At three pages, this is one of VA's shortest public DBQs, used when a Veteran claims anorexia, bulimia or another specified feeding or eating disorder. The examiner records the diagnosis and who made it, the history, and which rating findings apply: binge eating with vomiting or other compensatory measures, weight loss below 80 or 85 percent of expected minimum, incapacitating weeks per year, or repeated hospitalization for tube feeding or parenteral nutrition.
A mental health examiner completes the form and signs the Section VII certification. The form's note says initial Mental Disorders examinations must be done by a board-certified or board-eligible psychiatrist or a licensed doctorate-level psychologist, or by certain trainees under close supervision.
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Eating Disorders Disability Benefits Questionnaire
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The form applies VA's Mental Disorders examiner rules. Initial exams require a board-certified or board-eligible psychiatrist or a licensed doctorate-level psychologist, or a resident or psychology trainee under close supervision. Close supervision means the supervising psychiatrist or psychologist meets the Veteran, confers on the diagnosis and co-signs the report.
Section III lists self-induced weight loss to less than 80 percent and to less than 85 percent of expected minimum weight, and resistance to weight gain even when below expected minimum weight. The examiner checks whichever findings apply alongside binge behaviors and incapacitating episodes.