Thanks to all the helpful information and suggestions I found at VeteranAid.org and in the forum, I'd like to share my experience. My father is a WWII Marine veteran with Alzheimer's who currently resides in a secure dementia unit at a skilled nursing facility. I followed the advice I found in this forum, and meticulously put together every document and form into a 3-ring binder with tabbed dividers. Both the Physician Statement and the Nursing Home Statement clearly referred to my father's dementia, and the fact that he resides in a secure, dementia unit. On June 23 I sent the claim to our local VA office in Winston-Salem, NC, my certificed receipt was returned indicating the claim had been received by the VA on 6/25. Yesterday, August 11, (less than 8 weeks after mailing the claim) I received a call from the Nursing Home telling me that my father had received not only a check for $1949 from the VA, but a 9-page letter explaining the decision. Per the letter from the VA, they made a decision on my father's claim and determined his payment start date as Jul 1 for veter and with one dependent (my mom). Although I am thrilled beyond words that the claim was processed so quickly, and that the amount is $1949, I am stunned that they sent a check directly to my dad at the Nursing Home. Because of his dementia, I had expected and was prepared for the lengthy process of the VA requiring the appointment of a fiduciary. How could they have overlooked his dementia/Alzheimer's diagnosis? Obviously, I don't want to do anything to cause his benefit payment to be suspended, but I'm wondering if anyone else has had such an experience, and why might the VA have already sent my father a check in light of his clear dementia diagnosis? Thanks again to this wonderful website.