Sec. 5. (a) A physician who has primary responsibility for treating a veteran who believes the veteran may have been exposed to chemical defoliants or herbicides or similar 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. If the veteran desires to submit a report directly to the department, the veteran must submit the report on a form provided by the department and made available to the veteran at physicians' offices, hospitals, and county courthouses.

(b) The department shall provide forms to all physicians, hospitals, and county courthouses in Indiana for distribution to a veteran who believes that the veteran may have been exposed to chemical defoliants or herbicides or similar agents while serving in the armed forces of the United States. Forms provided under this subsection must request the following information:

(1) Symptoms of the veteran that may be related to exposure to a chemical defoliant or herbicide or similar agent, including agent orange.

(2) Diagnosis of the veteran.

(3) Methods of treatment prescribed.

(c) The department may require the veteran to provide other information determined by the director.

[Pre-2003 Recodification Citation: 10-5-24-2.]

As added by P.L.2-2003, SEC.8.