Endocrine conditions outside thyroid, parathyroid and diabetes mellitus are documented for VA disability claims on this 9-page questionnaire. It covers Cushing's syndrome, acromegaly, diabetes insipidus, Addison's disease, hypopituitarism, prolactin-secreting pituitary disorders, hyperaldosteronism, pheochromocytoma, hypogonadism and endocrine neoplasms, with condition-specific findings, treatment and surgery, imaging and lab results. VA rates the condition and its residuals from these answers.
The Veteran's treating or examining clinician completes the form and signs the Section XIII examiner's certification. Body systems affected by the endocrine disorder are documented on separate DBQs selected in item 1D.
Download the current version from the source each time; forms change without notice.
Endocrine Diseases (Other than Thyroid, Parathyroid or Diabetes Mellitus) Disability Benefits Questionnaire
A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.
Vero is not affiliated with, or endorsed by, the agencies and insurers listed here. Read our editorial policy.
The form defines a crisis as rapid peripheral vascular collapse with acute hypotension and shock, which may progress to coma or renal shutdown. An episode is less acute: anorexia, nausea, vomiting, diarrhea, dehydration, weakness, orthostatic hypotension or hypoglycemia, but without vascular collapse. The examiner counts both separately.
No. The form says that if test results already in the record reflect the Veteran's current endocrine condition, repeat testing is not required. Section X records MRI, CT or other imaging and lab tests with their type, date and results.