)
Name of Veterans' Registry Physician
Enclosure
OCR for page 143
APPENDIX J
SAMPLE PERSIAN GULF VETERANS FOLLOW-UP LETTER
(NO MEDICAL PROBLEMS INDICATED)
DEPARTMENT OF VETERANS AFFAIRS
Medical Center
Anywhere, USA 85012
(Date)
(Name/Address)
Dear
143
In Response Reply Refer to:
We sincerely appreciate your recent participation in the DeparDnent of
Veterans Affairs (VA) Persian Gulf Registry. This effort should prove to be
helpful in assisting us to serve you and other veterans who are concerned about
the possible health problems which may have resulted from service in
Southwest Asia during the Persian Gulf War.
As discussed at the conclusion of your visit, results of your examination and
laboratory tests indicate that there are no detectable medical problems. At this
time you have no reason to be concerned about any adverse health effects
resulting from your service in the Persian Gulf. However, in the future if you
have a medical problem, I would encourage you to seek the help and advice of
your nearest VA medical center or outpatient clinic. You may reach us at
(telephone number).
The results of your examination will be maintained by VA and will be
available for future use as needed.
Please remember that this examination does not automatically initiate a
claim for VA benefits. If you wish to file a claim, please contact your nearest
VA Regional Office. In your area the Regional Office is located at (address).
Their telephone number is (telephone number). If you need any further
assistance, you may contact a Veterans' Benefits Counselor by calling the VA
toll-free telephone number 1-800-827-1000.
An outreach program has been implemented by which VA notifies all
individuals listed in the Registry of significant VA activities, including the
health consequences of military service in the Persian Gulf theater of operations
during the Persian Gulf War. You will be receiving a "Persian Gulf Review"
OCR for page 144
144
J~F ~ ~ ~ _\ Gem ~~ ~f
Ibid is published periodically by VA,s Env~o~emal Aged Service. A
copy of ~ Preview" ~ enclosed far your reference.
We ~s1 tab An ~ be~110 you. Once Cad, your p=~ip~10D
He registry is ~prec1~ed.
Sincere,
(Signature)
Ale of Veterans' Resist Pbysici~
Enclosure
Representative terms from entire chapter:
veterans affairs
