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Evidence checklist

Chronic Kidney Disease (Renal Insufficiency)

DC 750238 CFR § 4.115a-4.115bGenitourinary

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
Nephrology evaluation and treatment recordsCritical

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

Private provider · independent opinion
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.

Private provider · independent opinion
02

Diagnostic tests and lab results

0 of 2 collected
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.

Imaging or lab facility · records request
Renal ultrasound or CT scan showing kidney structure

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

Imaging or lab facility · records 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

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
Condition guideRating criteria and what VA looks forBuddy statement builderGuided VA Form 21-10210

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