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Evidence checklist

Bilateral Hearing Loss

DC 610038 CFR § 4.85-4.87Organs of Sense

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
Current audiogram (puretone and speech discrimination)Critical

A complete audiometric evaluation including puretone thresholds at 1000, 2000, 3000, and 4000 Hz and Maryland CNC speech recognition scores for both ears.

Private provider · independent opinion
Nexus opinion linking hearing loss to serviceCritical

Medical opinion connecting hearing loss to in-service noise exposure.

Private provider · independent opinion
02

Lay statements

0 of 1 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 →
03

Benefits questionnaire

0 of 1 collected
Completed DBQ Hearing Loss and TinnitusCritical

Standardized form with complete audiometric data in VA format.

Provider-completed · VA DBQ formHow to get this →
04

Service records

0 of 2 collected
Documentation of in-service noise exposureCritical

Military records showing noise-exposed MOS or duty assignments.

NPRC / milConnect · SF-180
Entrance and separation audiograms from service

Comparing entrance and exit hearing tests shows a shift in hearing threshold that occurred during service.

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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