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This eBook will teach you how to get C-Files (paper and electronic) from the VA Regional Office.
How to Get your VA C-File




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    • Did I get lowballed?
      yes please post your C&P results but remember to cover up any pertinent information.  
    • PTSD / Schizophrenia / Competency C&P Exa
      My Vietnam Vet brother had his C&P Exams last week.   The physical lasted 30 minutes.   The Psychiatric exam lasted 20 minutes!  How can they determine PTSD, schizophrenia, and competency within 20 minutes ?   They wouldn't allow me to be present - even though he wanted me there -- said it was their "policy".   So the eBenefits claim status has changed to "Preparation for Decision".   Does anyone know if the VA shares the VA medical reports (conducted by QTC) from the C&P Exams?   
    • Total disability
      Sleep Apnea is a 50% disability but if you claimed anything else which put you above 60% you can be paid at 60% and be rated at 100% and receive total and complete.  As for the chapter 35 paperwork that isn't for you chapter 35 is for your spouse and children.  chapter 35 pays about $1000 a month for a living stipend but the student would have to pay for classes and fees out of pocket unless like Washington State their is a waver if both parent and child/spouse live in the same state.  In the case of Washington State they would only have to pay the fees.  Also the child can use the chapter 35 benefits once they graduate high school until their 26th birthday.  The spouse has 10 years once you receive the letter to use the benefit.
    • eBenefit Letters Down?
      Are letters unavailable for everyone or is it just me?   Thx
    • Two Questions
      Buck, I checked eBenefits about 30 minutes ago and had two C&P exams scheduled for next week without any input from me.  I called the VAMC and talked with a guy in C&P scheduling and the first thing he said without even knowing who I was..."we tried to call you".  I let him have it with both barrels  He connected me with a supervisor and she rescheduled one of them to Friday of this week.  No conflict with the other one on Wednesday of next week. I also saw that I now have two open claims...one of them must be for the c-file request. This is what the status shows.     Freedom of Information Act / Privacy Act Request   Under Review   Attention:    Status Has Changed      
    • 25 Year Long Service Connected Disability Denied After C/p Exam.
      Ardodd: Re Your last paragraph... Your situation is similar to mine and what I am in a current battle with  the VA about; as far as documents go.  I have my copies, but the VA does not!!  (BUT in your case, the VA actually have them...they are just ignoring them)  After reading your post, In my humble opinion, you will prevail.   I have a copy of my claim submitted to VA in 1996 for an AO condition. VA states they do not have a copy of my claim and that they have no records of denying it. While just recently reviewing my C-File;   A VA employee made a actual notation on a "worksheet" admitting to shredding "duplicate" documents in my C-File.    They are just giving you "canned" responses and the person/persons handling you claim has no clue as to what they are actually viewing.  I filed a NOD recently with what I believe to be "concrete evidence" to support my 1996 claim.   Guess what I am doing now.....  I am in the process of preparing documents for another denial as I'm sure my NOD is on the VA Conveyer Belt in Janesville WI and "Inspector 222222" will reject it. So it will be on to a DRO review. Semper Fi
    • Pending Case Dispatch
      I would think its all good, should be any time now, if you want  you can email  BVAOmbudsman@mail.VA.Gov   And ask.
    • Did I get lowballed?
      I had my C&P Exam done in 2013. Out of my exam's, I reviewed some of the measurements the VA took on my shoulder and knees. Considering I was rated at 10% for my right shoulder and 10% each knee I feel as if i've been low balled. I reviewed the VA rating's for my conditions and based on my measurements they are far off from where my percentage should be. Does this happen commonly? I can post my results here to show. I just requested an increase and will have to do this again. But I don't see a point if I will just get low balled again. 
    • NOD - Not Always a Good Idea- Maybe a bit Risky?
      Vets: Thanks again for the wonderful advice and I've come up with a strategy. I found out that my 90% is rounded up from 85.167 based upon what I saw on my input into the calculator. Also, I have a bilateral condition that may not be added in properly when I add it into the VA Disability Calculator? So, it may be a part of a percentage point higher than this but not by much. That all said, I realized I'm further away then I thought about getting to 100%. Based upon all your advice, I've decided to proceed with the NOD. Also, I'm going to only challenge only 3 or 4 contentions instead of the 9 that I was going to do earlier. So, rather then just trying to get to the full 100% now, I'm trying to chip away and get as close as I can to the 100%.  The road to get to 100% may be longer but is a more steady approach. Frankly, If I had received my C-File and got the IMO/IME's from Dr. Ellis, it would have been different because my ammunition would have been so much stronger. The good news is that my SMRs and first disability claim strategy got me to 90%, so it does work. Unfortunately, there are lots of rules that do protect Vets like the Vet Protection Act of 2010, but their is still a "canyon" of subjectivity within the system that can work against Vets and it does. Godspeed Rootbeer22
    • 25 Year Long Service Connected Disability Denied After C/p Exam.
      The DD-214 in the remarks says ( VA Code 5099-5003 ) In line 20. I requested a full copy be mailed to me and to the VA RO in New Orleans, LA. 

