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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    • Mental Health C&P
      When possible, posting redacted copies of your Award/Denial letter and discussion of evidence reviewed, would still be of great assistance. Semper Fi
    • New guy here!
      I guess at least on the bright side, I'm pending an MRI via the Choice Program, should find out what's going to happen Tuesday. Beyond that, the first person I'll be calling will be my VSO :-) thanks. Patience is a virtue, Complacency kills. Never settle, never surrender.
    • Mental Health C&P
      I am so glad that you are seeing progress.  YAY!  It's great when a Veteran finally gets a little bit of what they deserve.  This whole process is so convoluted and frustrating.
    • Mental Health C&P
      Gastone, I just ordered a copy of my C file.  My exams were all done at QTC facilities so I can't get them online. It was a MH exam that was requested by the original C&P examiner on 4/26.  He even read me the referral request when I first walked into the room on Wednesday.  He also stated that it wasn't therapy but a fact-finding mission for the VA.  I asked if I could get a copy and he said it wasn't his to give.  It belonged to the VA to use for my claim.  I saw my file during my first C&P and it had a big red EXPEDITE stamp on it so maybe that is why the turn around was so quick?
    • New guy here!
      E Benefits dates are a joke.  You cannot assume that they have much meaning, honestly.  They whip around every so often without explanation, so dont take it seriously. Your best contact for updated info is the VSO, if you can get his cooperation.  He has access to more than any of the RO info that we dont.  If he doesn't, call peggy (800-827-1000).  Sometimes it is just best to forget it for a while and let it go.  Patience can be a killer. If you take a hit on your income, are facing foreclosure, you can also put in for hardship.  I know that losing your job is a lot of stress.
    • Knee Condition
      No yet, I've been on the waiting list. 
    • Assistance With Sleep Apnea Claim
      You will have a fight on your hands no doubt, but with your medical opinions and wife/buddy statements, personally I would pursue the claim.  JMO I am stubborn, however, I fight for what I can prove by medical evidence and medical rationale.  If I didn't I'd still be stuck at 30%.  Just facts, if you file for something, pursue it until the end, otherwise why put a claim in to begin with.   Principle is why I keep going.
    • My husband died in motorcycle accident
      The witness reports state that he ran the red light at a very high speed and as I said he knew that street so well and his behavior right before the accident was very out of his character. He lived .3 miles from that street for 10 years. The witnesses also stated that his helmet was not locked so it flew off during the crash.  He woke up that day cleaned out the house, cleaned the patio (I had asked him to do that for weeks), he cleaned his closed, took our son to the playground and left.  The day before I tried to convince him to move to FL and he said "no I want to die in Maryland." I think his behavior was very strange.  He was a very great dad. He was mister mom in our relationship and he would have never put his life in danger like that in a normal state of mind. I had never seen my husband cry during our relationship until he was recalled and he got so scared. He didn't want to go back to Iraq and one day he called me from SC and he started crying like a baby saying he doesn't want to leave our son for one year. I am convinced that he had an episode before the accident.     
    • My husband died in motorcycle accident
      The VA used it for this claim. The C & P might have been done in 2008 or 2009. The veteran was not prescribed any meds for his PTSD and the only treatment record seems to be what the BVA remanded for: "Obtain any records of treatment from the Perry Point VAMC since the Veteran's discharge in January 2008 until his death in April 2010." Page stated here recently:  "I also received the autopsy report and some medical records from the VA medical center my husband was seen once before he passed away" From Jan 2008 to April 2010 meds and only one treatment record "once" as far as I know. That is not consistent with many other things mentioned in this thread. This is for a lawyer to handle. I cant offer anything else here. The lawyer will have the entire medical record..  

