This form contains 439 fields organized into 140 sections. Below is a complete list of every field, its type, and what information is expected.

Field Name Type Description
Active Range of Motion Values
Forward Flexion Endpoint Number
Enter the value for the forward flexion endpoint in degrees, up to 90 degrees.
Left Lateral Flexion Endpoint Number
Enter the value for the left lateral flexion endpoint in degrees, up to 30 degrees.
Extension Endpoint Number
Enter the value for the extension endpoint in degrees, up to 30 degrees.
Right Lateral Rotation Endpoint Number
Enter the value for the right lateral rotation endpoint in degrees, up to 30 degrees.
Right Lateral Flexion Endpoint Number
Enter the value for the right lateral flexion endpoint in degrees, up to 30 degrees.
Left Lateral Rotation Endpoint Number
Enter the value for the left lateral rotation endpoint in degrees, up to 30 degrees.
Additional Diagnoses
Additional Diagnoses List Text
Provide a list of any additional diagnoses pertaining to thoracolumbar spine conditions, including their ICD Codes and Dates of diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Additional Factors Contributing to Disability
None Checkbox
Check this box if there are no additional factors contributing to disability beyond those already addressed.
Interference with sitting Checkbox
Check this box if interference with sitting is an additional contributing factor to disability.
Interference with standing Checkbox
Check this box if interference with standing is an additional contributing factor to disability.
Swelling Checkbox
Check this box if swelling is an additional contributing factor to disability.
Deformity Checkbox
Check this box if deformity is an additional contributing factor to disability.
Disturbance of locomotion Checkbox
Check this box if disturbance of locomotion is an additional contributing factor to disability.
Less movement than normal Checkbox
Check this box if less movement than normal is an additional contributing factor to disability.
More movement than normal Checkbox
Check this box if more movement than normal is an additional contributing factor to disability.
Weakened movement Checkbox
Check this box if weakened movement is an additional contributing factor to disability.
Atrophy of disuse Checkbox
Check this box if atrophy of disuse is an additional contributing factor to disability.
Instability of station Checkbox
Check this box if instability of station is an additional contributing factor to disability.
Other Checkbox
Check this box if there are other additional factors contributing to disability not listed, and provide a description in the space provided.
Other Contributing Factor Text
Enter the description for any other additional contributing factor to disability not listed. Fill only if 'Other' is 'Yes'.
Depends on: Other
Additional Loss of Function Details
Yes Radiobutton
Check this box if there is additional loss of function or range of motion after three repetitions.
No Radiobutton
Check this box if there is no additional loss of function or range of motion after three repetitions.
Forward Flexion Endpoint (90 Degrees) Number
Enter the forward flexion endpoint in degrees after completion of the three repetitions, assuming an initial range of motion of 90 degrees. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Left Lateral Flexion Endpoint (30 Degrees) Number
Enter the left lateral flexion endpoint in degrees after completion of the three repetitions, assuming an initial range of motion of 30 degrees. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Extension Endpoint (30 Degrees) Number
Enter the extension endpoint in degrees after completion of the three repetitions, assuming an initial range of motion of 30 degrees. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Right Lateral Rotation Endpoint (30 Degrees) Number
Enter the right lateral rotation endpoint in degrees after completion of the three repetitions, assuming an initial range of motion of 30 degrees. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Ankylosing Spondylitis Diagnosis
Ankylosing spondylitis Checkbox
Check this box if Ankylosing spondylitis is a diagnosis associated with the claimed condition(s).
Ankylosing Spondylitis ICD Code Text
Please provide the International Classification of Diseases (ICD) code for Ankylosing Spondylitis. Fill only if 'Ankylosing spondylitis' is 'Yes'.
Depends on: Ankylosing spondylitis
Ankylosing Spondylitis Diagnosis Date Date
Please provide the date when Ankylosing Spondylitis was diagnosed. Fill only if 'Ankylosing spondylitis' is 'Yes'.
Depends on: Ankylosing spondylitis
Ankylosis of the Spine
Yes Radiobutton
Check this box if there is ankylosis of the spine.
No Radiobutton
Check this box if there is no ankylosis of the spine.
Assistive Device Usage Details
Assistive Device Details Text
Provide a detailed explanation of any assistive devices used, including the specific condition, the affected side, and the device used for each condition.
Brace(s) Details
Brace(s) Checkbox
Check this box if the Veteran uses Brace(s) as an assistive device. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Occasional Radiobutton
Check this box if the Veteran uses Brace(s) occasionally. Fill only if 'Yes', 'Brace(s)' is 'Yes' and Brace(s) is 'Yes' for all.
Depends on: Yes, Brace(s)
Regular Radiobutton
Check this box if the Veteran uses Brace(s) regularly. Fill only if 'Yes', 'Brace(s)' is 'Yes' and Brace(s) is 'Yes' for all.
Depends on: Yes, Brace(s)
Constant Radiobutton
Check this box if the Veteran uses Brace(s) constantly. Fill only if 'Yes', 'Brace(s)' is 'Yes' and Brace(s) is 'Yes' for all.
Depends on: Yes, Brace(s)
Cane(s) Assistive Device
Cane(s) Used Checkbox
Check this box if the veteran uses a cane as an assistive device.
Occasional Use Radiobutton
Check this box if the veteran uses a cane(s) occasionally.
Regular Use Radiobutton
Check this box if the veteran uses a cane(s) regularly.
Constant Use Radiobutton
Check this box if the veteran uses a cane(s) constantly.
Circumference Measurements
Circumference of Normal Side Number
Enter the circumference measurement of the normal side. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Circumference of Atrophied Side Number
Enter the circumference measurement of the atrophied side. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Claimed Conditions
Claimed Conditions Text
Provide a list of all claimed conditions that are relevant to this questionnaire.
Comments
Comments Text
Provide any additional comments or relevant information for section 9B.
Additional Comments Text
Please provide any additional comments or information not covered in the preceding sections.
Constant Pain Severity - Left Lower Extremity
None Radiobutton
Check this box if the patient experiences no constant pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the patient experiences mild constant pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the patient experiences moderate constant pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the patient experiences severe constant pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Constant Pain Severity - Right Lower Extremity
None Radiobutton
Check this box if the constant pain severity in the right lower extremity is none. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the constant pain severity in the right lower extremity is mild. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the constant pain severity in the right lower extremity is moderate. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the constant pain severity in the right lower extremity is severe. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Crutch(es) Details
Crutches Checkbox
Check this box if the Veteran uses crutches. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Crutches - Occasional use Radiobutton
Check this box if the Veteran uses crutches occasionally. Fill only if 'Yes', 'Crutches' is 'Yes' and Crutch(es) is 'Yes' for all.
Depends on: Yes, Crutches
Crutches - Regular use Radiobutton
Check this box if the Veteran uses crutches regularly. Fill only if 'Yes', 'Crutches' is 'Yes' and Crutch(es) is 'Yes' for all.
Depends on: Yes, Crutches
Crutches - Constant use Radiobutton
Check this box if the Veteran uses crutches constantly. Fill only if 'Yes', 'Crutches' is 'Yes' and Crutch(es) is 'Yes' for all.
Depends on: Yes, Crutches
Degenerative Arthritis Diagnosis
Degenerative arthritis Checkbox
Check this box if the veteran has been diagnosed with degenerative arthritis associated with the claimed condition(s).
Degenerative Arthritis ICD Code Text
Provide the ICD code for the diagnosis of degenerative arthritis. Fill only if 'Degenerative arthritis' is 'Yes'.
Depends on: Degenerative arthritis
Degenerative Arthritis Diagnosis Date Date
Provide the date when the degenerative arthritis was diagnosed. Fill only if 'Degenerative arthritis' is 'Yes'.
