Evidence Checklist: Obstructive Sleep Apnea
DC 6847
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Sleep study (polysomnography) confirming diagnosisCritical
An in-lab or home sleep test confirming obstructive sleep apnea with AHI (apnea-hypopnea index) results.
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).
Treatment Records
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%.
Documentation of persistent daytime sleepiness
Epworth Sleepiness Scale results or treating physician documentation of hypersomnolence.
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A statement from your spouse or roommate describing witnessed apnea episodes, snoring, and daytime fatigue.
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Sleep Apnea
Standardized form capturing sleep study results, treatment requirements, and symptoms.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.