Veterans claiming Parkinson's disease or another parkinsonism, including progressive supranuclear palsy, multiple system atrophy, corticobasal degeneration, vascular, drug-induced or Lewy body disease, use this 10-page VA questionnaire. The clinician rates each motor sign by side and severity, from facial masking and stooped posture to tremor, rigidity and gait, then documents chewing, swallowing, bowel, bladder, speech, smell, taste, sleep, sexual and mental effects, because VA rates each manifestation separately.
The Veteran's treating or examining clinician completes Sections 1 to 13 and signs the Section 14 examiner's certification. The Veteran completes no part of the form.
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Parkinson's Disease Disability Benefits Questionnaire
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The form documents each manifestation separately, so Section 7 records speech changes, loss of smell, loss of taste, sleep disturbance and sexual dysfunction alongside the motor signs. Reporting each one that applies gives VA a full picture rather than only tremor or gait.
Yes. Section 1 lists Parkinson's disease, parkinsonism of known or unknown type, progressive supranuclear palsy, multiple system atrophy (Shy-Drager syndrome), corticobasal degeneration, vascular parkinsonism, dementia with Lewy bodies and drug-induced parkinsonism, each with an ICD code and date of diagnosis.