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Evidence checklist

Chronic Cystitis

DC 751238 CFR § 4.115bGenitourinary

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 1 collected
Nexus opinion linking chronic cystitis to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your chronic cystitis is connected to your military service, including exposure to unsanitary field conditions during deployment.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Urine culture results showing recurrent infectionsCritical

Laboratory results documenting a pattern of recurrent urinary tract infections with positive urine cultures over time.

VA or private records · written request
Treatment records (antibiotics, suppressive therapy)

Records showing antibiotic treatment history, including any long-term suppressive therapy and treatment response.

VA or private records · written request
03

Lay statements

0 of 3 collected
Voiding diary documenting urinary frequency and urgencyCritical

A personal log tracking daytime voiding intervals, nighttime awakening frequency, and episodes of urgency, which directly maps to VA rating criteria.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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 Kidney and Urinary Tract ConditionsCritical

Standardized form capturing voiding dysfunction, urinary frequency, and infection history.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 2 collected
Documentation of unsanitary field conditions during deployment

Service records, buddy statements, or deployment documentation describing limited hygiene facilities and unsanitary conditions that contributed to recurrent UTIs.

NPRC / milConnect · SF-180
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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