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Evidence checklist

Hemophilia

DC 770738 CFR § 4.117Hematologic/Lymphatic

Evidence strength

Mark what you already have below and your evidence strength appears here.

Saved locally

No target rating to pick. 38 CFR 4.117, DC 7707 prints no percentages — this condition is rated on its residuals, under whichever schedule covers the damage. The whole checklist below is shown. See where the residuals are rated.

01

Specialist opinion

Highest value0 of 1 collected
Nexus opinion linking hemophilia aggravation to serviceCritical

Hemophilia is genetic, but service may have aggravated it through injuries, delayed treatment, or exposure to conditions that worsened bleeding episodes.

Private provider · independent opinion
02

Treatment records

0 of 4 collected
Coagulation studies (factor VIII or IX levels, PTT)Critical

Blood tests measuring your clotting factor levels and how long it takes your blood to clot. The factor level determines hemophilia severity.

VA or private records · written request
Treatment records (factor replacement therapy, prophylaxis)Critical

Records of factor replacement infusions, including frequency (on-demand vs prophylactic) and any inhibitor development.

VA or private records · written request
Documentation of bleeding episodes and joint damageCritical

Records of bleeding episodes, especially joint bleeds (hemarthrosis) that cause permanent joint damage. Joint damage may warrant separate musculoskeletal ratings.

VA or private records · written request
Emergency room records for bleeding emergencies

Records from any ER visits for uncontrolled bleeding. These show the real-world impact of your condition.

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 capturing factor levels, bleeding frequency, treatment regimen, and joint complications.

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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