Depends on: Degenerative arthritis
Degenerative Disc Disease Diagnosis
Degenerative disc disease other than intervertebral disc syndrome (IVDS) Checkbox
Check this box if the veteran has been diagnosed with degenerative disc disease, but it is not classified as intervertebral disc syndrome (IVDS).
Degenerative Disc Disease ICD Code Text
Provide the ICD code for the degenerative disc disease diagnosis. Fill only if 'Degenerative disc disease other than intervertebral disc syndrome (IVDS)' is 'Yes'.
Depends on: Degenerative disc disease other than intervertebral disc syndrome (IVDS)
Degenerative Disc Disease Date of Diagnosis Date
Enter the date when the degenerative disc disease was diagnosed. Fill only if 'Degenerative disc disease other than intervertebral disc syndrome (IVDS)' is 'Yes'.
Depends on: Degenerative disc disease other than intervertebral disc syndrome (IVDS)
Degenerative or Post-Traumatic Arthritis Documented
Yes Radiobutton
Check this box if degenerative or post-traumatic arthritis is documented. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Radiobutton
Check this box if degenerative or post-traumatic arthritis is not documented. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Description of Additional Contributing Factors of Disability
Additional Contributing Factors Description Text
Provide a detailed description of any additional factors contributing to the disability. Fill only if 'Interference with sitting', 'Interference with standing', 'Swelling', 'Deformity', 'Disturbance of locomotion', 'Less movement than normal', 'More movement than normal', 'Weakened movement', 'Atrophy of disuse', 'Instability of station', 'Other' is 'Yes' for any of the fields.
Depends on: Interference with sitting, Interference with standing, Swelling, Deformity, Disturbance of locomotion, Less movement than normal, More movement than normal, Weakened movement, Atrophy of disuse, Instability of station, Other
Description of Other Signs or Symptoms
Description of Other Signs or Symptoms of Radiculopathy Text
Please provide a detailed description of any other signs or symptoms of radiculopathy. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Documented Medical History
Medical history as shown and documented in the Veteran's file. Checkbox
Check this box if the medical history supporting a 'yes' response to question 11B is already present and documented in the Veteran's file. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Treatment Record Dates Reviewed Date
Enter the individual date(s) of each treatment record reviewed. Fill only if 'Medical history as shown and documented in the Veteran's file.' is checked.
Depends on: Medical history as shown and documented in the Veteran's file.
Facility or Provider Text
Provide the name of the medical facility or healthcare provider where treatment was received. Fill only if 'Medical history as shown and documented in the Veteran's file.' is checked.
Depends on: Medical history as shown and documented in the Veteran's file.
Treatment Description Text
Describe the treatment provided or received as part of the medical history. Fill only if 'Medical history as shown and documented in the Veteran's file.' is checked.
Depends on: Medical history as shown and documented in the Veteran's file.
Does the Veteran have localized tenderness, guarding or muscle spasm of the thoracolumbar spine?
Yes Radiobutton
Check this box if the Veteran has localized tenderness, guarding, or muscle spasm of the thoracolumbar spine.
No Radiobutton
Check this box if the Veteran does not have localized tenderness, guarding, or muscle spasm of the thoracolumbar spine.
Does the Veteran use any assistive devices as a normal mode of locomotion
Yes Radiobutton
Check this box if the Veteran uses any assistive devices as a normal mode of locomotion, even if occasional locomotion by other methods is possible.
No Radiobutton
Check this box if the Veteran does not use any assistive devices as a normal mode of locomotion.
Episodes of Acute Signs and Symptoms Requiring Bed Rest
Yes Radiobutton
Check this box if the Veteran has had episodes of acute signs and symptoms due to IVDS that required bed rest prescribed by a physician and treatment in the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Radiobutton
Check this box if the Veteran has not had any episodes of acute signs and symptoms due to IVDS that required bed rest prescribed by a physician and treatment in the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Evidence and Description of Localized Tenderness or Pain
Yes Radiobutton
Check this box if there is objective evidence of localized tenderness or pain on palpation of the joint or associated soft tissue.
No Radiobutton
Check this box if there is no objective evidence of localized tenderness or pain on palpation of the joint or associated soft tissue.
Localized Tenderness/Pain Description Text
Please describe the location, severity, and relationship to condition(s) of any localized tenderness or pain. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Evidence for Flare-up Range of Motion Estimate
Flare-up Evidence Discussion Text
Provide a detailed discussion and cite specific evidence relevant to the case, based on all procurable information regarding flare-up range of motion estimates.
Evidence for Repeated Use Range of Motion Estimate
Evidence Discussion Text
Provide a detailed discussion and citation of all procurable evidence related to the repeated use range of motion estimate, ensuring specificity to the case.
Evidence of Crepitus
Yes Radiobutton
Check this box if there is objective evidence of crepitus.
No Radiobutton
Check this box if there is no objective evidence of crepitus.
Evidence of Functional Limitation During Flare-ups
Yes Radiobutton
Check this box if procured evidence suggests pain, fatigability, weakness, lack of endurance, or incoordination which significantly limits functional ability with flare-ups.
No Radiobutton
Check this box if procured evidence does not suggest pain, fatigability, weakness, lack of endurance, or incoordination which significantly limits functional ability with flare-ups.
Evidence of Functional Limitation with Repeated Use
Yes Radiobutton
Check this box if procured evidence suggests pain, fatigability, weakness, lack of endurance, or incoordination significantly limits functional ability with repeated use over time.
No Radiobutton
Check this box if procured evidence does not suggest pain, fatigability, weakness, lack of endurance, or incoordination significantly limits functional ability with repeated use over time.
Evidence of Pain
Yes Radiobutton
Check this box if there is evidence of pain.
No Radiobutton
Check this box if there is no evidence of pain.
Evidence Review
No records were reviewed Radiobutton
Check this box if no records were reviewed as part of the evidence review process.
Records reviewed Radiobutton
Check this box if records were reviewed as part of the evidence review process.
Evidence Reviewed Details Text
Provide a detailed description of the evidence reviewed, including its type (e.g., service treatment records, VA treatment records, private treatment records) and the date range of the records. Fill only if 'Records reviewed' is 'Yes'.
Depends on: Records reviewed
Examination Method
Yes Radiobutton
Check this box if the Veteran was examined in person.
No Radiobutton
Check this box if the Veteran was not examined in person.
Examination Method Details Text
Provide a detailed description of how the examination was conducted if it was not performed in person. Fill only if 'No' is 'Yes'.
Depends on: No
Examined During Flare-Up
Yes Radiobutton
Check this box if the Veteran is being examined during a flare-up.
No Radiobutton
Check this box if the Veteran is not being examined during a flare-up.
Examined Immediately After Repeated Use
Yes Radiobutton
Check this box if the Veteran is being examined immediately after repeated use over time.
No Radiobutton
Check this box if the Veteran is not being examined immediately after repeated use over time.
Examiner's Certification and Signature
Examiner's Signature Text
Provide the examiner's signature.
Examiner's Printed Name and Title Text
Enter the examiner's printed name and professional title, such as MD, DO, DDS, DMD, Ph.D, Psy.D, NP, or PA-C.
Examiner's Area of Practice/Specialty Text
Enter the examiner's primary area of practice or specialty, for example, Cardiology, Orthopedics, Psychology/Psychiatry, or General Practice.
Date Signed Date
Enter the date the form was signed.
Examiner's Phone/Fax Numbers Text
Provide the examiner's phone and/or fax numbers.
NPI Number Number
Enter the examiner's National Provider Identifier (NPI) number.
Medical License Number and State Text
Enter the examiner's medical license number and the state where it was issued.
Examiner's Address Text
Provide the examiner's full mailing address.
Explanation for "Unable to test" or "Not indicated"
Explanation for Unable to Test or Not Indicated Text
Please provide a detailed explanation if initial ROM measurements were 'Unable to test' or 'Not indicated'. Fill only if 'Unable to test', 'Not indicated' is 'Yes' for any.
