causative agents during the Gulf War - Report form. A. A physician or other qualified health care professional who has primary responsibility for treating a veteran and who believes the veteran may have been exposed to certain causative agents while serving in the Armed Forces of the United States during the Gulf War, shall, with the consent of the veteran, submit a report to the Department on a form provided by the Department. If there is no physician or other qualified health care professional having primary responsibility for treating the veteran, the hospital or other medical facility treating the veteran shall, with the consent of the veteran, submit the report to the Department. B. The form provided by the Department to the physician or other qualified health care professional or hospital or other medical facility shall request the following information: 1. Symptoms of the veteran which may be related to exposure to causative agents during the Gulf War; 2. Diagnoses of the veteran; and 3. Methods of treatment prescribed.
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