Private DBQ Exams for Disabilities
Private DBQ exams can be a valuable addition to your claim when they are coupled with a current diagnosis and your medical records. A DBQ is a Disability Benefits Questionnaire: a fill-in form VA publishes so a clinician can put your exam findings into the same shape VA raters already know how to read. You can download the public forms from VA's Public DBQs page.
This guide is about private DBQs: forms filled out by a non-VA doctor or other licensed clinician you choose, not the free Compensation and Pension (C&P) exam VA may schedule for you. Click any box below. Each one walks through who should fill one out, who should not, and who is usually strongest for the job.
Quick ground rules. A private DBQ is medical evidence. It is not a promise that VA will grant your claim, pick a rating percentage, or skip its own exam. VA does not pay for a private DBQ. Anything labeled Simpl Man opinion is advice, not an official VA rule.
What a private DBQ is
In plain words: A public Disability Benefits Questionnaire is a VA form your own health care provider can fill out and sign. You send it in with your claim as medical evidence. VA posts the public ones on its Public DBQs page.
What it is not: It is not an automatic replacement for a VA C&P exam. VA may still decide it needs its own exam to finish the claim. If VA schedules one, you must go. (VA Public DBQs page; VA DBQ Fraud Prevention fact sheet)
When VA can rate from private evidence: If a private hospital report, private examination report, or a statement from a private physician is otherwise adequate for rating purposes, VA may accept it and rate the claim without ordering another exam. "Adequate for rating" means the report gives VA enough clear medical information to decide the issue under the rating schedule.
What makes a private opinion count: Most of the weight of a medical opinion comes from its reasoning and its factual foundation, not from who wore a VA badge that day. A bare conclusion with no explanation is weak. A private opinion is not automatically worthless just because the doctor did not review your entire claims file.
Cost: VA will not pay or reimburse you for a private DBQ. Any fee is between you and the clinician. (VA Public DBQs page; VA DBQ Fraud Prevention fact sheet)
Signature block: The clinician must complete the provider information at the bottom, then sign and date the form. For a non-VA provider, that usually means printed name and credentials, area of practice or specialty, phone and/or fax, medical license number, and National Provider Identifier (NPI). VA says it may verify authenticity. (VA Public DBQs page)
Not every DBQ is public: Some forms are reserved for VA or VA-contract examiners because of specialized training or other limits VA has set. That list currently includes, among others, Hearing Loss and Tinnitus, Initial PTSD, Medical Opinion, Initial and Review TBI, Gulf War General Medical, and a few others. Use only the forms marked for public use. (VA Public DBQs page)
Who should and should not do a private DBQ for you
Who should: A licensed health care provider who actually examines you, knows (or carefully reviews) your relevant history, and can complete the form honestly for the body system at issue. VA treats DBQs completed by a licensed health care provider, including a nurse practitioner or physician assistant, as acceptable when the signature and specialty rules are met. For many public DBQs, that same idea applies to private clinicians: licensed, qualified, and thorough.
Best fit, Simpl Man opinion: Someone who treats you now, or who will examine you in person, review your records, and write findings that match what they saw. A specialist in that body system is usually the strongest voice when the condition is specialized. Couple the DBQ with a current diagnosis and the medical records that back it up.
Who should not: VA does not publish a neat blacklist of "forbidden" people. These warnings are grounded in how VA weighs evidence, or are labeled as opinion.
Someone who has not examined you. A form filled out from your story alone, with no exam and no record review, is weak evidence. Probative value (how much weight VA gives it) rides on accurate facts and clear reasoning.
An unlicensed person. Competent medical evidence comes from someone qualified by education, training, or experience to offer medical diagnoses, statements, or opinions. A buddy, a claims coach, or an office helper signing a medical form is not that.