Depends on: Unable to test, Not indicated
Explanation for Inability to Perform Straight Leg Test
Explanation for Inability to Perform Straight Leg Test Text
Provide a detailed explanation if the straight leg raising test could not be performed. Fill only if 'Straight Leg Raise Outcome – Right: Unable to perform', 'Unable to perform' is 'Yes', for any.
Depends on: Straight Leg Raise Outcome – Right: Unable to perform, Unable to perform
Explanation of Neurological Findings
Explanation of Neurological Findings Cause Text
Provide a detailed explanation of the likely cause for any abnormal or positive neurological findings identified in Sections 4-8.
Factors Causing Functional Loss
N/A Checkbox
Check if none of the listed factors contribute to this functional loss.
Pain Checkbox
Check this box if pain is a factor causing functional loss.
Fatigability Checkbox
Check this box if fatigability is a factor causing functional loss.
Weakness Checkbox
Check this box if weakness is a factor causing functional loss.
Lack of endurance Checkbox
Check this box if lack of endurance is a factor causing functional loss.
Incoordination Checkbox
Check this box if incoordination is a factor causing functional loss.
Other Checkbox
Check this box if there is another factor causing functional loss not listed here.
Other Factor Text
Provide details for any other factor causing functional loss not listed. Fill only if 'Other' is selected.
Depends on: Other
Factors Causing Functional Loss After Repeated Use
N/A Checkbox
Check this box if none of the specific factors listed (pain, fatigability, weakness, lack of endurance, or incoordination) are applicable or cause functional loss after repeated use, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Pain Checkbox
Check this box if pain is a factor that significantly limits functional ability after repeated use over time, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fatigability Checkbox
Check this box if fatigability is a factor that significantly limits functional ability after repeated use over time, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Weakness Checkbox
Check this box if weakness is a factor that significantly limits functional ability after repeated use over time, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Lack of endurance Checkbox
Check this box if lack of endurance is a factor that significantly limits functional ability after repeated use over time, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Incoordination Checkbox
Check this box if incoordination is a factor that significantly limits functional ability after repeated use over time, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Checkbox
Check this box if a factor not explicitly listed (other than N/A) significantly limits functional ability after repeated use over time, based on procured evidence. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Factors Causing Functional Loss Text
Provide details for other factors causing functional loss not listed above. Fill only if 'Other' is selected.
Depends on: Other
Factors Causing Functional Loss During Flare-ups
N/A Checkbox
Check this box if none of the listed factors cause functional loss during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Pain Checkbox
Check this box if pain causes functional loss during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Fatigability Checkbox
Check this box if fatigability causes functional loss during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Weakness Checkbox
Check this box if weakness causes functional loss during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Lack of endurance Checkbox
Check this box if lack of endurance causes functional loss during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Incoordination Checkbox
Check this box if incoordination causes functional loss during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Checkbox
Check this box if another factor not listed causes functional loss during flare-ups, and specify it on the line provided. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Factor Causing Functional Loss Text
Specify any other factors not listed that cause functional loss during flare-ups. Fill only if 'Other' is selected.
Depends on: Other
Femoral Nerve Involvement
Involvement of L2/L3/L4 nerve roots (femoral nerve) Checkbox
Check this box if there is involvement of the L2/L3/L4 nerve roots, also known as the femoral nerve.
Right Radiobutton
Check this box if the femoral nerve involvement affects the right side. Fill only if 'Involvement of L2/L3/L4 nerve roots (femoral nerve)' is 'Yes'.
Depends on: Involvement of L2/L3/L4 nerve roots (femoral nerve)
Left Radiobutton
Check this box if the femoral nerve involvement affects the left side. Fill only if 'Involvement of L2/L3/L4 nerve roots (femoral nerve)' is 'Yes'.
Depends on: Involvement of L2/L3/L4 nerve roots (femoral nerve)
Both Radiobutton
Check this box if the femoral nerve involvement affects both the right and left sides. Fill only if 'Involvement of L2/L3/L4 nerve roots (femoral nerve)' is 'Yes'.
Depends on: Involvement of L2/L3/L4 nerve roots (femoral nerve)
Flare-up Report
Yes Radiobutton
Check this box if the Veteran reports flare-ups of the thoracolumbar spine.
No Radiobutton
Check this box if the Veteran does not report flare-ups of the thoracolumbar spine.
Flare-up Description Text
Provide the Veteran's description of the flare-ups, including the frequency, duration, characteristics, precipitating and alleviating factors, severity, and extent of functional impairment experienced during a flare-up of symptoms. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Functional Impact
Yes Radiobutton
Check this box if the diagnosed conditions impact the Veteran's ability to perform any type of occupational task.
No Radiobutton
Check this box if the diagnosed conditions do not impact the Veteran's ability to perform any type of occupational task.
Functional Impact Description Text
Provide a detailed description of the functional impact of each condition, including one or more examples. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Functional loss explanation
Explanation of ROM Functional Loss Contribution Text
Please provide a detailed explanation of how the abnormal range of motion itself contributes to a functional loss. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Functional Loss Report
Yes Radiobutton
Check this box if the Veteran reports having any functional loss or functional impairment of the joint or extremity being evaluated on this questionnaire.
No Radiobutton
Check this box if the Veteran does not report having any functional loss or functional impairment of the joint or extremity being evaluated on this questionnaire.
Veteran's Functional Loss Description Text
Provide a detailed description of the Veteran's functional loss or impairment in their own words. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Guarding
Guarding - None Radiobutton
Check this box if no guarding is observed in the thoracolumbar spine. Fill only if the 'Does the Veteran have localized tenderness, guarding or muscle spasm of the thoracolumbar spine?' is 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Guarding - Resulting in abnormal gait or abnormal spine contour Radiobutton
Check this box if guarding results in an abnormal gait or abnormal spinal contour. Fill only if the 'Does the Veteran have localized tenderness, guarding or muscle spasm of the thoracolumbar spine?' is 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Guarding - Not resulting in abnormal gait or abnormal spinal contour Radiobutton
Check this box if guarding does not result in an abnormal gait or abnormal spinal contour. Fill only if the 'Does the Veteran have localized tenderness, guarding or muscle spasm of the thoracolumbar spine?' is 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Guarding - Unable to evaluate, describe below Radiobutton
Check this box if guarding cannot be evaluated; provide description below. Fill only if the 'Does the Veteran have localized tenderness, guarding or muscle spasm of the thoracolumbar spine?' is 'Yes'. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Guarding Description Text
Please provide a description and/or etiology for the guarding condition. Fill only if 'Yes', 'Guarding - Unable to evaluate, describe below' is 'Yes' and checkbox 14 is selected.
Depends on: Yes, Guarding - Unable to evaluate, describe below
Height Loss
Yes Radiobutton
Check this box if there is a loss of 50 percent or more of height. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Radiobutton
Check this box if there is no loss of 50 percent or more of height. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Imaging Studies Performed
Yes Radiobutton
Check this box if imaging studies have been performed in conjunction with this examination.
No Radiobutton
Check this box if imaging studies have not been performed in conjunction with this examination.
Imaging Test Details
Imaging Test Details Summary Text
Provide a brief summary of the type of test or procedure performed, its date, and the results of the imaging studies. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Initial Range of Motion Endpoints
Right Lateral Flexion Endpoint Number
Enter the measured right lateral flexion endpoint in degrees.
Left Lateral Rotation Endpoint Number
Enter the measured left lateral rotation endpoint in degrees.
Initial ROM measurements
All Normal Radiobutton
Check this box if all initial Range of Motion (ROM) measurements are normal.
Abnormal or outside of normal range Radiobutton
Check this box if initial Range of Motion (ROM) measurements are abnormal or outside the normal range.