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sandboxsquid

Ptsd Increase

18 posts in this topic

I'm currently at 30% for PTSD, and I'm ready to file for an increase. Nightmares have gotten worse, insomnia is the norm, intrusive thoughts throughout the day, bouncing from job to job, realtionship with the wife is getting rockier by the day, etc. (you get the picture) My question is will another C&P exam need to be performed? I am currently receiving counseling from a VA social worker twice monthly and have a VA shrink dispensing the meds, so my file would be an open book for them to review. Any info you can give me would be greatly appreciated.

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Yes they will probably do another C&P exam if they intend to increase it. No C&P usually means no increase.

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Yes they will probably do another C&P exam if they intend to increase it. No C&P usually means no increase.

what about if the request for increase is within 30 days of your rating?

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If you are serious about an increase you should get an independent medical opinion that should state that your PTSD has gotten worse. The IMO needs access to your VA medical records. He does not need your SMR's since you have already been SC'ed for PTSD. What you want to show is that your PTSD symptoms have gotten worse and that you are more disabled than you were when you got 30% rating. You should get a copy of the VA PTSD Exam format, and what the differences between a 30%, 50% and 70-100% ratings are for the VA. Your VA doctor is not interested in helping you get more compensation. He just treats you. You have to connect the dots to show you have gotten worse. If you depend just on the VA you may be at 30% for many years to come.

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You dont necessary have to have a C&P to get a increase for PTSD.If you got a IMO and a VA pyschiartist write a letter that your ptsd syptoms have worsen and you are being treated you can get a increase.ITs all about evidence that you get from a medical professional.

mobie

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what about if the request for increase is within 30 days of your rating?

If you have medical evidence, then ask for a reconsideration.

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That's different cause you already had a C&P

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sandboxsquid - I don't recall your award date but why would you request an increase over a appeal(NOD) of the original award?? They'll probably do another C&P, if it's been a yr or more since the previous exam. You should read the ratings criteria to see what level of award you meet. Remember you need not meet all the criteria at a particular percentage to receive that award.

pr

I'm currently at 30% for PTSD, and I'm ready to file for an increase. Nightmares have gotten worse, insomnia is the norm, intrusive thoughts throughout the day, bouncing from job to job, realtionship with the wife is getting rockier by the day, etc. (you get the picture) My question is will another C&P exam need to be performed? I am currently receiving counseling from a VA social worker twice monthly and have a VA shrink dispensing the meds, so my file would be an open book for them to review. Any info you can give me would be greatly appreciated.

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I'm currently at 30% for PTSD, and I'm ready to file for an increase. Nightmares have gotten worse, insomnia is the norm, intrusive thoughts throughout the day, bouncing from job to job, realtionship with the wife is getting rockier by the day, etc. (you get the picture) My question is will another C&P exam need to be performed? I am currently receiving counseling from a VA social worker twice monthly and have a VA shrink dispensing the meds, so my file would be an open book for them to review. Any info you can give me would be greatly appreciated.

I got an increase from 30% to 50% (the 30% was major depressive disorder, the 50% was depression plus PTSD) without a C&P. I was overwhelmed with worsening symptoms, and when suicidal thoughts entered the picture I got my (behind) over to my local VAMC for obvious reasons. Increase was the last thing on my mind; I needed help.