A company that only does DBQs for money. Simpl Man opinion: Do not use a company that just does DBQs and has no other connection to you. If they never treated you, they are not your doctor or clinic, and their only business with you is filling out disability paperwork for a fee, skip them. That includes shops that promise a rating, copy the same wording for every veteran, or never examine you. A private DBQ should come from someone in your care, or from a real clinician who examines you as part of medical practice, not from a business whose product is DBQs. VA says it may verify the authenticity of every DBQ. (VA Public DBQs page; VA DBQ Fraud Prevention fact sheet)
Do not skip a scheduled VA exam because you already have a private DBQ. If VA schedules an exam and you miss it without good cause, the claim can be decided on the evidence already in the file, and an increase claim can be denied. (VA Public DBQs page)
Who to go to first, second, and after that
Simpl Man opinion: This is the order Simpl Man would use. It is not a VA rule.
First: Your current physician, meaning the clinician who already treats you for this condition. They know your history and already have your records.
Second: A physician or other licensed clinician at the hospital or medical facility where you are being seen for it. They have the fresh tests, imaging, and notes.
Third: Another local doctor or specialist you choose. Pick a real medical practice, not a company that only does DBQs for money and has no other connection to you.
If the condition is specialized, go to the right specialist as early as you can. If you already see one for that condition, that person is often first, not third. Mental health: psychiatrist or psychologist. Eyes: ophthalmologist or optometrist. Nerves: neurologist. Heart: cardiologist. Cancer: oncologist. Hearing-related evidence: audiologist. Remember that the Hearing Loss and Tinnitus DBQ itself is not a public form.
If your current physician refers you to a specialist: Simpl Man opinion: Your current physician may still see you for the condition, but if they send you to a specialist for it, ask that specialist to complete the DBQ. The specialist's form usually carries more weight, because they are the one examining the specialized findings. Your current physician's records still count. Send those in too.
If the person ahead of you will not complete a DBQ, move to the next person on the list. Do not jump to a DBQ-only company just because it looks faster.
Your current physician
What this means: The doctor (or other licensed clinician) who already treats you for the condition you are claiming, or who has followed you long enough to know the history.
Why this often works: They already have your chart. They have seen you on good days and bad days. They can tie the findings on the DBQ to treatment notes, labs, imaging, and medications instead of guessing from a one-time story. Simpl Man opinion: a thorough treating clinician who will examine you and explain their findings is usually a better private DBQ choice than a stranger who only met you for a paid form.
What to ask them to do: Examine you for the claimed condition, review the relevant records, complete every section that applies, fill in the clinician block completely, and sign and date the form. Ask them to explain the "why" behind any opinion, not just check boxes. Simpl Man opinion: if a block does not apply, ask them to write N/A instead of leaving it blank, so it is clear they looked at it and decided it did not merit being filled out. (VA Public DBQs page)
Limits: Your current physician may not be the right specialty for every condition. A family doctor can do many general DBQs well; eyes, nerves, heart, cancer, hearing, and mental health often need the specialists listed earlier in this guide. Simpl Man opinion: if your current physician sees you for the condition but refers you to a specialist, the specialist's DBQ usually carries more weight. Keep your treating doctor's notes anyway; they show the history and why you were referred. And even a perfect private DBQ does not stop VA from ordering its own exam.
Physician at the hospital or medical facility you are being seen at
What this means: A doctor or other licensed clinician at the hospital, clinic, or facility where you are already receiving care for the condition, even if that person is not your long-term primary doctor.
When this helps: You are in the middle of treatment, tests, or a workup. The facility has fresh findings, imaging, operative notes, or specialty consults. A clinician there can complete a public DBQ while those facts are still warm, then you submit it with your claim as private medical evidence.
Practical tips: Bring the correct public DBQ from VA's Public DBQs page, not from a non-VA website. If it is on VA's site, it is the current version. Make sure the person who signs it is licensed and completes the signature block. Ask them to fill out every applicable block and write N/A in the ones that do not apply, instead of leaving those blank. Ask whether the facility's policy allows clinicians to complete disability forms; some will, some will not, and that is their call, not VA's.
