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Evidence checklist

Hairy Cell Leukemia

DC 770338 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 and flow cytometry confirming hairy cell leukemiaCritical

The definitive diagnostic tests showing the characteristic "hairy" lymphocytes. This confirms your specific leukemia type.

Private provider · independent opinion
Nexus opinion linking hairy cell leukemia to serviceCritical

A medical opinion connecting your leukemia to herbicide exposure (Agent Orange), chemical exposure, or radiation during military service.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records (cladribine, pentostatin, or other chemotherapy)Critical

Records of all cancer treatments with dates. Active treatment is rated at 100%.

VA or private records · written request
Serial blood counts documenting cytopeniasCritical

Blood tests showing low red cells, white cells, or platelets over time. Persistent cytopenias after treatment support a higher residual rating.

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 documenting diagnosis, treatment status, blood counts, and residual effects.

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

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