Unable to test Radiobutton
Check this box if initial Range of Motion (ROM) measurements could not be tested.
Not indicated Radiobutton
Check this box if initial Range of Motion (ROM) measurements are not indicated for evaluation.
Intermittent Pain Severity - Left Lower Extremity
None Radiobutton
Check this box if the veteran experiences no intermittent pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the veteran experiences mild intermittent pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the veteran experiences moderate intermittent pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the veteran experiences severe intermittent pain in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Intermittent Pain Severity - Right Lower Extremity
None Radiobutton
Check this box if the veteran experiences no intermittent pain in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the veteran experiences mild intermittent pain in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the veteran experiences moderate intermittent pain in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the veteran experiences severe intermittent pain in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Intervertebral Disc Syndrome Diagnosis
Intervertebral disc syndrome Checkbox
Check this box if the veteran has been diagnosed with intervertebral disc syndrome.
Intervertebral Disc Syndrome ICD Code Text
Provide the ICD (International Classification of Diseases) code for intervertebral disc syndrome. Fill only if 'Intervertebral disc syndrome' is 'Yes'.
Depends on: Intervertebral disc syndrome
Intervertebral Disc Syndrome Diagnosis Date Date
Enter the date when intervertebral disc syndrome was diagnosed. Fill only if 'Intervertebral disc syndrome' is 'Yes'.
Depends on: Intervertebral disc syndrome
IVDS of the Thoracolumbar Spine
Yes Radiobutton
Check this box if the Veteran has Intervertebral Disc Syndrome (IVDS) of the thoracolumbar spine.
No Radiobutton
Check this box if the Veteran does not have Intervertebral Disc Syndrome (IVDS) of the thoracolumbar spine.
Left Lateral Endpoint
Left Lateral Endpoint Number
Please provide the left lateral endpoint value in degrees.
Same as active ROM Checkbox
Check this box if the left lateral endpoint (30 degrees) is the same as the active range of motion.
Left Lateral Flexion Endpoint
Left Lateral Flexion Endpoint Number
Please enter the left lateral flexion endpoint in degrees.
Same as active ROM Checkbox
Check this box if the left lateral flexion endpoint is the same as the active Range of Motion (ROM).
Left Side Deep Tendon Reflexes
Left Knee DTR Rating Text
Enter the deep tendon reflex rating for the left knee according to the provided scale.
Left Ankle DTR Rating Text
Enter the deep tendon reflex rating for the left ankle according to the provided scale.
Left Side Muscle Strength Ratings
Left Hip Flexion Rate Strength Text
Enter the muscle strength rating for left hip flexion.
Left Ankle Dorsi-flexion Rate Strength Number
Enter the muscle strength rating for left ankle dorsi-flexion.
Left Knee Extension Rate Strength Text
Enter the muscle strength rating for left knee extension.
Left Great Toe Extension Rate Strength Text
Enter the muscle strength rating for left great toe extension.
Left Ankle Plantar Flexion Rate Strength Text
Enter the muscle strength rating for left ankle plantar flexion.
Left Straight Leg Raising Test Results
Negative Radiobutton
Check this box if the straight leg raising test result for the left leg is negative.
Positive Radiobutton
Check this box if the straight leg raising test result for the left leg is positive.
Unable to perform Radiobutton
Check this box if the straight leg raising test for the left leg could not be performed.
Limitation of Motion Degree Endpoints
Forward Flexion Degree Endpoint Number
Provide the degree endpoint for forward flexion, if this value differs from the active range of motion value provided above. Fill only if 'Forward Flexion Endpoint' is different than above.
Depends on: Forward Flexion Endpoint
Left Lateral Flexion Degree Endpoint Number
Provide the degree endpoint for left lateral flexion, if this value differs from the active range of motion value provided above. Fill only if 'Left Lateral Flexion Endpoint' is different than above.
Depends on: Left Lateral Flexion Endpoint
Extension Degree Endpoint Number
Provide the degree endpoint for extension, if this value differs from the active range of motion value provided above. Fill only if 'Extension Endpoint' is different than above.
Depends on: Extension Endpoint
Right Lateral Rotation Degree Endpoint Number
Provide the degree endpoint for right lateral rotation, if this value differs from the active range of motion value provided above. Fill only if 'Right Lateral Rotation Endpoint' is different than above.
Depends on: Right Lateral Rotation Endpoint
Right Lateral Flexion Degree Endpoint Number
Provide the degree endpoint for right lateral flexion, if this value differs from the active range of motion value provided above. Fill only if 'Right Lateral Flexion Endpoint' is different than above.
Depends on: Right Lateral Flexion Endpoint
Left Lateral Rotation Degree Endpoint Number
Provide the degree endpoint for left lateral rotation, if this value differs from the active range of motion value provided above. Fill only if 'Left Lateral Rotation Endpoint' is different than above.
Depends on: Left Lateral Rotation Endpoint
Limitation of Motion Description
Detailed Limitation Description Text
Provide a detailed explanation of any limitation of motion, specifying the degree(s) and the factors (e.g., pain, weakness, fatigability, incoordination) to which it is attributable.
Localized tenderness
None Radiobutton
Check this box if the Veteran has no localized tenderness. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Not resulting in abnormal gait or abnormal spinal contour Radiobutton
Check this box if the Veteran has localized tenderness, but it does not result in an abnormal gait or an abnormal spinal contour. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Description and Etiology Text
Provide a description and/or etiology for the localized tenderness. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Location of Atrophy
Specific Location of Atrophy Details Text
Describe the specific location of muscle atrophy, providing measurements in centimeters of the normal side and the corresponding atrophied side, measured at maximum muscle bulk. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Lumbosacral Strain Diagnosis
Lumbosacral strain Checkbox
Check this box if the veteran has been diagnosed with lumbosacral strain associated with the claimed condition(s).
Lumbosacral Strain ICD Code Text
Provide the ICD code for the lumbosacral strain diagnosis. Fill only if 'Lumbosacral strain' is 'Yes'.
Depends on: Lumbosacral strain
Lumbosacral Strain Date of Diagnosis Date
Provide the date when the lumbosacral strain was diagnosed. Fill only if 'Lumbosacral strain' is 'Yes'.
Depends on: Lumbosacral strain
Medical History (Veteran Description)
Medical history as described by the Veteran only, without documentation Checkbox
Check this box if the medical history provided to support the 'yes' response for question 11B is solely based on the Veteran's description and does not include other documentation. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Veteran's Medical History Description Text
Please provide the medical history as described by the veteran, without including any additional documentation. Fill only if 'Medical history as described by the Veteran only, without documentation' is checked.
Depends on: Medical history as described by the Veteran only, without documentation
Medical History Summary
Thoracolumbar Spine Condition History Text
Provide a brief summary describing the history, including the onset and course, of the Veteran's thoracolumbar spine condition.
Motion Limitation Details
Forward Flexion Degree Endpoint Number
Enter the degree endpoint for forward flexion if it is different from the previously noted value.
Left Lateral Flexion Degree Endpoint Number
Enter the degree endpoint for left lateral flexion if it is different from the previously noted value.
Extension Degree Endpoint Number
Enter the degree endpoint for extension if it is different from the previously noted value.
Right Lateral Rotation Degree Endpoint Number
Enter the degree endpoint for right lateral rotation if it is different from the previously noted value.
Right Lateral Flexion Degree Endpoint Number
Enter the degree endpoint for right lateral flexion if it is different from the previously noted value.
Left Lateral Rotation Degree Endpoint Number
Enter the degree endpoint for left lateral rotation if it is different from the previously noted value.
Limitation of Motion Description Text
Describe any limitation of motion specifically attributable to pain, weakness, fatigability, incoordination, or other factors, including the degree(s) of limitation.
