Disability Benefits Questionnaire (DBQ) Referral Clinic - James A. Haley Veterans’ Hospital - Tampa, Florida
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James A. Haley Veterans’ Hospital - Tampa, Florida

 

Disability Benefits Questionnaire (DBQ) Referral Clinic

DBQ Referral Clinic Information

What Is a Fully Developed Claim?

The Fully Developed Claims (FDC) program is an option that can provide Veterans faster decisions when all evidence is submitted at the time of filing the compensation or pension claim. 

 
Disability Benefits Questionnaire (DBQ) Referral Clinic 

1. Provided to support the FDC initiative.  The purpose of this clinic is to provide the VBA necessary documentation on an established condition in order for VBA to more quickly evaluate your claim based on the clinical evidence that is provided.  This service is NOT able to work up undiagnosed symptoms or conditions

2. This clinic can assist Veterans who intend to submit Fully Developed Claims. 

3. The following DBQs cannot be completed in the DBQ Referral Clinic setting: Mental Health, Audiology, Eye and Dental claims. These must be filed the traditional way.


What You Need to Submit a Fully Developed Claim:

1. Evidence of an established diagnosis for your claimed condition(s).

2. Any related diagnostic studies such as labs, X-rays, sleep studies etc.

4. Supporting medical office or surgical notes from your Primary Care Provider or Specialist(s).

5. Certify that you have no further evidence to submit.

6. After you complete your DBQ Referral Clinic Appointment, you MUST still file your claim with VBA to fully complete the process.


What You Should Bring to Your Appointment

- Medical records from your Non-VA medical provider(s) to support your claim
- Photo I.D.
- DD214 (if available)

Ways to File a Claim

1. The best and fastest way to file a claim is electronically through E-Benefits, https://www.ebenefits.va.gov/ebenefits/homepage, or at www.va.gov

2. You can also apply through any Veteran Service Organization.  VA recommends you appoint an accredited Veterans Service Officer to help you initiate your claim, gather the required medical records and evidence, and submit your claim.

3. You can call the VA Regional Office to file a claim or get further information about your claim at 1-800-827-1000.

What is a DBQ?

DBQs are standardized medical forms developed by the Veterans Benefits Administration (VBA), to be used by VHA Disability Examiners, as well as private sector providers, to record specific information related to diseases and illnesses for Veterans’ compensation and pension disability benefit claims evaluations.

DBQs Completed By Private Providers

Veterans and/or their private providers may mail or securely fax completed DBQs to the VA Claims Intake Center.

Claims Intake Center

Department of Veterans Affairs
Evidence Intake Center
PO Box 4444
Janesville, WI 53547-4444
Fax (Toll Free): 844-531-7818 or 844-822-5246

Frequently Asked Questions

Q: Who is authorized to complete a DBQ?

A: Providers with active medical licenses must sign and attest to a medical condition on completed DBQs. The DBQ can be completed by:

- Veteran’s private treatment providers;
- Veterans Health Administration (VHA) Compensation and Pension Clinicians;
- VBA certified Contract Clinicians.

You can elect to have your private medical provider complete your DBQ as part of your application to the U.S. Department of Veterans Affairs (VA) for disability benefits.  Your licensed healthcare professional must provide all requested medical information.

Q: Are there DBQs that private providers cannot complete?

A:  Yes
- Mental health claims (New Claims)
- Hearing Loss and Tinnitus
- Traumatic Brain Injury
- Cold Injury Residuals
- Prisoner of War Examination Protocol
- Gulf War Medical Examination
- General Medical Examination for Compensation
- General Medical Examination for Pension Purposes

Q: Why are those DBQs not available for public use?

A: VA has determined that the examinations required to complete those particular DBQs require specialized training, generally not available through private providers. Additionally these examinations and any necessary testing may be too costly to obtain.  For these reasons, the VA has determined that it is in your best interest to have these examinations conducted by a trained VA Disability Examiner.

For More Information:

General Information about DBQs: http://benefits.va.gov/disabilityexams 

Veterans Service Organization: http://benefits.va.gov/compensation 

DBQ References: https://www.benefits.va.gov/compensation/dbq_disabilityexams.asp 

Applying for Veterans Benefits: http://www.benefits.va.gov/BENEFITS/Applying.asp 

MyHealtheVet: https://www.myhealth.va.gov/index.html 

Disability Medical Assessment Fact Sheet: http://vaww.demo.va.gov 

eBenefits: www.ebenefits.va.gov 

VA Vet Centers: www.vetcenter.va.gov 

Veteran’s Service Representative JAHVAH Phone: (813) 972-2000 Ext 6596, Fax: (813) 972-7668

Regional Office Phone Number:  (800) 827-1000  

Contact Info

Location

  • Compensation and Pension
    14020 N. 46th Street
    Tampa, FL 33613

Contact Number(s)

  • 813-972-7551
  • 813-972-7605

Hours of Operation

  • Monday, Tuesday, Thursday and Friday
    7 a.m.-3:30 p.m.