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Evidence checklist

Postphlebitic Syndrome

DC 712138 CFR § 4.104Cardiovascular

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
Doppler ultrasound showing venous insufficiencyCritical

Duplex Doppler ultrasound documenting venous reflux, valve incompetence, or chronic venous obstruction resulting from prior DVT.

Private provider · independent opinion
Nexus opinion linking condition to service-connected DVT ("at least as likely as not")Critical

A medical opinion connecting your postphlebitic syndrome to a documented service-connected deep vein thrombosis or other service-related cause.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
History of service-connected DVTCritical

Medical records documenting the initial DVT diagnosis and treatment during or related to military service.

VA or private records · written request
Wound care records for ulceration

Records of treatment for venous stasis ulcers, including wound care visits, debridement, and healing progress.

VA or private records · written request
Compression therapy documentation

Records documenting prescription compression stockings, wrapping therapy, and compliance with compression treatment.

VA or private records · written request
03

Lay statements

0 of 2 collected
Skin change photographs

Dated photographs documenting stasis dermatitis, hyperpigmentation, lipodermatosclerosis, or venous ulceration in affected extremities.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Artery and Vein ConditionsCritical

Standardized form capturing venous insufficiency findings, skin changes, and ulceration status.

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

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.