Muscle Atrophy Cause and Rationale
Yes Radiobutton
Check this box if the muscle atrophy is due to the claimed condition in the diagnosis section. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Radiobutton
Check this box if the muscle atrophy is NOT due to the claimed condition in the diagnosis section. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Muscle Atrophy Rationale Text
Please provide a detailed rationale explaining why the muscle atrophy is not due to the claimed condition in the diagnosis section. Fill only if 'No' is 'No'.
Depends on: No
Muscle Atrophy Presence
Yes Radiobutton
Check this box if the veteran has muscle atrophy.
No Radiobutton
Check this box if the veteran does not have muscle atrophy.
Muscle spasm
None Radiobutton
Check this box if there is no muscle spasm present. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Resulting in abnormal gait or abnormal spine contour Radiobutton
Check this box if the muscle spasm results in abnormal gait or abnormal spine contour. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Not resulting in abnormal gait or abnormal spinal contour Radiobutton
Check this box if the muscle spasm is present but does not result in abnormal gait or abnormal spine contour. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Unable to evaluate, describe below Radiobutton
Check this box if muscle spasm is unable to be evaluated, and provide a description in the space provided. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Muscle Spasm Description and Etiology Text
Provide a detailed description and/or etiology for the muscle spasm. Fill only if 'Yes', 'Unable to evaluate, describe below' is 'Yes' and checkbox 9 is selected.
Depends on: Yes, Unable to evaluate, describe below
No Current Diagnosis
No current diagnosis associated with claimed conditions Checkbox
Check this box if the veteran does not have a current diagnosis associated with any of the claimed conditions listed above.
Numbness Severity - Left Lower Extremity
None Radiobutton
Check this box if the veteran experiences no numbness in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the veteran experiences mild numbness in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the veteran experiences moderate numbness in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the veteran experiences severe numbness in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Numbness Severity - Right Lower Extremity
None Radiobutton
Check this box if the veteran experiences no numbness in their right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the veteran experiences mild numbness in their right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the veteran experiences moderate numbness in their right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the veteran experiences severe numbness in their right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Assistive Device
Other Assistive Device Checkbox
Check this box if the veteran uses an assistive device other than a cane or walker.
Other Assistive Device Text
Please specify the type of other assistive device used. Fill only if 'Other Assistive Device' is 'Yes'.
Depends on: Other Assistive Device
Occasional Use Radiobutton
Check this box if the 'Other Assistive Device' is used occasionally.
Regular Use Radiobutton
Check this box if the 'Other Assistive Device' is used regularly.
Constant Use Radiobutton
Check this box if the 'Other Assistive Device' is used constantly.
Other Diagnosis Row 1
Other (specify) Checkbox
Check this box if the diagnosis is not listed among the other options provided.
Other Diagnosis 1 Description Text
Please enter the description for the first other diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis 1 ICD Code Text
Please enter the ICD Code for the first other diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis 1 Date of Diagnosis Date
Please enter the date when the first other diagnosis was made. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis Row 2
Other Diagnosis 2 Name Text
Provide the name or description of the second other diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis 2 ICD Code Text
Enter the ICD code for the second other diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis 2 Date of Diagnosis Date
Provide the date when the second other diagnosis was determined. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis Row 3
Other Diagnosis 3 Description Text
Please provide the description for the third other diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis 3 ICD Code Text
Please enter the ICD code for the third other diagnosis. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Diagnosis 3 Date of Diagnosis Date
Please provide the date when the third other diagnosis was made. Fill only if 'Other (specify)' is 'Yes'.
Depends on: Other (specify)
Other Documentation Description
Other, describe Checkbox
Check this box if you need to provide additional documentation details not covered by the preceding options. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Documentation Description Text
Provide a detailed description of other documentation not covered by previous options. Fill only if 'Other, describe' is checked.
Depends on: Other, describe
Other Nerves Affected
Other nerves Checkbox
Check this box if nerves other than the L2/L3/L4 (femoral nerve) or L4/L5/S1/S2/S3 (sciatic nerve) are affected.
Right Radiobutton
Check this box to indicate the right side is affected by the "Other nerves" involvement. Fill only if 'Other nerves' is filled.
Depends on: Other nerves
Left Radiobutton
Check this box to indicate the left side is affected by the "Other nerves" involvement. Fill only if 'Other nerves' is filled.
Depends on: Other nerves
Both Radiobutton
Check this box to indicate both sides are affected by the "Other nerves" involvement. Fill only if 'Other nerves' is filled.
Depends on: Other nerves
Other Pertinent Physical Findings
Yes Radiobutton
Check this box if the Veteran has any other pertinent physical findings, complications, conditions, signs, or symptoms related to any conditions listed in the diagnosis section above.
No Radiobutton
Check this box if the Veteran does not have any other pertinent physical findings, complications, conditions, signs, or symptoms related to any conditions listed in the diagnosis section above.
Pertinent Findings Summary Text
Please provide a brief summary describing any other pertinent physical findings, complications, conditions, signs, or symptoms, if applicable. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other sensory findings
Other Sensory Findings Text
Enter any other sensory findings observed.
Other Significant Diagnostic Test Findings
Yes Radiobutton
Check this box if there are other significant diagnostic test findings or results related to the claimed condition(s) and/or diagnosis(es) that were reviewed in conjunction with this examination.
No Radiobutton
Check this box if there are no other significant diagnostic test findings or results related to the claimed condition(s) and/or diagnosis(es) that were reviewed in conjunction with this examination.
Other Signs or Symptoms of Radiculopathy
Yes Radiobutton
Check this box if the veteran has other signs or symptoms of radiculopathy. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
No Radiobutton
Check this box if the veteran does not have any other signs or symptoms of radiculopathy. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Other Test Details
Other Test Details Summary Text
Provide a brief summary of the type of test or procedure performed, the date of the test, and the results. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Pain Details and Comments
Weight-bearing Checkbox
Check this box if pain is experienced during weight-bearing activities. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Nonweight-bearing Checkbox
Check this box if pain is experienced during nonweight-bearing activities. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Active motion Checkbox
Check this box if pain is experienced during active motion. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Passive motion Checkbox
Check this box if pain is experienced during passive motion. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
On rest/non-movement Checkbox
Check this box if pain is experienced while at rest or during non-movement. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Causes functional loss Checkbox
Check this box if the pain causes functional loss, and describe it in the comments box below. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Does not result in/cause functional loss Checkbox
Check this box if the pain does not result in or cause functional loss. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Comments Text
Provide any additional comments or details, particularly regarding functional loss if applicable. Fill only if 'Causes functional loss' is checked.
Depends on: Causes functional loss
Paresthesias and/or Dysesthesias Severity - Left Lower Extremity
None Radiobutton
The user should check this box if the veteran experiences no paresthesias and/or dysesthesias in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
The user should check this box if the veteran experiences mild paresthesias and/or dysesthesias in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
The user should check this box if the veteran experiences moderate paresthesias and/or dysesthesias in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
The user should check this box if the veteran experiences severe paresthesias and/or dysesthesias in the left lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Paresthesias and/or Dysesthesias Severity - Right Lower Extremity
None Radiobutton
Check this box if the patient experiences no paresthesias or dysesthesias in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Mild Radiobutton
Check this box if the patient experiences mild paresthesias or dysesthesias in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Moderate Radiobutton
Check this box if the patient experiences moderate paresthesias or dysesthesias in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Severe Radiobutton
Check this box if the patient experiences severe paresthesias or dysesthesias in the right lower extremity. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Passive Range of Motion Testing Confirmation
Yes Radiobutton
Check this box if passive range of motion testing was performed.
No Radiobutton
Check this box if passive range of motion testing was not performed.
Passive ROM Extension Endpoint
Passive Extension Endpoint Number
Provide the passive range of motion extension endpoint. Fill only if 'Yes', 'Same as active ROM (Extension Endpoint)' is selected and Same as active ROM is not checked, all.
