Evidence Checklist: Anosmia (Loss of Sense of Smell)

Smell identification test (UPSIT or Sniffin' Sticks)Critical

A standardized olfactory test (University of Pennsylvania Smell Identification Test or Sniffin' Sticks) objectively documenting the complete or partial loss of smell.

Nexus opinion connecting anosmia to service eventCritical

A medical opinion linking your loss of smell to an in-service traumatic brain injury, blast exposure, nasal surgery, or toxic exposure during military service.

ENT or neurologist diagnosis confirming anosmiaCritical

A formal diagnosis from an otolaryngologist or neurologist confirming complete loss of smell (anosmia) or partial loss (hyposmia), with etiology assessment.

Treatment records documenting anosmia

Medical records showing evaluation and treatment attempts for anosmia, including any olfactory training or medication trials.

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.

Completed DBQ Sinusitis/Rhinitis ConditionsCritical

Standardized form capturing anosmia diagnosis and related nasal/sinus examination findings. Anosmia carries a fixed 10% rating.

Documentation of TBI, blast exposure, or surgery causing smell lossCritical

Service treatment records or incident reports documenting the traumatic brain injury, blast exposure, nasal/sinus surgery, or toxic chemical exposure that caused the anosmia.

Service treatment records (STRs)Critical

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