Evidence Checklist: Bladder Cancer
DC 7528
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Oncology/urology treatment recordsCritical
Records documenting staging, treatment (TURBT, BCG therapy, cystectomy, chemotherapy), and surveillance cystoscopy schedule.
Treatment Records
Records documenting treatment residuals
Documentation of long-term effects such as urinary incontinence (post-cystectomy), conduit/pouch complications, or other residuals — each separately ratable.
Diagnostic Tests & Lab Results
Pathology/cystoscopy report confirming bladder cancerCritical
Biopsy or TURBT pathology report confirming urothelial carcinoma diagnosis, grade, and stage.
Lay Statements & Personal Documentation
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.
Service Records
Documentation of carcinogen exposure during service (PACT Act / Agent Orange)Critical
Records establishing service in areas with chemical/toxic exposure that supports presumptive service connection for bladder cancer under the PACT Act.
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.