Depends on: Yes, Same as active ROM (Extension Endpoint)
Same as active ROM (Extension Endpoint) Checkbox
Check this box if the passive range of motion for the extension endpoint is the same as the active range of motion for the extension endpoint.
Passive ROM Forward Flexion Endpoint
Forward Flexion Endpoint Number
Enter the passive forward flexion endpoint in degrees. Fill only if 'Yes', 'Same as active ROM' is selected and Same as active ROM is not checked, all.
Depends on: Yes, Same as active ROM
Same as active ROM Checkbox
Check this box if the passive range of motion for forward flexion endpoint is identical to the active range of motion for forward flexion.
Passive ROM Pain Areas
Forward flexion Checkbox
Check this box if forward flexion passive range of motion exhibited pain during the examination.
Right lateral flexion Checkbox
Check this box if right lateral flexion passive range of motion exhibited pain during the examination.
Right lateral rotation Checkbox
Check this box if right lateral rotation passive range of motion exhibited pain during the examination.
Extension Checkbox
Check this box if extension passive range of motion exhibited pain during the examination.
Left lateral flexion Checkbox
Check this box if left lateral flexion passive range of motion exhibited pain during the examination.
Left lateral rotation Checkbox
Check this box if left lateral rotation passive range of motion exhibited pain during the examination.
Passive ROM Right Lateral Flexion Endpoint
Passive Right Lateral Flexion Endpoint Number
Enter the passive range of motion endpoint for right lateral flexion. Fill only if 'Yes', 'Same as active ROM' is selected and Same as active ROM is not checked, all.
Depends on: Yes, Same as active ROM
Same as active ROM Checkbox
Check this box if the passive right lateral flexion endpoint is the same as the active right lateral flexion endpoint.
Patient Information
Patient/Veteran Name Text
Please provide the full name of the patient or veteran.
Social Security Number Text
Please provide the Social Security Number of the patient or veteran.
Date of Examination Date
Please provide the date when the examination was conducted.
Questionnaire Requester Information
Veteran/Claimant Checkbox
Check this box if you are completing the questionnaire at the request of the Veteran or Claimant themselves.
Third party Checkbox
Check this box if you are completing the questionnaire at the request of a third party, such as an organization or another individual.
Third Party Names Text
Please list the name(s) of the organization(s) or individual(s) at whose request this questionnaire is being completed, if applicable. Fill only if 'Third party' is 'Yes'.
Depends on: Third party
Other Checkbox
Check this box if you are completing the questionnaire at the request of someone not covered by the Veteran/Claimant or a specific third party, and provide a description.
Other Requester Description Text
Please provide a description of the other party or reason at whose request this questionnaire is being completed. Fill only if 'Other' is 'Yes'.
Depends on: Other
Radicular Pain or Symptoms Presence
Yes Radiobutton
Check this box if the Veteran has radicular pain or any other signs or symptoms due to radiculopathy.
No Radiobutton
Check this box if the Veteran does not have radicular pain or any other signs or symptoms due to radiculopathy.
Range of Motion After Repeated Use
Forward Flexion Endpoint (90 Degrees) Number
Enter the estimated forward flexion endpoint for this joint after repeated use. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Left Lateral Flexion Endpoint (30 Degrees) Number
Enter the estimated left lateral flexion endpoint for this joint after repeated use. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Extension Endpoint (30 Degrees) Number
Enter the estimated extension endpoint for this joint after repeated use. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Right Lateral Rotation Endpoint (30 Degrees) Number
Enter the estimated right lateral rotation endpoint for this joint after repeated use. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Right Lateral Flexion Endpoint (30 Degrees) Number
Enter the estimated right lateral flexion endpoint for this joint after repeated use. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Left Lateral Rotation Endpoint (30 Degrees) Number
Enter the estimated left lateral rotation endpoint for this joint after repeated use. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Range of motion contribution to functional loss
Yes Radiobutton
Check this box if an abnormal range of motion contributes to a functional loss.
No Radiobutton
Check this box if an abnormal range of motion does not contribute to a functional loss.
Range of Motion During Flare-ups
Forward Flexion Endpoint During Flare-up Number
Enter the estimated forward flexion endpoint in degrees during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Left Lateral Flexion Endpoint During Flare-up Number
Enter the estimated left lateral flexion endpoint in degrees during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Extension Endpoint During Flare-up Number
Enter the estimated extension endpoint in degrees during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Right Lateral Rotation Endpoint During Flare-up Number
Enter the estimated right lateral rotation endpoint in degrees during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Right Lateral Flexion Endpoint During Flare-up Number
Enter the estimated right lateral flexion endpoint in degrees during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Left Lateral Rotation Endpoint During Flare-up Number
Enter the estimated left lateral rotation endpoint in degrees during flare-ups. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Reason for Not Performing Passive ROM Testing
Medically contraindicated Checkbox
Check this box if passive range of motion testing was not performed because it is medically contraindicated or could cause severe pain/injury to the Veteran. Fill only if 'No' is selected.
Depends on: No
Testing not necessary Checkbox
Check this box if passive range of motion testing was not performed because it was deemed not necessary. Fill only if 'No' is selected.
Depends on: No
Other reason Checkbox
Check this box if passive range of motion testing was not performed for a reason not listed in the other options. Fill only if 'No' is selected.
Depends on: No
Explanation Text
Provide a detailed explanation for why passive range of motion testing was not performed. Fill only if 'Medically contraindicated', 'Testing not necessary', 'Other reason' is checked, any.
Depends on: Medically contraindicated, Testing not necessary, Other reason
Regular Patient Status
Yes Radiobutton
Check this box if the Veteran is regularly seen as a patient in your clinic.
No Radiobutton
Check this box if the Veteran is not regularly seen as a patient in your clinic.
Relationship of Abnormal Findings to Diagnosed Conditions
Relationship of Abnormal Findings Text
Please describe the relationship between any abnormal test results and the diagnosed conditions. Fill only if 'Yes' is 'Yes' and results are other than normal.
Depends on: Yes
Remaining Effective Function of the Extremities
Yes, functioning diminished to amputation level Radiobutton
Check this box if the Veteran's extremity functioning is so diminished that an amputation with a prosthesis would equally serve them.
No, functioning not diminished to amputation level Radiobutton
Check this box if the Veteran's extremity functioning is not so diminished that an amputation with a prosthesis would equally serve them.
Right lower extremity Checkbox
Check this box if the right lower extremity has functional impairment where amputation with prosthesis would equally serve the Veteran. Fill only if 'Yes, functioning diminished to amputation level' is 'Yes'.
Depends on: Yes, functioning diminished to amputation level
Left lower extremity Checkbox
Check this box if the left lower extremity has functional impairment where amputation with prosthesis would equally serve the Veteran. Fill only if 'Yes, functioning diminished to amputation level' is 'Yes'.
Depends on: Yes, functioning diminished to amputation level
Right upper extremity Checkbox
Check this box if the right upper extremity has functional impairment where amputation with prosthesis would equally serve the Veteran. Fill only if 'Yes, functioning diminished to amputation level' is 'Yes'.
Depends on: Yes, functioning diminished to amputation level
Left upper extremity Checkbox
Check this box if the left upper extremity has functional impairment where amputation with prosthesis would equally serve the Veteran. Fill only if 'Yes, functioning diminished to amputation level' is 'Yes'.
Depends on: Yes, functioning diminished to amputation level
Loss of Function Description Text
Provide a brief summary identifying the condition causing loss of function, describing the loss of effective function, and giving specific examples for each checked extremity. Fill only if 'Yes, functioning diminished to amputation level' is 'Yes'.
Depends on: Yes, functioning diminished to amputation level
Remarks
Remarks Text
Provide any additional remarks, identifying the section to which the remark pertains when appropriate.
