Back (Thoracolumbar Spine) DBQ
Records thoracolumbar motion, functional limitations, neurologic findings, ankylosis and IVDS. Cervical spine findings use the Neck questionnaire.
Current public questionnaire
Download Back (Thoracolumbar Spine) DBQUpdated 2024-12-20 · v24_4
Use the current official PDF and all section-specific instructions. Complete clinician identification, signature, and date. VetCore cannot certify eligibility or completeness.
Examiner requirements
The form identifies the Veteran’s health care provider as the intended completer. No separate profession list was identified in the reviewed PDF; this is not a finding that every clinician is eligible. Confirm scope, competence, testing, and all current form instructions.
Review scope
Editorial comparison of this description and revision label with the original questionnaire; not full regulatory mapping or professional review.