They took my concerns seriously and saw me immediately (yes, and had me under constant observation too). I was seen by a psychologist (who diagnosed PTSD based on my previous C&P plus new symptoms) and a psychiatrist who concurred. The psychiatrist point blank said to file for an increase and prescribed me three additional medications. He also noted some marks under my eyes, told me they were xanthomata (indicators of high cholesterol) and ordered bloodwork on me.

The stressor was already a matter of record (medal, SMR and VA medical records). I did the online claim the next day, and they upgraded me 10 weeks later.

Short version: No C&P and I still got an upgrade per evidence of record. Your mileage may vary.

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It has been over a year since my award, and I went through my C&P originally back in early 2008. My stressors, medals, and all things connected are already a matter of record as well, so I think I'm just going to fillout the online claim as well. If I have to go through another C&P exam, so be it.

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The online claim thing is for new claims I believe. For an increase all you have to do is write a letter to your VARO and tell them you request a higher rating because your disability has gotten worse. You need evidence to show it has gotten worse, but you don't have to reinvent the wheel.

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I just remembered, if you are requesting an increase, the VA is required to give you a C&P. Also, there used to be CAVC case law that may help you get around the one yr NOD thing. It had to do w/something like the assumption that the claimant was seeking the highest rating possible and if it wasn't awarded it was automatically considered appealed, or something like that. Someone else may be able to quote the case.

pr

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No matter how you have to ask or nothing will happen.

Good Luck

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You have to ask for it. However, I think if you are entitled to a benefit the VA is supposed to consider a grant even if you don't ask for it because it is inferred by the reg that Phil parphrased. In reality you have to ask or 99% of the time you don't get, but this might be the basis of an appeal. For instance, if you can't work due to an SC condition the VA is supposed to consider IU even if you don't ask for it.

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My husband got 10 % ptsd the first time, but it was obvious to me and his family that his problem was higher... he is getting counseling at the Veterans Center and seing a phsyc. at VA hospital, both agree his ptsd is around 40 to 50 %.... He filed for an increase, he sent the opinion from both profesionals plus the list of medicines prescribed by the phsyc as new evidence, and he still got the letter for his C & P exam...

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I was rated at 30% the first time around in September 08. In April I got into some trouble at work and they suspended me. I got re-evaluated in June 09 for 70%. I just lost my job in October 09 because of my PTSD and I put in a request for IU and I'm waiting for that. I feel my symptoms are worse now than they were in June 09 and I'm hoping that I get another C&P.

For the 30%-70% jump I submited a new claim and stated that my symptoms were getting worse. They scheduled another C&P. I had the same person examining me the second time around as I did the first time. The person even remembered me! I'm sure that helped. The biggest thing that I think helped to secure my jump was the fact that I actually had lost a significant ammount of time at work because of my PTSD. And, well, the suicide and violent thoughts helped too.

Best of luck!

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Squid

The way these ratings for mental health issues usually go is 10-30% first claim. You appeal with more evidence and maybe they bump you up to 50%. If you are not working due to PTSD then the VA bumps you up to 70-100%. This usually takes a few years unless you are totally incapacitated by the PTSD. If you are working it is hard to get more than 50%, but that sets the table for a higher rating. Getting a decent rating from the VA is a job. You have to work at it. It sounds like you are working at it. Keep going to the VA and complain your head off about your symptoms.

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This is interesting.... my husband is 10% ptsd. He filed for an increase, the VA already took a look at his medical records, his psychiatric told him, his C&P is on feb 2010... My husband works for the va hospital, he has been transfered to differents shifts and sections because He doesn't get along with his coworkers and superiors ( same with 14 jobs He has held since 2001 ).... last march He was forced to step down his work leader position to a regular housekeeping worker, He took it because He was afraid they will denie unemployment. He didn't submit this letter with the increase petition... since his claims (fibromylagia, apnea, tinnitus, low back, Gulf War Syndrome, sinnus ) already are in the post determination team He was told not so send the letter unless He is denied an increase.... any imput will be greatly appreciate it.....

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