Refusal Of Examination By Nurse Practitioner

[dwragon]

? Is there anything out there (ie Reg) that says a person who shows up for a cnp cannot refuse the examination when they find out it is to be done by a nurse practitioner instead of a real doctor. (I dont want to waste any more time going to real doctors outside of the va to refute someones incomplete knowledge.)

[LarryJ]

? Is there anything out there (ie Reg) that says a person who shows up for a cnp cannot refuse the examination when they find out it is to be done by a nurse practitioner instead of a real doctor. (I dont want to waste any more time going to real doctors outside of the va to refute someones incomplete knowledge.)

Oh, you can refuse the examination, after all it's your body that is being examined.

And the VA can refuse to examine you again and can show you as a "no show" for your C&P.

You're a grown-up person.................take yer pick.

[dwragon]

Oh, you can refuse the examination, after all it's your body that is being examined.

And the VA can refuse to examine you again and can show you as a "no show" for your C&P.

You're a grown-up person.................take yer pick.

I am asking this from a legal perspective. The va has to give legal arguement as to why they would refuse to examine me after I showed up and refused examination by a "Less than the most qualified" practitioner available, which is my arguement.

[dwragon]

I am asking this from a legal perspective. The va has to give legal arguement as to why they would refuse to examine me after I showed up and refused examination by a "Less than the most qualified" practitioner available, which is my arguement.

If the question is never fought out in the courts, the va can always continue to give us substandard cnp exams. Thats why I want to know the reg or vaopgc prec opinion.

[saturneptune]

Personally, unless it has been decided in courts or is a precedent, I do not think that is a really good decision to make. As slow as the VA is, as much as they do not like to approve claims, and as much as they lose paperwork, I would jump through hoops to do what they wanted, when they wanted, and with whom they wanted. There is plenty of time later to air complaints.

[pacmanx1]

JMO, I want to make it clear that this is Just My Opinion but I think the best way to do that is for a veteran to see a specialist inside the VA medical system. In other words, have your VA PCP refer you to a specialist that can treat your conditions. We have been around and around on this topic but here's the bottom line. If veterans are being treated for a condition that means that information will get into his records. No doctor will treat a patient for something they don't have. They will do test, blood test, MRIs, EGDs, X rays, whatever they have to do to try to figure out what is going on with the patient. Keep in mind that tests are calibrated to a certain standard and once reviewed, you either have a condition or you do not. Some conditions may not have tests but they have to be monitored by a specialist to determine if the patient has that condition or not. Some veterans do not like the VA and its doctors but that is the way to fight off C & P examiners lack of knowledge, inexperience, or just plain off the wall rationales. In most cases, I say in most cases, when a veteran is being treated by a VA doctor and the Veteran has a C & P exam, the C & P examiner will most likely base his opinion and rationale on the diagnosis that has already been set by the VA doctor caring for the veteran. If a veteran would set up a VA PCP and get referrals to the specialists that they need, it could eliminate the need for the veteran to get an outside IMO/IME. I have been getting medical opinions and medical evaluations from the VA and I did not even know it. I just asked my VA PCP to refer me to the: Sleep evaluation clinic, Mental health, GI clinic, rheumatology clinic, neurology clinic or any other specialist that I need and I have been treated for my conditions and the information is in my records. Treatment does not always work but it will put you in the right direction and hopefully get some help. I know some may disagree but this has worked for me and has helped me out a lot. Refusing to be seen by a VA doctor for any reason especially a C & P exam can be very dangerous to your claim request. In order for a veteran to be awarded service connection, s/he must play the VA game of following their instructions. You can disagree but that is the way the system is set up, you can say the system has to change but in all likelihood, you will just be creating a hardship on yourself.

Hope this makes sense

Sorry for the typos I know they are in there HA HA on me, I hate typos

Edited June 8, 2010 by pacmanx1

[Pete53]

Refusal or even a missed C&P is all the VA needs to deny a claim.