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Evidence checklist

Psoriasis

DC 781638 CFR § 4.118Skin

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
Body surface area estimate by dermatologistCritical

Your dermatologist should estimate what percentage of your body is covered by psoriasis plaques. Make sure the scalp is included in the count.

Private provider · independent opinion
Nexus opinion linking psoriasis to serviceCritical

A medical opinion connecting your psoriasis to stress, skin trauma, infections, or onset during military service.

Private provider · independent opinion
Rheumatology evaluation for psoriatic arthritis (if joint pain present)

About 30% of people with psoriasis develop psoriatic arthritis. If you have joint pain, get a rheumatology evaluation for a possible separate rating.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Treatment records (biologics, methotrexate, systemic therapy)Critical

Records of all medications. Biologic drugs like Humira, Enbrel, or Cosentyx taken continuously are systemic immunosuppressive therapy, which can qualify you for 60%.

VA or private records · written request
03

Lay statements

0 of 3 collected
Photographs of psoriatic plaques during flares

Dated photos showing the extent of your psoriasis at its worst. Psoriasis fluctuates, so flare photos are important.

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 →
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 Skin DiseasesCritical

A standardized VA form documenting plaque extent, body surface area, treatment type and duration, and any joint involvement.

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 forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

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