Evidence Checklist: Hashimoto's Thyroiditis
DC 7903
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Thyroid antibody testing (TPO, thyroglobulin antibodies)Critical
Laboratory results confirming the autoimmune etiology of thyroiditis with elevated thyroid peroxidase (TPO) and/or thyroglobulin antibodies.
Nexus opinion linking Hashimoto's thyroiditis 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 Hashimoto's thyroiditis is connected to your military service, including environmental exposures such as burn pits, contaminated water, or chemical agents.
Treating Physician
Documentation of autoimmune etiology
Medical records establishing the autoimmune nature of the condition and any related autoimmune disorders.
Treatment Records
Thyroid function labs (TSH, T3, T4)Critical
Serial laboratory results documenting thyroid hormone levels over time, showing hypothyroid progression and treatment response.
Treatment records showing medication and symptom management
Records documenting thyroid hormone replacement therapy (levothyroxine), dosage adjustments, and ongoing symptom management including fatigue, weight changes, and cold intolerance.
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Thyroid and Parathyroid ConditionsCritical
Standardized form capturing thyroid function, treatment regimen, and symptoms.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.