WVC 16 - 28 - 2
§16-28-2. Reports to the department of health.
(a) A physician who has primary responsibility for treating
a veteran who believes he may have been exposed to chemical
defoliants or herbicides or other causative agents, including
agent orange, while serving in the armed forces of the United
States, shall, at the request of the veteran, submit a report to
the department on a form provided by the department. If there is
no physician having primary responsibility for treating the
veteran, the hospital treating the veteran shall, at the request
of the veteran, submit the report to the department.
(b) The form provided by the department to the physician
shall request the following information:
(1) Symptoms of the veteran which may be related to exposure
to a chemical defoliant or herbicide or other causative agent,
including agent orange;
(2) Diagnosis of the veteran; and
(3) Methods of treatment prescribed.
(c) The department may require the veteran to provide such
other information as determined by the director.