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Evidence checklist

Stroke Residuals (Cerebrovascular Accident)

DC 800838 CFR § 4.124aNeurological

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 4 collected
Brain MRI or CT showing infarct or hemorrhageCritical

Neuroimaging documenting the location and size of the stroke lesion. The affected brain region correlates with specific neurological deficits for rating purposes.

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

Medical opinion connecting your stroke to service-connected hypertension, atrial fibrillation, diabetes, or a direct in-service cerebrovascular event.

Private provider · independent opinion
Functional assessment documenting stroke residuals (modified Rankin, Barthel)Critical

Physiatrist or neurologist evaluation documenting residual deficits using standardized scales (modified Rankin Scale, Barthel Index) covering hemiplegia, aphasia, cognitive impairment, and ADL limitations.

Private provider · independent opinion
Speech-language pathology evaluation (if aphasia or dysphagia present)

Formal assessment of language function (aphasia type and severity) and swallowing safety if stroke involved language or swallowing centers.

Private provider · independent opinion
02

Treatment records

0 of 1 collected
Inpatient rehabilitation and outpatient therapy records

Records from acute inpatient rehabilitation, outpatient physical therapy, occupational therapy, and speech therapy documenting functional gains and remaining deficits.

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 Stroke (Cerebrovascular Accident)Critical

VA standardized form for stroke residuals capturing motor deficits, cognitive changes, and functional limitations.

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

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