Evidence Checklist: Burn Scars of Head, Face, or Neck

Dermatology or plastic surgery evaluation with scar measurementsCritical

Examination documenting scar location, total area (length x width in cm for each scar), depth, scar characteristics (hypertrophic, keloid, contracted, hypopigmented, hyperpigmented), and any functional limitation of underlying structures.

Nexus opinion linking burn scars to service ("at least as likely as not")Critical

A medical opinion connecting your burn scars of the head, face, or neck to an in-service injury, explosion, chemical exposure, or other service-related incident.

Precise scar measurements documenting total areaCritical

Written documentation of measurements for each scar (length x width) and total affected area. VA rates burn scars of head/face/neck under DC 7800 based on area of disfigurement and functional impairment.

Documentation of functional limitations (eyelid, mouth, nasal passages)

Records documenting any restriction of vision, eyelid closure, mouth opening, nasal airway, or neck motion caused by burn scar contractures.

Documentation of painful or unstable scar characteristics

Records documenting whether scars are painful (spontaneous pain, pain with touch), unstable (non-healing, easily injured), or both -- characteristics supporting additional ratings under DC 7804-7805.

Dated photographs of all scar areasCritical

High-quality photographs clearly showing all burn scar areas on the head, face, and neck, including multiple angles. Photos should be taken with a ruler for scale.

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.

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.

Completed DBQ Scars/DisfigurementCritical

Standardized form capturing scar location, total area, character, and any associated functional limitations for rating under DC 7800-7805.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.