Disability Benefits

You may encounter veterans who wish you to use a Disability Benefits Questionnaire. They may be seeking a private evaluation for what they believe is a service-connected injury, which is allowed by the VA, in an effort to receive VA service-connected compensation or, at least, permanent VA health care for the condition. Even if they do not request you use the form for this sort of examination, you should do so.

Originally developed for compensation examinations by either VA or private health care providers in an effort to improve the quality of examinations needed for “Fully Developed Claims”, these forms have additional use in that they allow for a thorough examination of a suspected condition. The forms are downloadable and found by form name or by symptom.

Forms

Disability Benefits Questionnaire

Private Evaluation Forms

Forms by: Form Name

Forms by: Symptom