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Evidence checklist

Varicose Veins

DC 712038 CFR § 4.104Cardiovascular

Evidence strength

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

Target
Saved locally
01

Specialist opinion

Highest value0 of 3 collected
Venous duplex ultrasound documenting reflux and insufficiencyCritical

Duplex Doppler ultrasound is the standard study to confirm venous reflux, valve incompetence, and the extent of superficial venous disease in the affected leg(s).

Private provider · independent opinion
Vascular specialist evaluationCritical

Specialist evaluation documenting the severity of varicosities (cord-like, tortuous veins), edema, skin changes (stasis dermatitis, hyperpigmentation), and ulceration.

Private provider · independent opinion
Nexus opinion linking varicose veins to service ("at least as likely as not")Critical

A medical opinion connecting varicose veins to prolonged standing, heavy load-bearing, or other military duties. Aggravation of a pre-existing condition during service is also ratable.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Compression stocking prescription and treatment records

Prescription for compression stockings and records of conservative treatment, including sclerotherapy or ablation procedures.

VA or private records · written request
Wound care records for stasis ulcers (if applicable)

Records documenting venous stasis ulcers, their size, treatment, and recurrence. Ulceration supports higher rating levels.

VA or private records · written request
03

Lay statements

0 of 2 collected
Photographs of varicosities and skin changes

Dated photographs documenting the visible extent of varicose veins, edema, skin discoloration, or ulceration in the affected extremity.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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 →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Artery and Vein ConditionsCritical

Standardized form capturing venous duplex findings, skin changes, edema measurements, and functional limitations from varicose veins.

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

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.