Repetitive Use Testing Capability and Explanation
Yes Radiobutton
Check this box if the Veteran is able to perform repetitive use testing with at least three repetitions.
No Radiobutton
Check this box if the Veteran is not able to perform repetitive use testing with at least three repetitions.
Repetitive Use Testing Inability Explanation Text
Provide a detailed explanation if the Veteran is unable to perform repetitive use testing with at least three repetitions. Fill only if 'No' is 'No'.
Depends on: No
Right Foot/Toes Sensation
Normal Radiobutton
Check this box if the sensation in the right foot/toes is normal.
Decreased Radiobutton
Check this box if the sensation in the right foot/toes is decreased.
Absent Radiobutton
Check this box if the sensation in the right foot/toes is absent.
Right Lateral Rotation Endpoint
Right Lateral Rotation Endpoint Number
Please enter the right lateral rotation endpoint value.
Same as active ROM Checkbox
Check this box if the right lateral rotation endpoint is the same as the active Range of Motion (ROM).
Right Lower Leg/Ankle Sensation
Right Lower Leg/Ankle Sensation Normal Radiobutton
Check this box if sensation to light touch in the right lower leg/ankle (L4/L5/S1) is normal.
Right Lower Leg/Ankle Sensation Decreased Radiobutton
Check this box if sensation to light touch in the right lower leg/ankle (L4/L5/S1) is decreased.
Right Lower Leg/Ankle Sensation Absent Radiobutton
Check this box if sensation to light touch in the right lower leg/ankle (L4/L5/S1) is absent.
Right Side Deep Tendon Reflexes
Right Knee DTR Rating Text
Enter the deep tendon reflex rating for the right knee based on the provided scale.
Right Ankle DTR Rating Text
Enter the deep tendon reflex rating for the right ankle based on the provided scale.
Right Side Muscle Strength Ratings
Right Hip Flexion Strength Text
Enter the muscle strength rating for the right hip flexion.
Right Ankle Dorsiflexion Strength Number
Enter the muscle strength rating for the right ankle dorsiflexion.
Right Knee Extension Strength Text
Enter the muscle strength rating for the right knee extension.
Right Great Toe Extension Strength Text
Enter the muscle strength rating for the right great toe extension.
Right Ankle Plantar Flexion Strength Text
Enter the muscle strength rating for the right ankle plantar flexion.
Right Straight Leg Raising Test Results
Straight Leg Raise Outcome – Right: Negative Radiobutton
Check this box if the straight leg raise test result on the right leg is negative.
Straight Leg Raise Outcome – Right: Positive Radiobutton
Check this box if the straight leg raise test result on the right leg is positive.
Straight Leg Raise Outcome – Right: Unable to perform Radiobutton
Check this box if you were unable to perform the straight leg raise test on the right leg.
Right Thigh/Knee Sensation
Normal Radiobutton
Check this box if the sensation to light touch in the right thigh/knee (L3/4 dermatome) is normal.
Decreased Radiobutton
Check this box if the sensation to light touch in the right thigh/knee (L3/4 dermatome) is decreased.
Absent Radiobutton
Check this box if the sensation to light touch in the right thigh/knee (L3/4 dermatome) is absent.
Right Upper Anterior Thigh Sensation
Normal Radiobutton
Check this box if the sensation in the right upper anterior thigh (L2 dermatome) is normal.
Decreased Radiobutton
Check this box if the sensation in the right upper anterior thigh (L2 dermatome) is decreased.
Absent Radiobutton
Check this box if the sensation in the right upper anterior thigh (L2 dermatome) is absent.
ROM Exhibited Pain
Forward flexion Checkbox
Check this box if the examination noted pain during forward flexion.
Right lateral flexion Checkbox
Check this box if the examination noted pain during right lateral flexion.
Right lateral rotation Checkbox
Check this box if the examination noted pain during right lateral rotation.
Extension Checkbox
Check this box if the examination noted pain during extension.
Left lateral flexion Checkbox
Check this box if the examination noted pain during left lateral flexion.
Left lateral rotation Checkbox
Check this box if the examination noted pain during left lateral rotation.
ROM outside normal range description
Normal ROM Justification Text
Provide a description explaining why the Range of Motion (ROM) is considered normal for the Veteran, even if it falls outside the typical normal range, considering factors such as age, body habitus, or neurologic disease, but not a back condition. Fill only if 'Abnormal or outside of normal range' is 'Yes'.
Depends on: Abnormal or outside of normal range
Sacroiliac Injury Diagnosis
Sacroiliac injury Checkbox
Check this box if the claimed condition includes a sacroiliac injury.
Sacroiliac Injury ICD Code Text
Please provide the ICD code for the sacroiliac injury. Fill only if 'Sacroiliac injury' is 'Yes'.
Depends on: Sacroiliac injury
Sacroiliac Injury Diagnosis Date Date
Please enter the date when the sacroiliac injury was diagnosed. Fill only if 'Sacroiliac injury' is 'Yes'.
Depends on: Sacroiliac injury
Sacroiliac Weakness Diagnosis
Sacroiliac weakness Checkbox
Check this box if Sacroiliac weakness is a diagnosis associated with the claimed condition(s).
Sacroiliac Weakness ICD Code Text
Please provide the ICD Code for the Sacroiliac Weakness diagnosis. Fill only if 'Sacroiliac weakness' is 'Yes'.
Depends on: Sacroiliac weakness
Sacroiliac Weakness Date of Diagnosis Date
Please provide the date when the Sacroiliac Weakness was diagnosed. Fill only if 'Sacroiliac weakness' is 'Yes'.
Depends on: Sacroiliac weakness
Scars or Skin Disfigurement
Yes Radiobutton
Check this box if the Veteran has scars or other disfigurement of the skin related to any conditions or to the treatment of any conditions listed in the diagnosis section.
No Radiobutton
Check this box if the Veteran does not have any scars or other disfigurement of the skin related to any conditions or to the treatment of any conditions listed in the diagnosis section.
Sciatic Nerve Involvement
Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve) Checkbox
Check this box if there is involvement of the L4/L5/S1/S2/S3 nerve roots, which are collectively known as the sciatic nerve.
Right Radiobutton
Check this box if the sciatic nerve involvement affects the right side. Fill only if 'Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)' is 'Yes'.
Depends on: Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)
Left Radiobutton
Check this box if the sciatic nerve involvement affects the left side. Fill only if 'Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)' is 'Yes'.
Depends on: Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)
Both Radiobutton
Check this box if the sciatic nerve involvement affects both the right and left sides. Fill only if 'Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)' is 'Yes'.
Depends on: Involvement of L4/L5/S1/S2/S3 nerve roots (sciatic nerve)
SECTION X - OTHER NEUROLOGIC ABNORMALITIES
Yes Radiobutton
Check this box if the Veteran has other neurologic abnormalities or findings (such as bowel or bladder problems/pathologic reflexes) related to a thoracolumbar spine condition.
No Radiobutton
Check this box if the Veteran does not have any other neurologic abnormalities or findings related to a thoracolumbar spine condition.
Other Neurologic Abnormalities Description Text
Provide a detailed description of any other neurologic abnormalities or findings, including how they are related to a thoracolumbar spine condition. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Segmental Instability Diagnosis
Segmental instability Checkbox
Check this box if the veteran has been diagnosed with segmental instability.
Segmental Instability ICD Code Text
Please provide the International Classification of Diseases (ICD) code for Segmental Instability. Fill only if 'Segmental instability' is 'Yes'.
Depends on: Segmental instability
Segmental Instability Diagnosis Date Date
Please provide the date when Segmental Instability was diagnosed. Fill only if 'Segmental instability' is 'Yes'.
Depends on: Segmental instability
Sensory Findings - First Column
Normal Radiobutton
Check this box if the sensory finding for the left side is normal.
