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Evidence checklist

Addison's Disease (Adrenal Insufficiency)

DC 791138 CFR § 4.119Endocrine

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Endocrinology evaluation and treatment recordsCritical

Records documenting diagnosis, hydrocortisone/fludrocortisone replacement therapy, and sick-day management plan.

Private provider · independent opinion
Nexus opinion linking Addison's disease to service or toxic exposureCritical

Medical opinion connecting primary adrenal insufficiency to military service, autoimmune trigger, tuberculosis from service, or toxic exposure.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Records of adrenal crisis episodes and hospitalizations

Emergency and hospitalization records documenting adrenal crises — supports higher severity ratings.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Morning cortisol, ACTH stimulation test, and ACTH level resultsCritical

Laboratory results documenting primary adrenal insufficiency: low cortisol, inadequate response to ACTH stimulation, and elevated baseline ACTH.

Imaging or lab facility · records request
04

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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