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Evidence checklist

Lyme Disease

DC 631938 CFR § 4.88bInfectious 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 specialist records documenting Lyme diagnosisCritical

Records from an infectious disease doctor showing your Lyme disease diagnosis, treatment with antibiotics, and whether you developed chronic or post-treatment symptoms.

Private provider · independent opinion
Nexus opinion linking Lyme disease to service (tick exposure)Critical

A medical opinion connecting your Lyme disease to tick exposure during military service, such as field training, deployment, or duty at a base in a tick-endemic area.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Records documenting chronic Lyme or post-treatment residuals

Documentation of lasting symptoms after treatment, such as joint pain, fatigue, brain fog, neuropathy, or heart problems (post-treatment Lyme disease syndrome).

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Lab tests confirming Lyme disease (ELISA, Western blot)Critical

Blood test results showing positive Lyme antibodies. The standard test is a two-step process: ELISA screening followed by Western blot confirmation.

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

Disability Benefits Questionnaire completed by your doctor documenting your current symptoms, residuals, and how the condition affects your daily life.

Provider-completed · VA DBQ formHow to get this →
06

Service records

0 of 2 collected
Service records showing duty in tick-endemic area

Military records showing you were stationed or deployed in an area with high tick activity (Northeast US, Mid-Atlantic, upper Midwest, or certain overseas locations).

NPRC / milConnect · SF-180
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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