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Evidence checklist

Prostate Cancer

DC 752838 CFR § 4.115bGenitourinary

Evidence strength

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

Target
Saved locally
01

Specialist opinion

Highest value0 of 1 collected
Oncology/urology records documenting staging and treatmentCritical

Records documenting cancer stage (T1–T4, N, M), PSA levels, and treatment (active surveillance, surgery, radiation, hormone therapy, chemotherapy).

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Records documenting treatment residuals (incontinence, erectile dysfunction)

Medical records documenting long-term effects of prostate cancer treatment such as urinary incontinence, erectile dysfunction, or bowel dysfunction — each ratable separately.

VA or private records · written request
03

Diagnostic tests and lab results

0 of 1 collected
Biopsy pathology report confirming prostate cancer diagnosisCritical

Pathology report with Gleason score/Grade Group from prostate biopsy — the definitive diagnostic document.

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

Service records

0 of 2 collected
Documentation of Agent Orange or toxic exposure (presumptive basis)Critical

Records establishing qualifying service in Vietnam, Korea, or other areas for Agent Orange presumption, or PACT Act covered exposures for prostate cancer.

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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