Simpl Man opinion: This lane is strongest when the facility clinician actually examines you and has access to the facility records for that condition. A form signed by someone who never saw you, just because they work at the building, is not the same thing.
Other local doctors
What this means: Another local examiner who is not your regular doctor and is not at the facility where you are already being seen. You choose them for the exam and the DBQ.
When this makes sense: Your treating doctor will not complete disability paperwork, you need a specialist your clinic does not have, or you want a fresh in-person exam focused on the claim. A private examination report can still be accepted for rating if it is otherwise adequate.
Simpl Man opinion: Doctors who are local to your treating doctor may, and probably do, have a relationship with that doctor. They can reach out for a clearer picture of your condition. It is also suggested that you bring and present your records along with the blank public DBQ. Those can be reviewed and trusted more than just your words.
What "good" looks like: In-person exam when possible. Review of the records that matter for that condition. Clear findings that match the DBQ sections. A complete signature block. An explanation of any medical opinion, not a one-line conclusion. Simpl Man opinion: every block should be filled in, and blocks that do not apply should say N/A instead of being left blank, so it is clear the examiner looked at them.
Simpl Man opinion: This box means a real local doctor or specialist you choose, not a company that only sells DBQs and has no other association with you. If the only thing they do is DBQs for money, walk away. Shop for competence and honesty, not for a guaranteed percentage. VA may still schedule its own exam, and VA may check whether the DBQ is authentic. (VA Public DBQs page; VA DBQ Fraud Prevention fact sheet)
Who is best to complete a DBQ? General
General examiners who can complete many public DBQs:
Physician (M.D. or D.O.). A medical doctor or doctor of osteopathic medicine. Often the strongest general choice when the condition is within their training, especially if they examine you and know the history.
Physician Assistant (P.A.). A licensed clinician who practices medicine with physician collaboration under state rules. VA treats DBQs from licensed physician assistants as acceptable when they are properly completed and signed.
Nurse Practitioner (N.P.). A licensed advanced-practice nurse. The same is true for a licensed nurse practitioner: their DBQ can be acceptable when properly completed and signed.
How to read this: For many musculoskeletal, skin, general medical, and similar public DBQs, a physician, P.A., or N.P. who examines you and has the right training can complete the form. A specialist in that body system is still usually stronger when the condition is complex. Simpl Man opinion: pick the person who will actually examine you and explain the findings, not the person with the fanciest advertisement.
Who is best to complete a DBQ? Mental
Psychiatrist. A medical doctor who specializes in mental health. Can diagnose and treat mental disorders, including with medication.
Psychologist. A licensed mental-health clinician who evaluates and treats mental disorders, usually through examination and therapy rather than medication.
What the Mental Disorders DBQ itself says about VA exams: For an initial Mental Disorders examination, the form requires a board-certified or board-eligible psychiatrist, a licensed doctorate-level psychologist, or certain trainees and residents working under close supervision of those professionals. For a review Mental Disorders examination, the form also allows a licensed clinical social worker, nurse practitioner, clinical nurse specialist, or physician assistant under close supervision with clinical privileges for that work. (Mental Disorders Disability Benefits Questionnaire, examiner note)
What that means for a private mental DBQ: The public Mental Disorders DBQ is available for private use, but the form's examiner rules above are written for how VA wants mental exams done. Simpl Man opinion: for a private mental DBQ, stick with a psychiatrist or a licensed doctorate-level psychologist who examines you in person and uses DSM-5 criteria. Do not assume a P.A. or N.P. can stand alone on an initial mental DBQ the way they can on many general DBQs, unless they meet the form's supervision rules.
PTSD caution: The key limit is the Initial PTSD DBQ: it is not available for public use. If you need an initial PTSD evaluation for VA rating purposes, that form is reserved for VA or VA-contract examiners. The PTSD Review DBQ is a different form, and that one is on the public list. (VA Public DBQs page)
Diagnosis standard: Mental-disorder diagnoses for rating must conform to DSM-5 and be supported by the examination findings.
