A list of VA's Disability Benefits Questionaires

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Here you will find a list of the DBQ's before VA removed them from Public Facing.  Select the file to download.

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alt textAMPUTATIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-1-ARE.pdf1.34 MBApril 13, 2020
alt textAMYOTROPHIC LATERAL SCLEROSIS (LOU GEHRIG'S DISEASE) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-2-ARE.pdf1.57 MBApril 13, 2020
alt textANKLE CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-2-ARE.pdf2.02 MBApril 13, 2020
alt textARTERY AND VEIN CONDITIONS (VASCULAR DISEASES INCLUDING VARICOSE VEINS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960A-2-ARE.pdf1.43 MBApril 13, 2020
alt textBACK (THORACOLUMBAR SPINE) CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-14-ARE.pdf2.04 MBApril 13, 2020
alt textBREAST CONDITIONS AND DISORDERS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960K-1-ARE.pdf1.24 MBApril 13, 2020
alt textCHRONIC FATIGUE SYNDROME DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960Q-1-ARE.pdf1.43 MBApril 13, 2020
alt textCRANIAL NERVES DISEASES DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-3-ARE.pdf1.67 MBApril 13, 2020
alt textDBQ Medical Opinion NEXUS.pdf402.9 KBApril 13, 2020
alt textDIABETES MELLITUS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960E-1-ARE.pdf1.24 MBApril 13, 2020
alt textDIABETIC SENSORY-MOTOR PERIPHERAL NEUROPATHY DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-4-ARE.pdf1.58 MBApril 13, 2020
alt textEAR CONDITIONS (INCLUDING VESTIBULAR AND INFECTIOUS CONDITIONS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960N-1-ARE.pdf1.34 MBApril 13, 2020
alt textEATING DISORDERS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960P-1-ARE.pdf1.16 MBApril 13, 2020
alt textELBOW AND FOREARM CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-4-ARE.pdf2.03 MBApril 13, 2020
alt textENDOCRINE DISEASES (Other than Thyroid, Parathyroid or Diabetes Mellitus) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960E-2-ARE.pdf1.53 MBApril 13, 2020
alt textESOPHAGEAL CONDITIONS (Including gastroesophageal reflux disease (GERD), hiatal hernia and other esophageal disorders) Disability Benefits Questionnaire VBA-21-0960G-1-ARE.pdf1.34 MBApril 13, 2020
alt textEYE CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960N-2-ARE.pdf1.81 MBApril 13, 2020
alt textFIBROMYALGIA DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-7-ARE.pdf1.44 MBApril 13, 2020
alt textFOOT CONDITIONS, INCLUDING FLATFOOT (PES PLANUS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-6-ARE.pdf1.68 MBApril 13, 2020
alt textGALLBLADDER AND PANCREAS CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960G-2-ARE.pdf1.3 MBApril 13, 2020
alt textGYNECOLOGICAL CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960K-2-ARE.pdf1.35 MBApril 13, 2020
alt textHAIRY-CELL-AND-OTHER-B-CELL-LEUKEMIAS-VBA-21-0960B-1-ARE.pdf1.19 MBJuly 26, 2020
alt textHAND AND FINGER CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-7-ARE.pdf2.38 MBApril 13, 2020
alt textHEADACHES (INCLUDING MIGRAINE HEADACHES) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-8-ARE.pdf1.23 MBApril 13, 2020
alt textHEART CONDITIONS (INCLUDING ISCHEMIC AND NON-ISCHEMIC HEART DISEASE, ARRHYTHMIAS, VALVULAR DISEASE AND CARDIAC SURGERY) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960A-4-ARE.pdf1.45 MBApril 13, 2020
alt textHEMATOLOGIC AND LYMPHATIC CONDITIONS, INCLUDING LEUKEMIA DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960B-2-ARE.pdf1.29 MBApril 13, 2020
alt textHEPATITIS, CIRRHOSIS AND OTHER LIVER CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960G-5-ARE.pdf1.35 MBApril 13, 2020
alt textHERNIAS (INCLUDING ABDOMINAL, INGUINAL AND FEMORAL HERNIAS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960H-1-ARE.pdf1.52 MBApril 13, 2020
alt textHIP AND THIGH CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-8-ARE.pdf2.03 MBApril 13, 2020
alt textHIV - RELATED ILLNESSES DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960I-2-ARE.pdf1.49 MBApril 13, 2020
alt textHYPERTENSION DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960A-3-ARE.pdf1.2 MBApril 13, 2020
alt textINFECTIOUS DISEASES (OTHER THAN HIV-RELATED ILLNESS, CHRONIC FATIGUE SYNDROME, OR TUBERCULOSIS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960I-3-ARE.pdf1.41 MBApril 13, 2020
alt textINFECTIOUS INTESTINAL DISORDERS, INCLUDING BACTERIAL AND PARASITIC INFECTIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960G-8-ARE.pdf1.24 MBApril 13, 2020
alt textInitial-TBI DBQ.pdf234.43 KBApril 13, 2020
alt textInitial_ PTSD_ DBQ.pdf376.02 KBApril 13, 2020
alt textINTESTINAL CONDITIONS OTHER THAN SURGICAL OR INFECTIOUS INCLUDING IRRITABLE BOWEL SYNDROME CROHNS DISEASE ULCERATIVE COLITIS AND DIVERTICULITIS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960G-3-ARE.pdf873.05 KBApril 13, 2020
