Is this good enough for my claim?
I have reviewed the Veteran’s service medical and local records and it is in my medical opinion, the Veteran's Current Condition of:
________________________Isrelated to
________________________Is More than likely related to
________________________Isat least as likely as not, related to
________________________IsNot Related to
Veteran’s injury, disease, or event occurring during the veteran’smilitary service
________________________
MedicalRationale
Veteran’s Name: ____________________
Physician's Signature:____________________
Physician’s Name: _____________________
Specialty:________________________
Date:______________
Address:_________________________________________________________
Telephone:______________________________