Who is best to complete a DBQ? Specialized
These are the specialists who are usually strongest for these body systems:
Eyes — Ophthalmologist. A medical doctor who specializes in eye disease and surgery. Keep this as your first-line specialist for eye claims.
Eyes — Optometrist. VA's Diabetes Mellitus DBQ states that the Eye questionnaire must be completed by an ophthalmologist or an optometrist. The public Eye Conditions DBQ is intended for the veteran's health care provider and asks for specialty in the signature block. (Diabetes Mellitus DBQ; Eye Conditions DBQ)
Nerves — Neurologist. Best fit for many nerve, migraine, seizure, Parkinson's, MS, and similar neurological public DBQs. A general physician, P.A., or N.P. may complete some neurological forms if they examine you and have the training, but a neurologist is usually stronger for complex nerve claims. Simpl Man opinion.
Heart — Cardiologist. Best fit for heart-condition public DBQs. Same idea: specialist first when the condition is specialized.
Cancer — Oncologist. Best fit when the claim turns on a cancer diagnosis, treatment, and residuals. Other specialists may share the work depending on the body system (for example, a urologist for prostate cancer residuals), but oncology is usually the home base.
Ears — Audiologist. Keep this specialist on the list for hearing-related evidence. Important limit: the Hearing Loss and Tinnitus DBQ is not available for public use. Only VA or VA-contract examiners complete that one. (VA Public DBQs page) For VA rating of hearing loss, the exam needs to be done by a state-licensed audiologist and include a controlled speech discrimination test (Maryland CNC) and a puretone audiometry test. A private audiologist's records that meet those testing standards can still be useful evidence, and there is a separate public Ear (including Vestibular and Infectious) DBQ for other ear conditions. Do not treat a private audiologist as able to submit the restricted Hearing Loss and Tinnitus DBQ itself. Simpl Man opinion: Still get a thorough private hearing exam that includes the Maryland CNC speech test and a puretone audiometry test, and file those records with your claim. That gives VA documented evidence of your hearing, not just your word. Without something like that on file, you may not even get a C&P exam.
General rule across specialties: A specialist in that body system is usually the strongest private examiner. A general physician, P.A., or N.P. can complete many general public DBQs if they examine the veteran and have the right training. Simpl Man opinion: if your treating doctor referred you to one of these specialists, that specialist is usually the stronger DBQ voice. Do not read this list as "only this person may ever sign." Read it as "this is who is usually best."
How to explain the DBQ to your doctor
Simpl Man opinion: The way you ask matters. You are not asking your doctor to help you get a bigger paycheck. You are asking them to write down the medical facts VA looks at when it decides benefits you may already be eligible for.
What to say, in plain words: "VA uses a form called a Disability Benefits Questionnaire, or DBQ. It helps VA understand my condition in the language they use to decide disability benefits I may be eligible for. Would you complete this after you examine me? This is not about getting more money in my paycheck. It is medical evidence of what you already see in my care."
What not to say: Do not say, "This will get me more money." Do not say, "I need you to put me at a certain percent." Do not ask them to check only the boxes that help the claim. That kind of talk can make an honest doctor uncomfortable, and it can make the form look like a sales pitch instead of an exam.
Why that distinction matters: VA weighs a thorough, honest report with clear reasoning, not a form written to chase a dollar amount. Most of the weight of a medical opinion comes from its reasoning and its factual foundation.
What to bring: The correct public DBQ from VA's Public DBQs page, a short list of the condition you want addressed, and any relevant records they do not already have. If the form is on VA's website, it is the current version. If you use DBQs from non-VA sites, you may be getting outdated forms. Ask them to examine you, complete the sections that apply, explain the "why," and fill in the signature block.
Ask them not to leave blocks blank. Simpl Man opinion: Ask the clinician to fill out every block that applies. If a block does not apply, ask them to write N/A (not applicable) instead of leaving it empty. That shows they looked at the block and decided it did not merit being filled out, instead of skipping it.
