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Chronic diseases that appear within a year of leaving service

VA presumes that certain long-lasting (chronic) diseases are connected to service if they appeared, at a level of at least 10%, within 1 year after you left active duty. Some have longer windows.

We built these lists with AI from the regulations, the U.S. Code and VA.gov, so please check the official text too.

← Presumptive Condition Checker

Who qualifies

90 days or more of active service in a row, during a war or any time after December 31, 1946.

  • I served on active duty for 90 days or more in a rowDuring a war or any time after December 31, 1946.38 CFR 3.307(a)(1)

Conditions VA presumes (40)

  • Primary anemia38 CFR 3.309(a)
  • Arteriosclerosis (hardening of the arteries)38 CFR 3.309(a)
  • Arthritis38 CFR 3.309(a)
  • Progressive muscular atrophy38 CFR 3.309(a)
  • Brain hemorrhage or brain thrombosis (types of stroke)38 CFR 3.309(a)
  • Bronchiectasis38 CFR 3.309(a)
  • Stones in the kidney, bladder or gallbladder (calculi)38 CFR 3.309(a)
  • Cardiovascular-renal disease, including high blood pressure (hypertension)38 CFR 3.309(a)
  • Cirrhosis of the liver38 CFR 3.309(a)
  • Coccidioidomycosis (valley fever)38 CFR 3.309(a)
  • Diabetes mellitus38 CFR 3.309(a)
  • Residuals of encephalitis lethargica38 CFR 3.309(a)
  • Endocarditis, which covers all forms of heart valve disease38 CFR 3.309(a)
  • Endocrinopathies (hormone gland diseases), such as thyroid disease38 CFR 3.309(a)
  • Epilepsies (seizure disorders)38 CFR 3.309(a)
  • Hansen's disease (leprosy)Within 3 years after you left active duty.38 CFR 3.309(a); 3.307(a)(3)
  • Hodgkin's disease38 CFR 3.309(a)
  • Leukemia38 CFR 3.309(a)
  • Systemic lupus erythematosus (lupus)38 CFR 3.309(a)
  • Myasthenia gravis38 CFR 3.309(a)
  • Myelitis (inflammation of the spinal cord)38 CFR 3.309(a)
  • Myocarditis (inflammation of the heart muscle)38 CFR 3.309(a)
  • Nephritis (kidney inflammation)38 CFR 3.309(a)
  • Other organic diseases of the nervous systemVA has treated sensorineural hearing loss, and tinnitus in some cases, as organic diseases of the nervous system.38 CFR 3.309(a)
  • Paget's disease of bone (osteitis deformans)38 CFR 3.309(a)
  • Osteomalacia38 CFR 3.309(a)
  • Bulbar palsy38 CFR 3.309(a)
  • Parkinson's disease (paralysis agitans)38 CFR 3.309(a)
  • Psychoses38 CFR 3.309(a); 3.384
  • Idiopathic hemorrhagic purpura38 CFR 3.309(a)
  • Raynaud's disease38 CFR 3.309(a)
  • Sarcoidosis38 CFR 3.309(a)
  • Scleroderma38 CFR 3.309(a)
  • Amyotrophic lateral sclerosis (ALS)38 CFR 3.309(a)
  • Multiple sclerosis (MS)Within 7 years after you left active duty.38 CFR 3.309(a); 3.307(a)(3)
  • Syringomyelia38 CFR 3.309(a)
  • Buerger's disease (thromboangiitis obliterans)38 CFR 3.309(a)
  • Active tuberculosisWithin 3 years after you left active duty.38 CFR 3.309(a); 3.307(a)(3)
  • Malignant tumors (cancer), and any tumor of the brain, spinal cord or peripheral nerves38 CFR 3.309(a)
  • Peptic ulcers (stomach or duodenal ulcers)38 CFR 3.309(a)

Time limit

Must have appeared, at a level of at least 10%, within 1 year after you left active duty. The limit is 3 years for Hansen's disease (leprosy) and tuberculosis, and 7 years for multiple sclerosis. A doctor doesn't have to have diagnosed it in that time. What matters is that signs of it showed up then.

You'd still need to show

  • A current diagnosis of the condition from a doctor or other medical provider.
  • Records that show your qualifying service, such as your DD214, orders, or unit or ship records.
  • A discharge that isn't dishonorable.
  • Medical records or statements that show signs of the condition within the time limit.

Even when a condition is on a list, VA can still decide it was caused by something else if there is evidence of that (the presumption can be rebutted).

The law: 38 U.S.C. 1112(a) · 38 CFR 3.307(a)(1)–(3), (c) · 38 CFR 3.309(a)
On VA.gov: Chronic illnesses that appear within 1 year of discharge

Regulation text current as of October 15, 2026. This is general information from a free tool, not legal or medical advice, and not a decision. Only VA decides claims.

What to do next

VetEZ Claim is free, from VetClaims Alliance, a nonprofit. You review, sign and send each form yourself.

1. File an Intent to File (VA Form 21-0966)

It tells VA you plan to file. If you file your claim within 1 year, VA can pay you back to the date of your Intent to File.

2. File your claim (VA Form 21-526EZ)

List each condition. You can attach your evidence or send it later.

Did VA deny this condition before?

If it was added to a presumptive list after VA denied it, you can ask VA to look again with a Supplemental Claim (VA Form 20-0995). Open in your browser

3. Gather your evidence

  • A current diagnosis of the condition from a doctor or other medical provider.
  • Records that show your qualifying service, such as your DD214, orders, or unit or ship records.
  • A discharge that isn't dishonorable.
  • Medical records or statements that show signs of the condition within the time limit.
  • Medical records from your first year after leaving service (or the longer window), from any doctor, VA or private.
  • Statements from you or people who knew you then about the symptoms you had.

4. Get ready for your VA exam

VA may schedule a medical exam (a C&P exam). Our free guides explain what the examiner will ask.