Decreased Radiobutton
Check this box if the sensory finding for the left side is decreased.
Absent Radiobutton
Check this box if the sensory finding for the left side is absent.
Sensory Findings - Fourth Column
Normal Radiobutton
Check this box if the sensory findings are normal.
Decreased Radiobutton
Check this box if the sensory findings are decreased.
Absent Radiobutton
Check this box if the sensory findings are absent.
Sensory Findings - Second Column
Normal Radiobutton
Check this box if the sensory findings are normal.
Decreased Radiobutton
Check this box if the sensory findings are decreased.
Absent Radiobutton
Check this box if the sensory findings are absent.
Sensory Findings - Third Column
Normal Radiobutton
Check this box if the sensory findings are normal.
Decreased Radiobutton
Check this box if the sensory findings are decreased.
Absent Radiobutton
Check this box if the sensory findings are absent.
Severity of Ankylosis
Unfavorable ankylosis of the entire spine Radiobutton
Check this box if there is unfavorable ankylosis affecting the entire spine, characterized by fixation in flexion or extension resulting in one or more severe limitations as described in the note. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Unfavorable ankylosis of the entire thoracolumbar spine Radiobutton
Check this box if there is unfavorable ankylosis affecting the entire thoracolumbar spine, characterized by fixation in flexion or extension resulting in one or more severe limitations as described in the note. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Favorable ankylosis of the entire thoracolumbar spine Radiobutton
Check this box if there is favorable ankylosis of the entire thoracolumbar spine, meaning fixation of spinal segments in a neutral (zero degrees) position. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Spinal Fusion Diagnosis
Spinal fusion Checkbox
Check this box if spinal fusion is a diagnosis associated with the claimed condition(s).
Spinal Fusion ICD Code Text
Please provide the ICD Code for the Spinal fusion diagnosis. Fill only if 'Spinal fusion' is 'Yes'.
Depends on: Spinal fusion
Spinal Fusion Date of Diagnosis Date
Please provide the date of diagnosis for Spinal fusion. Fill only if 'Spinal fusion' is 'Yes'.
Depends on: Spinal fusion
Spinal Stenosis Diagnosis
Spinal stenosis Checkbox
Check this box if spinal stenosis is a diagnosis associated with the claimed condition(s).
Spinal Stenosis ICD Code Text
Please enter the International Classification of Diseases (ICD) code for spinal stenosis. Fill only if 'Spinal stenosis' is 'Yes'.
Depends on: Spinal stenosis
Spinal Stenosis Diagnosis Date Date
Please provide the date when spinal stenosis was diagnosed. Fill only if 'Spinal stenosis' is 'Yes'.
Depends on: Spinal stenosis
Spondylolisthesis Diagnosis
Spondylolisthesis Checkbox
Check this box if Spondylolisthesis is an associated diagnosis for the claimed condition(s).
Spondylolisthesis ICD Code Text
Provide the International Classification of Diseases (ICD) code for the Spondylolisthesis diagnosis. Fill only if 'Spondylolisthesis' is 'Yes'.
Depends on: Spondylolisthesis
Spondylolisthesis Date of Diagnosis Date
Provide the date when the Spondylolisthesis diagnosis was made. Fill only if 'Spondylolisthesis' is 'Yes'.
Depends on: Spondylolisthesis
Testing Performance Confirmation
Yes Radiobutton
Check this box if testing can be performed.
No Radiobutton
Check this box if testing cannot be performed or is medically contraindicated, and provide an explanation in the space below.
Explanation for Not Performing Testing Text
Provide a detailed explanation if testing cannot be performed or is medically contraindicated. Fill only if 'No' is selected.
Depends on: No
Thoracolumbar Vertebral Fracture Evidence
Yes Radiobutton
Check this box if the Veteran has imaging evidence of a thoracolumbar vertebral fracture.
No Radiobutton
Check this box if the Veteran does not have imaging evidence of a thoracolumbar vertebral fracture.
Total Duration of Bed Rest
No episodes of bed rest Radiobutton
Check this box if the veteran had no episodes of bed rest during the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Bed rest 1 to 2 weeks Radiobutton
Check this box if the veteran had episodes of bed rest totaling at least 1 week but less than 2 weeks during the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Bed rest 2 to 4 weeks Radiobutton
Check this box if the veteran had episodes of bed rest totaling at least 2 weeks but less than 4 weeks during the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Bed rest 4 to 6 weeks Radiobutton
Check this box if the veteran had episodes of bed rest totaling at least 4 weeks but less than 6 weeks during the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Bed rest 6 weeks or more Radiobutton
Check this box if the veteran had episodes of bed rest totaling at least 6 weeks during the past 12 months. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Traumatic Paralysis, Complete Diagnosis
Traumatic paralysis, complete Checkbox
Check this box if the veteran has a complete traumatic paralysis diagnosis associated with the claimed condition.
Traumatic Paralysis Complete ICD Code Text
Provide the ICD Code for the diagnosis of traumatic paralysis. Fill only if 'Traumatic paralysis, complete' is 'Yes'.
Depends on: Traumatic paralysis, complete
Traumatic Paralysis Complete Date of Diagnosis Date
Provide the date of diagnosis for traumatic paralysis. Fill only if 'Traumatic paralysis, complete' is 'Yes'.
Depends on: Traumatic paralysis, complete
VA Healthcare Provider Status
Yes Radiobutton
Check this box if you are a VA Healthcare provider.
No Radiobutton
Check this box if you are not a VA Healthcare provider.
Vertebral Dislocation Diagnosis
Vertebral dislocation Checkbox
Check this box if the current diagnosis is vertebral dislocation.
Vertebral Dislocation ICD Code Text
Enter the International Classification of Diseases (ICD) code for vertebral dislocation. Fill only if 'Vertebral dislocation' is 'Yes'.
Depends on: Vertebral dislocation
Vertebral Dislocation Diagnosis Date Date
Provide the date when the vertebral dislocation was diagnosed. Fill only if 'Vertebral dislocation' is 'Yes'.
Depends on: Vertebral dislocation
Vertebral Fracture Diagnosis
Vertebral fracture Checkbox
Check this box if the veteran has been diagnosed with a vertebral fracture.
Vertebral Fracture ICD Code Text
Provide the ICD code for the vertebral fracture diagnosis. Fill only if 'Vertebral fracture' is 'Yes'.
Depends on: Vertebral fracture
Vertebral Fracture Date of Diagnosis Date
Provide the date of diagnosis for the vertebral fracture. Fill only if 'Vertebral fracture' is 'Yes'.
Depends on: Vertebral fracture
Walker Assistive Device
Walker Checkbox
Check this box if the veteran uses a walker as an assistive device.
Occasional Radiobutton
Check this box if the veteran uses the walker occasionally.
Regular Radiobutton
Check this box if the veteran uses the walker regularly.
Constant Radiobutton
Check this box if the veteran uses the walker constantly.
Wheelchair Details
Wheelchair Checkbox
Check this box if the Veteran uses a wheelchair as an assistive device. Fill only if 'Yes' is 'Yes'.
Depends on: Yes
Wheelchair - Occasional Radiobutton
Check this box if the Veteran uses a wheelchair occasionally. Fill only if 'Yes', 'Wheelchair' is 'Yes' and Wheelchair is 'Yes' for all.
Depends on: Yes, Wheelchair
Wheelchair - Regular Radiobutton
Check this box if the Veteran uses a wheelchair regularly. Fill only if 'Yes', 'Wheelchair' is 'Yes' and Wheelchair is 'Yes' for all.
Depends on: Yes, Wheelchair
Wheelchair - Constant Radiobutton
Check this box if the Veteran uses a wheelchair constantly. Fill only if 'Yes', 'Wheelchair' is 'Yes' and Wheelchair is 'Yes' for all.
Depends on: Yes, Wheelchair