Severe persistent fatigue not relieved by rest
With very severe symptoms, completely bedbound and unable to care for self
With severe symptoms, housebound or bedbound much of time
With moderate symptoms, significantly limiting activities
With mild symptoms, able to work with accommodations
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how chronic fatigue syndrome (myalgic encephalomyelitis) affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for chronic fatigue syndrome (myalgic encephalomyelitis), examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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