Examination Results	Regional Veterans Office	Applicant
Examination Results	Veterans Review Committee	Second-Generation Patients with Suspected Agent Orange Aftereffects, and the deceased due to Agent Orange Aftereffects
Decision / Registration	Patients suffering from actual aftereffects of defoliants	Physical examination for disability rating (VHS Hospital)	Wartime Disabled Veterans
	Nationally Recognized Patients with Suspected Agent Orange Aftereffects	Physical examination for disability rating (VHS Hospital)	Severe, Moderate, Mild,
		Physical examination for disability rating (VHS Hospital)	Non-graded
	Not applicable	If judged as "not applicable" by a regional VHS Hospital, an applicant may request a re-examination at the Central VHS Hospital within 60 days. Re-application for the Onset of Additional Illnesses

Category	Aftereffects	Suspected Aftereffects	Second Generation Patient
1	Non-Hodgkin’s lymphoma	Solar dermatitis	Spina bifida Excluding spina bifida occulta
2	Soft tissue sarcoma	Psoriasis vulgaris	Peripheral neuropathy
3	Chloracne	Seborrheic dermatitis	Paraplegic spondylopathy
4	Peripheral neuropathy	Chronic urticaria
5	Porphyria cutanea tarda	Dry eczema
6	Hodgkin’s disease	Central nervous system disorder
7	Lung cancer	Cerebral infarction
8	Laryngeal cancer	Multiple neuropathy
9	Tracheal cancer	Multiple sclerosis
10	Multiple myeloma	Amyotrophic lateral sclerosis (ALS)
11	Prostate cancer	Muscular disease
12	Buerger’s disease	Malignant tumor
13	Diabetes mellitus Excluding congenital diabetes	Liver disease Excluding those caused by hepatitis B or C infection
14	B-cell chronic leukemia (including chronic lymphocytic leukemia and hairy cell leukemia)	Hypothyroidism
15	Chronic myeloid leukemia	Hypertension
16	Parkinson’s disease (excluding secondary parkinsonism or parkinsonism classified elsewhere)	Cerebral hemorrhage
17	Ischemic heart disease	Atherosclerosis
18	AL amyloidosis	Avascular necrosis
19	Gallbladder cancer (including bile duct cancer)	Hyperlipidemia
20	Salivary gland cancer

Patient Guide

Evaluation Procedures and Criteria