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Evidence checklist

Aplastic Anemia

DC 771638 CFR § 4.117Hematologic/Lymphatic

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
Bone marrow biopsy confirming aplastic anemiaCritical

A biopsy showing reduced or empty bone marrow. This is the definitive test for aplastic anemia.

Private provider · independent opinion
Nexus opinion linking aplastic anemia to serviceCritical

A medical opinion connecting your bone marrow failure to benzene exposure, radiation, medications, or infections during military service.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Serial CBC showing pancytopenia (low red cells, white cells, and platelets)Critical

Blood tests over time showing all three blood cell lines are low. The depth of the cytopenias determines severity.

VA or private records · written request
Treatment records (immunosuppressive therapy, stem cell transplant, transfusions)Critical

Records of all treatments. Aplastic anemia often requires intensive treatment including ATG, cyclosporine, or bone marrow transplant.

VA or private records · written request
Transfusion history and frequency

Records of blood and platelet transfusions. Regular transfusion dependence shows severe disease.

VA or private records · written request
03

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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Hematologic and Lymphatic ConditionsCritical

A standardized VA form capturing bone marrow findings, blood counts, treatment requirements, and transfusion needs.

Provider-completed · VA DBQ formHow 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 forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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