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Evidence checklist

Obstructive Sleep Apnea

DC 684738 CFR § 4.97Respiratory

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
Sleep study (polysomnography) confirming diagnosisCritical

An in-lab or home sleep test confirming obstructive sleep apnea with AHI (apnea-hypopnea index) results.

Private provider · independent opinion
Nexus opinion linking sleep apnea to service or service-connected conditionCritical

A medical opinion connecting sleep apnea to military service or to a service-connected condition like PTSD (as a secondary claim).

Private provider · independent opinion
02

Treatment records

0 of 2 collected
CPAP prescription and compliance recordsCritical

Documentation that a CPAP machine has been prescribed and evidence of ongoing use. This is the key threshold for 50%.

VA or private records · written request
Documentation of persistent daytime sleepiness

Epworth Sleepiness Scale results or treating physician documentation of hypersomnolence.

VA or private records · written request
03

Lay statements

0 of 2 collected
Buddy statement from spouse, family, or fellow service member

A statement from your spouse or roommate describing witnessed apnea episodes, snoring, and daytime fatigue.

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 Sleep Apnea

Standardized form capturing sleep study results, treatment requirements, and symptoms.

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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