this is an exerpt from the M-21 Manual-
Chapter 3. Special Monthly Pension (SMP) Ratings
1. Ratings for Aid and Attendance (A&A) Allowance
Introduction This topic contains information on ratings for the Aid and Attendance (A&A) allowance, including
• the criteria for entitlement to A&A
• the requirement for a single 100-percent evaluation
• action to take when there is no 100-percent evaluation or need for A&A shown
• when to infer a claim for A&A or Housebound benefits
• presuming the need for A&A when the veteran is in nursing home care, and
• when no rating decision is required to grant A&A.
Change Date December 13, 2005
a. Criteria for Entitlement to A&A Per 38 CFR 3.352(a), to be entitled to the Aid and Attendance (A&A) allowance, the veteran must be so helpless that he/she requires the aid of another person to perform the personal functions required in everyday living.
Per 38 CFR 3.351©(1), a veteran who has bilateral vision of 5/200 or less, or contraction of the central visual field to five degrees or less, is entitled to the A&A allowance without the requirement of additional findings.
Greater disability is required for entitlement to the additional allowance for regular A&A than for entitlement to the Housebound rate or for a basic 100-percent schedular evaluation.
Note: The need for A&A does not have to be permanent before the additional Special Monthly Pension (SMP) benefits can be awarded (VAOPGCPREC 21-94).
maybe this will help,if you need the form just ask an S.O.I was given the form at a meeting with the voc rehab counselor as there was also a texas vets S.O. present.Any doctor can fill it out,there is no requirement that it be filled by a VA doctor.