    • PTSD Denied NSC - Schizophrenia NSC
      VVS:  Sadly, you/your brother are dealing with someone in the VA who has no common sense OR CLUE as to what they are doing!! Its going to take a lot of research, but in the end, you/ your brother will prevail. In Wilson V Drewinski (1991) "The regulations requires CONTINUITY OF SYMPTOMATOLOGY; NOT CONTINUITY OF TREATMENT... Yes, the WIA does show an event..etc...   As for your brothers IHD,  suggest you/he fill out your info on  va form 21-0960A-1 , and take it to your brothers cardio dr. and have him complete it.  I would also complete a VA 526-EZ (ASKING TO REOPEN A PREVIOUSLY DENIED CLAIM) and send it to the VA along with the 21-0960-A. IMHO, you should FAX these forms to the VA INTAKE CENTER IN JANESVILLE,WI.  FAX# 844 822 5246  BERTA/THES REST OF THE GANG WILL GET DOWN IN THE TRENCHES WITH YA....HANG IN THERE!!!

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Asthma Dbq Question

4 posts in this topic

Hello everyone,

I have a question relating to the DBQ that is used for asthma claims (linked below).


My DAV rep wants me to send in a DBQ and says it must be filled out completely, including the PFT values.

My asthma was rated at 60% because I received 3+ courses of oral or parenteral corticosteroids within a 12 month period. Because my asthma is rated due to this criteria, not the PFTs, would I still need to have the PFT scores? Should my doc send in the DBQ without PFT's or should they simply enter the values of my most recent PFTs from about a year ago?


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We discussed the DBQs at last weeks SVR show in archives...........with Dr. Bash------the show might help you.

DBQs are a problem.....the doc has to detail specifics...... I feel you need the PFTs in the DBQ BUT my question is, is there a higher rating available (100%?) for the asthma.....dont have time this minute to check the Rating schedule.....they should have enclosed it with your decision..

AT 90% now, are you still employed? or if not have you applied for TDIU?

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Hi Berta,
Thank you very much for responding. I followed your advice and listened to the SVR show with Dr.Bash and it was helpful in clarifying some of my concerns. I am still employed, thankfully.

My DAV rep tells me that he will not help unless the PFT's are included. This is frustrating because I have been SC for asthma for 17 years and my rating would not be based on FEV-1. My last PFT's are over a year old. I read somewhere that they should be no older than six to 12 months old. Should the doc include those values or should I look at getting new PFT's?

The correct rating for my circumstances would be 60%, as detailed below.

Schedule of Ratings - Respiratory System

6602 Asthma, bronchial:

FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than
40 percent, or; more than one attack per week with episodes of
respiratory failure, or; requires daily use of systemic (oral or
parenteral) high dose corticosteroids or immuno-suppressive
medications 100
FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55
percent, or; at least monthly visits to a physician for required
care of exacerbations, or; intermittent (at least three per year)
courses of systemic (oral or parenteral) corticosteroids 60

FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70
percent, or; daily inhalational or oral bronchodilator therapy,
or; inhalational anti-inflammatory medication 30
FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80
percent, or; intermittent inhalational or oral bronchodilator therapy 10

Note: In the absence of clinical findings of asthma at time of
examination, a verified history of asthmatic attacks must be of record.


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I do know there is some guidance in cfr 38 part 4 that lays out some rules on when PFT's are not required.

conditions in this section which under certain circumstances also establish entitlement to special monthly compensation.

(d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except:

(i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. If a maximum exercise capacity test is not of record, evaluate based on alternative criteria.

(ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed.

(iii) When there have been one or more episodes of acute respiratory failure.

(iv) When outpatient oxygen therapy is required.

I did notice that 6602 is not in that list so It appears it is not and absolute requirement, only to be waived for one of the reasons below.

I would politely ask your DAV rep why they are adding unnecessary requirements to the ratings process, It sure seems to me your doc should fill out the DBQ, note your steroid treatments sign it and hand it back to you. Your DAV rep when forwarding it should point out that a PFT is not a requirement and that per the enclosed DBQ completed by Physician X, Mr Vync has had x number of sterodial treatments for his asthma over the last year.

Next thing you know they will be telling Amputees that we can't rate them because we can't get an acurate ROM!

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