Evidence Checklist: Chronic Laryngitis
DC 6516
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Laryngoscopy documenting laryngeal inflammation and vocal cord appearanceCritical
Flexible or rigid laryngoscopy by an otolaryngologist documenting erythema, edema, mucosal changes, contact granulomas, or other laryngeal findings consistent with chronic laryngitis.
Nexus opinion linking chronic laryngitis to service ("at least as likely as not")Critical
A medical opinion connecting your chronic laryngitis to in-service inhalational exposures (smoke, chemical fumes, burn pits), vocal strain from military occupational duties, or a service-connected GERD.
Voice quality assessment (acoustic analysis or speech pathology evaluation)
Formal voice evaluation documenting hoarseness, dysphonia, pitch breaks, or aphonic episodes. Speech pathologist acoustic analysis objectively documents vocal impairment.
Treating Physician
GERD or reflux documentation if laryngopharyngeal reflux is a contributing cause
Records documenting laryngopharyngeal reflux (LPR) or GERD as a contributing or causative factor, supporting a secondary service connection claim if GERD is already service-connected.
Treatment Records
Treatment records (voice therapy, anti-reflux medications, vocal hygiene)
Records documenting voice therapy, anti-reflux treatment, vocal hygiene counseling, humidification therapy, and any procedural interventions.
Lay Statements & Personal Documentation
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and PharynxCritical
Standardized form capturing laryngoscopy findings, voice quality, and functional impact of chronic laryngitis.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.