Evidence Checklist: Graves' Disease

Thyroid function labs documenting hyperthyroidismCritical

Laboratory results showing suppressed TSH and elevated T3/T4 levels consistent with hyperthyroidism.

TSH receptor antibodies (TRAb)Critical

Laboratory confirmation of TSH receptor stimulating antibodies, which are diagnostic for Graves' disease.

Nexus opinion linking Graves' disease to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that your Graves' disease is connected to your military service, including stress, environmental exposures, or immune system triggers during service.

Thyroid eye examination (if Graves' ophthalmopathy present)

Ophthalmology evaluation documenting proptosis, eye muscle involvement, or vision changes from Graves' eye disease, which may qualify for a separate rating.

Documentation of cardiac complications (tachycardia, atrial fibrillation)

Cardiology records documenting heart rate abnormalities, atrial fibrillation, or other cardiac complications of hyperthyroidism, which may support secondary ratings.

Treatment records (medication, radioactive iodine, surgery)

Records documenting antithyroid medications, radioactive iodine ablation, or thyroidectomy, and ongoing management.

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.

Completed DBQ Thyroid and Parathyroid ConditionsCritical

Standardized form capturing thyroid function, treatment history, and complications.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.