Skip to main content

Evidence checklist

Hashimoto's Thyroiditis

DC 790338 CFR § 4.119Endocrine

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
Thyroid antibody testing (TPO, thyroglobulin antibodies)Critical

Laboratory results confirming the autoimmune etiology of thyroiditis with elevated thyroid peroxidase (TPO) and/or thyroglobulin antibodies.

Private provider · independent opinion
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.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Documentation of autoimmune etiology

Medical records establishing the autoimmune nature of the condition and any related autoimmune disorders.

Your treating provider · written request
03

Treatment records

0 of 2 collected
Thyroid function labs (TSH, T3, T4)Critical

Serial laboratory results documenting thyroid hormone levels over time, showing hypothyroid progression and treatment response.

VA or private records · written request
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.

VA or private records · written 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
Completed DBQ Thyroid and Parathyroid ConditionsCritical

Standardized form capturing thyroid function, treatment regimen, and symptoms.

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

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.