Skip to main content

Evidence checklist

Polycythemia Vera

DC 770438 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 2 collected
JAK2 mutation testing resultsCritical

A blood test for the JAK2 V617F mutation, which is found in about 95% of polycythemia vera cases. This confirms the diagnosis.

Private provider · independent opinion
Nexus opinion linking polycythemia vera to serviceCritical

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

Private provider · independent opinion
02

Treatment records

0 of 3 collected
CBC showing elevated red blood cells, hemoglobin, and hematocritCritical

Blood tests showing abnormally high red blood cell counts. The VA rates polycythemia vera based on symptoms and treatment needed.

VA or private records · written request
Treatment records (phlebotomy, hydroxyurea, aspirin)Critical

Records showing how often you need blood removed (phlebotomy), medications used, and whether the condition is well-controlled.

VA or private records · written request
Documentation of complications (blood clots, stroke, spleen enlargement)

Records of any blood clots, strokes, or enlarged spleen caused by polycythemia vera. These complications may warrant separate ratings.

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 capturing blood counts, treatment frequency, and complications from polycythemia vera.

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.