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Disability Benefits Questionnaires

Disability Benefits Questionnaires

If your previous exam was performed by the Veterans Health Administration, a copy should be made available 30 days after the report has been finalized. The copy can be accessed on MyHealtheVet, under the blue button report generator.


If you were examined by a contractor, such as Veterans Evaluation Services (VES), Optum Serve Health Solutions formerly known as Logistics Health (LHI) Quality Healthcare Services (QTC/Leidos) Loyal Source, or a private provider in your community; copies of the exam can be requested here https://www.vba.va.gov/pubs/forms/vba-20-10206-are.pdf



This is an example of the DBQ used by the VA and approved examiners, to determine if Hearing Loss and Tinnitus are service connected.



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