Evidence Checklist: Hypoparathyroidism

Endocrinology evaluation and treatment recordsCritical

Records documenting cause (post-surgical, autoimmune, infiltrative), calcium/vitamin D supplementation regimen, and symptom management.

Nexus opinion linking hypoparathyroidism to service or neck surgery during serviceCritical

Medical opinion connecting hypoparathyroidism to in-service thyroid or neck surgery, radiation, or other service event.

Serum calcium (low), PTH (low or absent), phosphorus (high), magnesiumCritical

Laboratory results documenting hypocalcemia with inappropriately low PTH consistent with hypoparathyroidism.

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.

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.

Service treatment records (STRs)Critical

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