A good doctor may still say no to disability paperwork. That is their choice. If they refer you to a specialist for the condition, ask the specialist, and use the same explanation.
Review the completed DBQ
Simpl Man opinion: Someone should review the completed form before it goes to VA. How you do that depends on whether you can read it in the office.
For most people: Review it at the doctor's office before you leave. That is the easiest time to ask about a blank block, a box that does not match what was said during the exam, or something you do not understand.
If the print is too small to read there: Do not pretend you reviewed it if you could not read it. Take a copy home, scan it, and magnify it at home so you can actually review it. If you find a problem, go back to the doctor and ask them to correct it.
Do not change the form after the doctor signs it. Marking it up yourself can raise questions about whether the form is authentic. (VA Public DBQs page; VA DBQ Fraud Prevention fact sheet) Simpl Man opinion: Doctors are human, and they can and do make mistakes. If something is wrong, ask the clinician to fix it. The doctor can make the correction and initial the change, or complete a corrected form and sign again.
When you review, look for blocks left blank that should say N/A, missing signature or license information, and findings that do not match the exam you just had. Keep a copy for your records, then file the DBQ with your claim.
What VA does with your private DBQ
VA must consider competent private medical evidence. A properly completed private DBQ is evidence in your file. VA weighs it with everything else.
VA may rate from it. If the private exam or private physician statement is otherwise adequate for rating, VA can rate without another exam.
VA may still order its own exam. If the evidence is not enough to decide the claim, VA may still schedule its own exam. If VA schedules one, go. (VA Public DBQs page)
VA may check authenticity. VA says it reserves the right to confirm every DBQ and may verify information. (VA Public DBQs page; VA DBQ Fraud Prevention fact sheet)
What a private DBQ does not do: It does not guarantee a grant. It does not lock in a rating percentage. It does not force VA to adopt the private examiner's numbers. It does not replace a C&P exam if VA still needs one. Simpl Man opinion: treat it as strong supporting evidence when it is thorough, not as a magic wand.
Simpl Man opinion: Submitting just a DBQ by itself is weak evidence. A DBQ is much stronger when it is submitted along with your medical records, a lay statement (your own words, or words from someone who sees how the condition affects you), and any other evidence that backs it up. Then the DBQ can act as a recap: a concise and compelling summary that ties the whole evidence package together.
Bottom line
A private DBQ can help when it comes with a current diagnosis, real medical records, and a licensed clinician who examined you and explained the findings. Simpl Man opinion: Submitting just a DBQ is weak evidence. Filed with medical records, a lay statement, and other evidence, the DBQ can recap a concise, compelling package. Start with the clinician who already treats you, then the facility where you are being seen, then another local doctor if you need one. Pick the right kind of examiner for the condition. Stay away from forms filled out by people who never saw you, and from companies that just do DBQs for money and have no connection to your care. And remember: VA can still schedule its own exam. This guide is general information, not legal advice. Laws and VA forms change, so always check the current public DBQ list and the sources cited.
Sources: Sources checked November 6, 2026. Law and regulations: 38 U.S.C. 5103A, 5107; 38 CFR 3.159, 3.326, 3.655, 4.85, 4.125 (eCFR). VA manuals (KnowVA / Navigating VA reprint of M21-1): M21-1, Part IV, Subpart i, 3.A.1 (examination signatures; non-VA provider certification; NP/PA acceptability; review of privately completed DBQs). Forms and VA pages: VA Public Disability Benefits Questionnaires; Eye Conditions DBQ; Mental Disorders DBQ (examiner qualification note); Diabetes Mellitus DBQ (eye questionnaire must be completed by an ophthalmologist or optometrist); VA DBQ Fraud Prevention fact sheet. Case: Nieves-Rodriguez v. Peake, 22 Vet. App. 295 (2008). Restricted public-use list (including Hearing Loss and Tinnitus; Initial PTSD; Medical Opinion; TBI forms) taken from the VA Public DBQs page as of this check.
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