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Evidence checklist

Myelofibrosis

DC 771838 CFR § 4.117Hematologic/Lymphatic

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
Bone marrow biopsy showing fibrosisCritical

A biopsy showing scar tissue replacing normal bone marrow. This confirms the myelofibrosis diagnosis.

Private provider · independent opinion
Nexus opinion linking myelofibrosis to serviceCritical

A medical opinion connecting your bone marrow scarring to benzene exposure, radiation, or other toxic exposures during military service.

Private provider · independent opinion
Imaging documenting spleen size

An ultrasound or CT scan showing spleen enlargement, which is common in myelofibrosis and may warrant a separate rating.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
CBC and peripheral blood smearCritical

Blood tests showing abnormal blood counts and teardrop-shaped red blood cells on the smear, which are characteristic of myelofibrosis.

VA or private records · written request
Treatment records (JAK inhibitors, transfusions, transplant evaluation)Critical

Records of all treatments including ruxolitinib (Jakafi), blood transfusions, and any evaluation for bone marrow transplant.

VA or private records · written 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

Benefits questionnaire

0 of 1 collected
Completed DBQ Hematologic and Lymphatic ConditionsCritical

A standardized VA form documenting marrow fibrosis, blood counts, spleen size, treatment, and functional limitations.

Provider-completed · VA DBQ formHow to get this →
05

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.