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Evidence checklist

Cervicitis

DC 761238 CFR § 4.116Gynecological/Breast

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
Gynecology evaluation documenting cervicitisCritical

Records from a gynecologist showing diagnosis, cause of cervical inflammation (infection, irritation, or other), and treatment plan.

Private provider · independent opinion
Nexus opinion linking cervicitis to serviceCritical

A medical opinion stating it is "at least as likely as not" that your cervicitis started during or was caused by conditions during military service.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records showing ongoing or recurring symptoms

Records showing treatment history, whether the condition keeps coming back, and how well medications are working.

VA or private records · written request
Records documenting complications (PID, fertility impact)

Any records showing that cervicitis led to other problems like pelvic inflammatory disease, abnormal bleeding, or difficulty getting pregnant.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Lab tests identifying the cause of cervicitisCritical

Culture, STI panel, or Pap smear results that identify the cause of your cervical inflammation.

Imaging or lab facility · records request
04

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 →
05

Benefits questionnaire

0 of 1 collected
DBQ — Gynecological Conditions

Disability Benefits Questionnaire completed by your doctor documenting your symptoms, treatment, and how the condition affects your daily life.

Provider-completed · VA DBQ formHow to get this →
06

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

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