Evidence Checklist: Loss of Hard Palate
DC 9911
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Oral surgery or head/neck surgery evaluation documenting palate lossCritical
Records documenting extent of hard palate loss, surgical resection details, and functional impact on speech and swallowing.
Speech-language pathology evaluation
Records documenting impact on speech intelligibility and swallowing function.
Nexus opinion linking hard palate loss to service (trauma, cancer surgery)Critical
Medical opinion connecting palate loss to in-service trauma, or resection for a service-connected oral cancer.
Treatment Records
Prosthesis (obturator) records
Documentation of palatal obturator use and its adequacy for function.
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
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.