Evidence checklist
Amyotrophic Lateral Sclerosis (ALS)
Evidence strength
Mark what you already have below and your evidence strength appears here.
Specialist opinion
Highest value0 of 3 collectedNeedle EMG showing active denervation (fibrillation potentials, positive sharp waves) and chronic reinnervation in at least three body regions (bulbar, cervical, thoracic, lumbosacral), meeting El Escorial or Awaji criteria for ALS.
Not marked
A neurologist's evaluation documenting combined upper motor neuron (spasticity, hyperreflexia, Babinski) and lower motor neuron (atrophy, fasciculations, weakness) signs consistent with ALS.
Not marked
PFTs documenting respiratory muscle weakness (reduced FVC) and a modified barium swallow or FEES study documenting dysphagia severity.
Not marked
Treating physician
0 of 1 collectedThe ALSFRS-R score documents functional decline across speech, swallowing, limb function, and respiratory domains. Useful for establishing level of impairment for rating purposes.
Not marked
Lay statements
0 of 2 collectedA written statement from someone who can describe observable symptoms and how your condition affects daily life.
Not marked
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Not marked
Benefits questionnaire
0 of 1 collectedVA standardized form for motor neuron diseases capturing neurological deficits and functional status.
Not marked
Service records
0 of 2 collectedALS is a VA-presumptive condition for all veterans with honorable service. Documentation of military service is sufficient to establish service connection without a nexus opinion.
Not marked
Military medical records showing in-service treatment, complaints, or injuries related to this condition.
Not marked
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