Evidence Checklist: Allergic Rhinitis

ENT evaluation documenting rhinitis diagnosis and severityCritical

An otolaryngologist evaluation documenting nasal congestion, rhinorrhea, sneezing, itching, and any nasal polyps or mucosal changes on endoscopy.

Allergy testing (skin-prick or specific IgE blood test)

Skin-prick testing or RAST/ImmunoCAP blood tests confirming specific allergen sensitization. Positive results support the allergic diagnosis and strengthen the link to environmental exposures during service.

Nexus opinion linking allergic rhinitis to service ("at least as likely as not")Critical

A medical opinion connecting your allergic rhinitis to in-service environmental exposures (dust, sand, mold, pollen at deployment locations) or establishing in-service onset.

Treatment records (antihistamines, nasal steroids, immunotherapy)

Records documenting ongoing treatment including antihistamines, intranasal corticosteroids, decongestants, and any allergen immunotherapy (allergy shots).

CT scan of sinuses (if sinus involvement present)

CT imaging documenting sinus mucosal thickening or other changes when sinusitis is present alongside allergic rhinitis, which may support a combined or higher rating.

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.

Completed DBQ Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and PharynxCritical

Standardized form capturing nasal examination findings, symptom frequency, and functional impact of allergic rhinitis.

Service treatment records (STRs)Critical

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