DBQ Forms
Learn More About DBQ Forms and Download Them DirectlyWhat is a DBQ Form?
The Department of Veterans Affairs (VA) relies on Disability Benefits Questionnaire (DBQ) forms to evaluate veterans' disability claims efficiently and accurately. Tailored to various conditions, these forms streamline medical evidence collection, facilitating quicker decisions on disability compensation. Health professionals or veterans themselves can complete DBQs, covering conditions from mental health disorders to orthopedic issues. This process ensures veterans receive the benefits corresponding to their disability's severity.
DBQ forms can be filled out by VA physicians, private health care providers, or by the veterans themselves in some cases. They cover a wide range of physical and mental conditions, including but not limited to orthopedic conditions, respiratory conditions, cardiovascular conditions, mental health disorders, and more. The purpose of these forms is to streamline the process of collecting medical evidence, thereby speeding up the claims process for disability compensation and ensuring that veterans receive the benefits they are entitled to based on the severity of their conditions.
Below you can find the most up-to-date DBQ forms.
If you are not satisfied with the decision on your claim(s), contact us immediately to appeal and protect your rights!
Current DBQ Forms
Cardiovascular
Dental & Oral
Dermatological
Endocrinological
Diabetes Mellitus (formerly 21-0960E-1)
Endocrine (Other than Thyroid, Parathyroid or Diabetes Mellitus) (formerly 21-0960E-2)
Eye, Nose, Throat
Ear (including Vestibular and Infectious) (formerly 21-0960N-1)
Loss of Sense of Smell and or Taste (formerly 21-0960N-3)
Sinusitis, Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx (formerly 21-0960N-4)
Gastrointestinal
Esophageal Disorders (formerly 21-0960G-1)
Gallbladder & Pancreas (formerly 21-0960G-2)
Hernias (Including Abdominal, Inguinal and Femoral Hernias) (formerly21-0960H-1)
Intestinal (Infectious) (formerly 21-0960G-8)
Intestinal (other than surgical or infectious) (formerly 21-0960G-3)
Intestinal (surgical) (formerly 21-0960G-4)
Liver Conditions (formerly 21-0960G-5)
Peritoneal Adhesions (formerly 21-0960G-6)
Genitourinary
Kidney Conditions (formerly 21-0960J-1)
Male Reproductive Organ Conditions (Including Prostate Cancer) (formerly 21-0960J-2 & 21-0960J-3)
Gynecological
Hematologic & Lymphatic
Infectious Diseases
Infectious Diseases (other than HIV-related illness chronic fatigue syndrome and tuberculosis) (formerly 21-0960I-3)
Musculoskeletal
Amputations (formerly 21-0960M-1)
Back (Thoracolumbar Spine) (formerly 21-0960M-14)
Bones and Other Skeletal Conditions
Elbow & Forearm (formerly 21-0960M-4)
Foot Conditions Including Flatfoot (Pes Planus) (formerly 21-0960M-6)
Hand and Finger (formerly 21-0960M-7)
Hip and Thigh (formerly 21-0960M-8)
Knee and Lower Leg (formerly 21-0960M-9)
Muscle Injuries (formerly 21-0960M-10)
Neck (Cervical Spine) (formerly 21-0960M-13)
Osteomyelitis (formerly 21-0960M-11)
Shoulder and/or Arm (formerly 21-0960M-12)
Neurological
ALS (Lou Gehrig's Disease) (formerly 21-0960C-2)
Central Nervous System and Neuromuscular Diseases
Cranial Nerve Conditions (formerly 21-0960C-3)
Diabetic Peripheral Neuropathy (formerly 21-0960C-4)
Fibromyalgia (formerly 21-0960C-7)
Headaches (including Migraines) (formerly 21-0960C-8)
Multiple Sclerosis (MS) (formerly 21-0960C-9)
Narcolepsy (formerly 21-0960C-6)
Parkinson's Disease (formerly 21-0960C-1)
Nutrition
Ophthalmological
Psychological
Respiratory
Rheumatological
Arthritis (formerly 21-0960M-3)
Chronic Fatigue Syndrome (formerly 21-0960Q-1)
Systemic Lupus Erythematosus (SLE) and other Autoimmune Diseases (formerly 21-0960I-4)
Spina Bifida (natural child of a Veteran exposed to herbicides)
Aid and Attendance or Housebound
Additional Information Regarding DBQ Forms
Where Can I Find Past DBQ Forms?
Does the VA Still Accept DBQ?
The Department of Veterans Affairs (VA) still accepts Disability Benefits Questionnaires (DBQs) as part of the process for evaluating disability claims. Veterans seeking to use DBQs for their claims are encouraged to work directly with VA healthcare providers or private physicians who understand the VA's requirements.
What is a VA DBQ Review?
A VA DBQ review refers to the examination and evaluation process of a completed Disability Benefits Questionnaire by the VA. This review is a crucial step in determining the eligibility and extent of a veteran's disability benefits. The DBQ provides detailed information about the severity and impact of the veteran's condition, which the VA uses to assess the level of disability and calculate the benefits accordingly. The review process ensures that veterans receive compensation that accurately reflects their service-connected disabilities, facilitating a more streamlined and efficient handling of disability claims.
Can a Doctor Fill Our a DBQ?
Yes, a doctor can fill out a DBQ for a veteran. Both VA healthcare providers and private physicians are eligible to complete these forms. When a private doctor fills out a DBQ, it's essential for the veteran to ensure that the physician is aware of the VA's specific criteria and requirements for disability evaluation. The detailed and standardized format of DBQs helps in providing consistent and comprehensive medical evidence, allowing the VA to make informed decisions on disability claims. Veterans are advised to discuss the DBQ with their healthcare provider to ensure it is filled out accurately and thoroughly.
Is a DBQ Needed For a VA Disability Claim?
A DBQ is not strictly required for every VA disability claim, but it can be instrumental in expediting the claims process and improving the accuracy of the disability evaluation. By providing detailed information on the specific condition and its impact on the veteran's health, a DBQ can significantly streamline the evaluation process. It offers a structured way for healthcare providers to supply the VA with critical medical evidence, which can lead to faster decisions and potentially more accurate disability ratings. While veterans can still pursue claims without a DBQ, having one completed by a qualified healthcare provider can enhance the claim's clarity and comprehensiveness.
You Fought For Your Country, Let Us Fight for You.
If you have had your VA disability claim denied, reach out to Veterans Disability Aid for assistance in filing your appeal. Alan Watt is a VA-accredited claims agent and has extensive experience navigating the difficult and often confusing VA claims and appeals process. Visit our About Us page to learn more about the team at Veterans Disability Aid. You can also get ahold of the team directly by using the button below to visit our contact page.