NOTE: October 24, 2002 VA_Training_Letter_02-04.pdf Director (00/21) 211A All VBA Regional Offices and Centers Training Letter 02-04 SUBJECT: Training letter on intervertebral disc syndrome 1. Enclosed is training material that includes both medical information and an explanation of the revised evaluation criteria for intervertebral disc syndrome. 2. A revised examination worksheet for diseases of the spine is also enclosed and should be used immed