Evidence Checklist: Chronic Kidney Disease (Renal Insufficiency)

Nephrology evaluation and treatment recordsCritical

Records from a kidney specialist documenting diagnosis, CKD stage, treatment plan, and progression monitoring.

Nexus opinion linking kidney disease to service (e.g., toxic exposure, NSAIDs, in-service infection)Critical

Medical opinion stating it is at least as likely as not that your kidney disease is connected to service, citing specific in-service events such as burn pit/Agent Orange exposure, heavy NSAID use, or recurrent UTIs.

Laboratory results: BMP, BUN, creatinine, eGFR, urinalysisCritical

Blood and urine tests documenting kidney function. GFR is the primary marker for CKD staging (Stage 1–5). Collect results over time to show progression.

Renal ultrasound or CT scan showing kidney structure

Imaging studies documenting kidney size, scarring, cysts, or obstruction relevant to your diagnosis.

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.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.