Evidence Checklist: Addison's Disease (Adrenal Insufficiency)

Endocrinology evaluation and treatment recordsCritical

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

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.

Records of adrenal crisis episodes and hospitalizations

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

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.

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.

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.

Service treatment records (STRs)Critical

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