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Evidence checklist

Secondary Adrenal Cortical 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 steroid replacement recordsCritical

Records documenting hydrocortisone/fludrocortisone dosing, sick-day rules, and monitoring.

Private provider · independent opinion
Nexus opinion linking adrenal insufficiency to serviceCritical

Medical opinion connecting adrenal insufficiency to service, including secondary causes such as prolonged steroid use for a SC condition, pituitary tumor from head trauma, or autoimmune disease acquired during service.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Adrenal crisis hospitalization records

Emergency records documenting adrenal crises and hospitalizations — supports higher severity rating.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Morning cortisol, ACTH stimulation test, ACTH level, aldosterone, reninCritical

Laboratory results distinguishing primary (low cortisol, high ACTH, low aldosterone) from secondary (low cortisol, low ACTH) adrenal insufficiency.

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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