Peripheral Nerves DBQ
Records peripheral nerve symptoms, strength, reflexes, sensation, gait and affected nerves. Diabetic neuropathy uses its separate questionnaire.
Current public questionnaire
Download Peripheral Nerves DBQUpdated 2026-06-01 · v26_1
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.