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Evidence checklist

Splenectomy Residuals

DC 770638 CFR § 4.117Hematologic/Lymphatic

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
Nexus opinion linking splenectomy to serviceCritical

A medical opinion connecting your spleen removal to a service-connected injury, disease, or condition that required the surgery.

Private provider · independent opinion
02

Treatment records

0 of 3 collected
Surgical records documenting splenectomyCritical

The operative report showing your spleen was removed, the date, and the reason for surgery.

VA or private records · written request
Vaccination records (pneumococcal, meningococcal, Hib)

Records showing required vaccinations after spleen removal. Without a spleen, you need extra vaccines to fight certain infections.

VA or private records · written request
Documentation of recurrent infections after splenectomy

Records of infections since your spleen was removed. Frequent infections show the ongoing impact of not having a spleen.

VA or private records · written request
03

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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Hematologic and Lymphatic ConditionsCritical

A standardized VA form documenting the splenectomy, residual effects, and any complications.

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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