[Denied Claim]

I was asked to post my redacted denial claim. IMG_20200505_0001_NEW.pdf

After checking the letter would it be better to request a HLR or do BVA behind the supplemental claim?  I will appreciate any advice given.

[Denied Claim]

My original claim for sleep apnea was denied stating that PTSD does not cause sleep apnea.  My HLR was denied stating the same thing.  My claim is that  my PTSD aggravates my sleep apnea.  My supplemental claim was denied and did not address the situation.  It states that I didn't have new and relevant evidence which is incorrect.  But my question is, have anyone gotten a denial letter stating that the medical person completing the DBQ did not use a VA approved form and that person did not live in my state.  If so, what's my next move?