Your records say what you have
But they may not explain how often symptoms happen, how severe they are or how they limit your activities.
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Make the impact of your condition clear.

A Disability Benefits Questionnaire, or DBQ, gives a licensed provider a structured way to document your condition, symptoms, clinical findings and effects on work and daily life. It can help communicate what your existing records leave unclear.
But they may not explain how often symptoms happen, how severe they are or how they limit your activities.
An appropriate current assessment can document the effects you experience today.
A condition-specific form organizes relevant findings and medical history.
A DBQ addresses severity and function. A nexus letter separately addresses a supported medical connection.
Ask about DBQs for headaches and migraines, digestive conditions such as GERD and IBS, and other conditions covered by public VA questionnaires. Mental health documentation is assessed through our mental health evaluation service.
The provider first determines whether your records and an appropriate assessment support completion. Some forms require an in-person examination, measurements, diagnostic tests or specialist findings. A condition being suitable for a telehealth evaluation does not automatically make its DBQ suitable for remote completion.
View VA’s public DBQ directory. Initial PTSD and hearing loss/tinnitus DBQs are not publicly available. We confirm the appropriate documentation before you purchase.
$600–$795 per nexus letter, DBQ or evaluation. Your quote confirms the service, provider, required assessment and documents included before you purchase. An evaluation does not automatically include a separate nexus letter or DBQ. Ask about the right combination for your needs.
Licensed providers make independent clinical decisions. A diagnosis is made only when the assessment supports it; a nexus opinion is provided only when the evidence supports the medical connection. Availability depends on the condition, provider licensure where you are located, records and any examination or testing needed. VA makes all benefit decisions.
VA may still schedule a C&P examination. A private DBQ does not replace an examination VA requires.
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