Does the Veteran have any of the following findings, signs or symptoms attributable to chronic ear infection, inflammation, cholesteatoma or any of the diagnoses listed in Section I? If checked, a Hearing Loss and Tinnitus Questionnaire must ALSO be completed. If checked, ALSO complete Cranial Nerves Questionnaire. 4B.

2025年2月25日 · DBQs help collect necessary medical information to process your disability claims. You can use these forms to submit medical evidence from your health care providers. This information helps to support your claims for disability benefits. Please have your health care provider fill out and submit the appropriate forms for your claimed conditions.

2020年3月31日 · Instructions: Measure and record puretone threshold values in decibels at the indicated frequencies (air conduction). Report the decibel (dB) value, which ranges from - 10 dB to 105 dB, for each of the frequencies. Add a plus behind the decibel value when a maximum value has been reached with a failure of response from the Veteran.

2020年4月16日 · does the veteran have any of the following findings, signs or symptoms attributable to chronic ear infection, inflammation, CHOLESTEATOMA OR ANY OF THE DIAGNOSES LISTED IN SECTION 1? IF YES, CHECK ALL THAT APPLY:

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, …

2017年3月28日 · does the veteran now have or has he or she ever been diagnosed with an ear or peripheral vestibular condition? NOTE TO PHYSICIAN €- Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits.

This link shows how ear conditions are rated, links to DBQs used for ear conditions, common secondary conditions to ear conditions, and 38 CFR and M21-1 references.

2014年11月18日 · do any of the veteran's ear or peripheral vestibular conditions impact his or her ability to work? YES NO IF YES, DESCRIBE IMPACT OF EACH OF THE VETERAN'S EAR OR PERIPHERAL VESTIBULAR CONDITIONS, PROVIDING ONE OR MORE EXAMPLES: SECTION XI - REMARKS 11.

DBQs provide Veterans with a way to submit medical evidence from their health care provider to support their claims for disability benefits. Veterans can have their health care providers fill out and submit to VA any of the DBQs listed below that are appropriate for their claimed conditions.

The Ear is a unique sensory organ. While the main function of the Ear is to control hearing, it also controls the body’s balance. Because of this, the VA focuses the disability rating system for conditions of the Ears primarily on hearing loss, with additional rating options to cover conditions affecting balance, infections, etc.