Skip to main content

Evidence checklist

Herpes Simplex

DC 782038 CFR § 4.118Infectious Diseases

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
Infectious disease or primary care records documenting herpes diagnosisCritical

Records from your doctor showing your herpes simplex diagnosis (HSV-1 or HSV-2), how often outbreaks happen, and what treatments you use.

Private provider · independent opinion
Nexus opinion linking herpes to serviceCritical

A medical opinion stating it is "at least as likely as not" that you contracted herpes simplex during military service.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Outbreak frequency log or treatment recordsCritical

A record of how often outbreaks occur, how long they last, and any treatment needed. The VA rates herpes based on how many outbreaks you have per year.

VA or private records · written request
Antiviral medication records

Records showing your antiviral prescriptions (acyclovir, valacyclovir), whether you take daily suppressive therapy, and any side effects.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Lab tests confirming herpes simplex virus typeCritical

Blood test (IgG antibody) or viral culture/PCR from an active sore confirming HSV-1 or HSV-2 infection.

Imaging or lab facility · records 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
DBQ — Infectious Diseases or Skin Diseases

Disability Benefits Questionnaire completed by your doctor documenting outbreak frequency, severity, treatment, and functional impact.

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.