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Evidence checklist

Unstable or Painful Scars

DC 780438 CFR § 4.118Skin

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 scars to serviceCritical

A medical opinion connecting your painful or unstable scars to injuries, surgeries, or events during military service.

Private provider · independent opinion
02

C&P examination

0 of 2 collected
Complete inventory of all painful and unstable scarsCritical

List every single scar that hurts when touched or that breaks open repeatedly. The VA rating depends on the total count, so missing even one scar can lower your rating.

VA-scheduled · request a copy on VA.govHow to get this →
C&P exam documenting pain on palpation for each scarCritical

The examiner must press on each scar and record whether it is painful. Be honest about which scars hurt during the exam.

VA-scheduled · request a copy on VA.govHow to get this →
03

Treatment records

0 of 1 collected
Documentation of skin breakdown for unstable scars

If any scar repeatedly splits open, bleeds, or loses its covering, get photos and medical records showing this. An unstable scar that is also painful gets an extra 10% added.

VA or private records · written request
04

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 →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Scars/DisfigurementCritical

A standardized VA form that records the number of painful scars, number of unstable scars, and whether any are both painful and unstable.

Provider-completed · VA DBQ formHow to get this →
06

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

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.