DBQ Request Form

Disability Benefits Questionnaire Evaluation

Request Your DBQ Evaluation

Fill out the form below to request a Disability Benefits Questionnaire (DBQ) evaluation from Dr. Tedder and our team. We'll contact you within 24 hours to schedule your evaluation and discuss your specific needs.

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Your Contact Information

Your Evaluation Needs

Your information is secure and confidential. We'll use it only to contact you and prepare for your evaluation.

About DBQ Evaluations

A Disability Benefits Questionnaire (DBQ) is a VA form used to document medical findings in support of a disability claim. Dr. Tedder provides comprehensive psychological evaluations designed to establish service connection or support rating increases for:

  • PTSD and trauma-related disorders
  • Depression and anxiety disorders
  • Traumatic brain injury (TBI) and cognitive effects
  • Sleep disorders
  • Substance use disorders
  • Other service-connected conditions

Each evaluation includes clinical interview, standardized psychological testing, review of relevant records, and a detailed report that meets VA requirements for rating decisions.