For the original claim I had to get examined by a VA certified Psychologist and that was in Frankfurt (Germany). The VA has said that they have certified professionals for all medical examinations. I was more wondering if I would have to go the the PA office to talk to a VA member directly or not. As for VA hospital/clinic, I have never been to one. All the medical care that I receive is through the local medical system. Honestly, the only reason that I am appealing is because they only used the opinion of their professional, who spoke with me for about 2 hours, and never contacted my Psycho therapist, Psychiatrist, regular doctor, or anyone else who is familiar with my history or my treatment so far. I would like to submit the opinions of those doctors as well. In the decision that they sent they listed what qualifies someone for 50% rating and I have all of those symptoms without a question.
I know that since I don't use VA facilities for medical treatment, my rating may seem a bit pointless, but it is something that will help me get the disability rating that I need in the German system to help me out with some insurance issues that I have and will have later as well.
Also worth mentioning is that I have until November to submit my NOD, but I really have no idea what I am doing so I am really just trying to gather info to see if I am going to go it alone or get a VSO to help out.