alt textINTESTINAL SURGERY (BOWEL RESECTION, COLOSTOMY, ILEOSTOMY) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960G-4-ARE.pdf1.25 MBApril 13, 2020
alt textKIDNEY CONDITIONS (NEPHROLOGY) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960J-1-ARE.pdf1.32 MBApril 13, 2020
alt textKNEE AND LOWER LEG CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-9-ARE.pdf2.14 MBApril 13, 2020
alt textLOSS OF SENSE OF SMELL AND OR TASTE DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960N-3-ARE.pdf1.42 MBApril 13, 2020
alt textMALE REPRODUCTIVE ORGAN CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960J-2-ARE.pdf1.35 MBApril 13, 2020
alt textMENTAL DISORDERS (OTHER THAN PTSD AND EATING DISORDERS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960P-2-ARE.pdf1.27 MBApril 13, 2020
alt textMULTIPLE SCLEROSIS (MS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-9-ARE.pdf1.67 MBApril 13, 2020
alt textMUSCLE INJURIES DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-10-ARE.pdf1.58 MBApril 13, 2020
alt textNARCOLEPSY DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-6-ARE.pdf1.39 MBApril 13, 2020
alt textNECK (CERVICAL SPINE) CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-13-ARE.pdf2.02 MBApril 13, 2020
alt textNON-DEGENERATIVE ARTHRITIS (INCLUDING INFLAMMATORY, AUTOIMMUNE, CRYSTALLINE AND INFECTIOUS ARTHRITIS) AND DYSBARIC OSTEONECROSIS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-3-ARE.pdf1.4 MBApril 13, 2020
alt textNUTRITIONAL-DEFICIENCIES-DISABILITY-BENEFITS-QUESTIONNAIRE-VBA-21-0960I-5-ARE.pdf798.5 KBJuly 26, 2020
alt textORAL AND DENTAL CONDITIONS INCLUDING MOUTH, LIPS AND TONGUE (OTHER THAN TEMPOROMANDIBULAR JOINT CONDITIONS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960D-1-ARE.pdf1.57 MBApril 13, 2020
alt textOSTEOMYELITIS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-11-ARE.pdf1.37 MBApril 13, 2020
alt textPARKINSON'S DISEASE DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-1-ARE.pdf1.27 MBApril 13, 2020
alt textPeripheral Nerves Conditions (Not Including Diabetic Sensory- Motor Peripheral Neuropathy) Disability Benefits Questionnaire VBA-21-0960C-10-ARE.pdf1.77 MBApril 13, 2020
alt textPERITONEAL-ADHESIONS-DISABILITY-BENEFITS-QUESTIONNAIRE-VBA-21-0960G-6-ARE.pdf516.51 KBJuly 26, 2020
alt textPERSIAN GULF AND AFGHANISTAN INFECTIOUS DISEASES DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960I-1-ARE.pdf1.2 MBApril 13, 2020
alt textPROSTATE CANCER DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960J-3-ARE.pdf1.26 MBApril 13, 2020
alt textRECTUM AND ANUS CONDITIONS (INCLUDING HEMORRHOIDS) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960H-2-ARE.pdf1.25 MBApril 13, 2020
alt textRectum-and-Anus VBA-21-0960H-2-ARE.pdf1.25 MBApril 13, 2020
alt textRESPIRATORY CONDITIONS (OTHER THAN TUBERCULOSIS AND SLEEP APNEA) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960L-1-ARE.pdf1.66 MBApril 13, 2020
alt textREVIEW POST TRAUMATIC STRESS DISORDER (PTSD) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960P-3-ARE.pdf1.29 MBApril 13, 2020
alt textReview-TBI DBQ.pdf73.6 KBApril 13, 2020
alt textSCARS DISFIGUREMENT DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960F-1-ARE.pdf1.46 MBApril 13, 2020
alt textSEIZURE DISORDERS (EPILEPSY) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960C-11-ARE.pdf1.5 MBApril 13, 2020
alt textSHOULDER AND ARM CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-12-ARE.pdf2.12 MBApril 13, 2020
alt textSINUSITIS RHINITIS AND OTHER CONDITIONS OF THE NOSE THROAT LARYNX AND PHARYNX DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960N-4-ARE.pdf1.59 MBApril 13, 2020
alt textSKIN DISEASES DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960F-2-ARE.pdf1.43 MBApril 13, 2020
alt textSLEEP APNEA DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960L-2-ARE.pdf1.2 MBApril 13, 2020
alt textSTOMACH-AND-DUODENAL-CONDITIONS-NOT-INCLUDING-GERD-OR-VBA-21-0960G-7-ARE.pdf909.26 KBJuly 26, 2020
alt textSYSTEMIC LUPUS ERYTHEMATOSUS (SLE) AND OTHER AUTOIMMUNE DISEASES DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960I-4-ARE.pdf1.64 MBApril 13, 2020
alt textTEMPOROMANDIBULAR JOINT (TMJ) CONDITIONS VBA-21-0960m-15-ARE.pdf1.27 MBApril 14, 2020
alt textTHYROID AND PARATHYROID CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960E-3-ARE.pdf1.64 MBApril 13, 2020
alt textTUBERCULOSIS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960I-6-ARE.pdf1.27 MBApril 13, 2020
alt textURINARY TRACT (INCLUDING BLADDER AND URETHRA) CONDITIONS (EXCLUDING MALE REPRODUCTIVE SYSTEM) DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960J-3-ARE.pdf1.52 MBApril 13, 2020
alt textWRIST CONDITIONS DISABILITY BENEFITS QUESTIONNAIRE VBA-21-0960M-16-ARE.pdf2.46 MBApril 13, 2020
73 files - 102.16 MB