C&p Eval

[hp1030]

Fellow veterans:

Hi to all. I had a C&P Psych eval recently and the Doctor was extremelly interested in regards to my alcohol use and my preference for "dark" women.(??????) She asked me less than 5 questions...one was, and this is no joke... to spell Bob backwards, another to count backwards from 100. She had no knowledge of the computer program she was using, so the computer guy came in the office at least five times

interupting the interview.

I explained to her some strange thoughts I had after taking some meds..and she replied,,,"If you are going to kill yourself you bettter have a good plan, I've heard a lot of bad plans lately from Veterans. I can give you at least 10 good ways to do it right now...!" With this she finioshed the "interview" and asked me out.

Should I write about this on my NOD? It this base for an innapropiate evaluation for rating purposes ? Should I keep quiet...? What do you think, any info will be greatly appreciated.

HP

[Hoppy]

Vicki.

When I had pending claims at the RO and my file was at the BVA on an earlier appeal, the RO would not take any action on the unappealed claims that were in the RO. I would think that it might be sufficient just to tell the RO that there is important medical reports in the file and to wait until the file gets back from rhw CVA before they take any action on other claims that are in the RO.

[Hoppy]

John999,

You have probably heard me say this before. I won service connection on my angioedema claim without a C&P or an IMO. The VA delayed the claim by refusing to schedsule a C&P for five years. The RO ignored my requestes to schedule a C&P. Eventually, I walked into a clinic at a VA hospital and convinced the head of Immunology and Allergy to write a report for me. The report I got from the VA dodctor was a slam dunk for service connection and it did not cost me anything.

[Wings]

I'm very concerned about examinations that are not designated as C & P exams. My husband does not receive his medical treatment at the VA, however, he does receive several (not all) of his prescriptions there. He is called in periodically for a status check on several rated conditions, however, his claims file is not at the VA here, but is still in Washington due to a pending CVA hearing. The examinations were scheduled and performed anyway.

In everyone's opinion, does the M21-1 reference Wings posted below regarding sufficiency of VA examinations constitute the basis to challenge an adverse examination in the absence of the veteran's claims file?

Actually, the veteran's Claims-File is almost never forwarded to a VA medical center (VAMC). The C-File is kept at the VA Regional Office (VARO), and may be sent to VA Central Office, Washington D.C. to resolve a difference of medical opinion.

The hard-copy medical record is not required for continuing medical care at the VAMC. They should have his SC medical conditions on their central computer. Periodically, I would send copies of important, private medical records to the VAMC 'release of information office', and ask that they be attached to his medical record. Likewise, periodically request copies of his VA medical records for your safe keeping at home.

If an examination is "adverse", a letter to the VA Director, citing your concerns, should be all that's needed to "cover your 6" should you need to file a Section 1151 Claim: where a veteran suffers injury, aggravation of an injury, or death as a result of VA medical treatment.

~Wings

[witchhouse]

Every time I have gone for a C&P Exam my complete C-file was there. When I check in at the desk they take my name last 4 and put my C-File into one of those locked pouches. I then carry the C-file to the floor and department I am to be examined. The Nurse unlocks the file and gives it to the doctor and he reviews the file then calls me into the office for my exam. My last C&P for PTSD the Doctor went over the whole file with me. We even discussed other medical things and other things that were in my record. I have had nothing but good things happen from the VA in Boston as far as C&P Exams.

The only problem I have is getting the VA to treat and keep up with the tests that my private doctor has been treating for years. I no longer have insurance and I was seeing a Endocronologist, Pulminary, and a Urologist on bi weekly visits for over a year. I asked my Primary care about these things and she said that there is nothing to worry about that the VA will continue my blood work that was in December. I am not assured that I should just let these things go but the VA doesn't seem interested. I lost my Insurance because my ex wife got married and she was the holder of the policy.

Is there a way to get to see specialist's at the VA?

[Wings]

I don't discount your C&P experiences at all, but not every C&P Exam request from the RO asks for a claims folder review. I would image every remand from the BVA would necessitate a C-File review for medical exams or opinions?

Most paperwork is being routed electronically so I'm wondering how many vets actually carry their C-File on their person any longer?

It's up to the VARO to request a Claims Folder review prior to the C&P Exam, but the RO doesn't always ask for this review. ~Wings

P.S. I'm really having a hard time researching the M-21 Manual Rewrite !!

*Requests for claims folders from VARO will be limited to 1) if review is required by examining physician, as stated on the exam request; 2) if an original claim; 3) if necessary to review the medical/military history. Claim folders may be held no longer than three working days following the completion of examination.

http://72.14.203.104/search?q=cache:C8AsNX...us&ct=clnk&cd=1

**When to Send the Claims Folder with an Examination Request. Do not send the claims folders to examining facilities with the examination requests except in circumstances that may require claims folder review by the examiner. Note: The employee who schedules the examination will determine which claims folders to forward for review on a case-by-case basis. Cases that may require claims folder review include Board of Veterans Appeals (BVA) remands, claims from former prisoners of war (POWs), and psychiatric examinations. http://72.14.203.104/search?q=cache:M6YZS2...s&ct=clnk&cd=13

[witchhouse]

Cases that may require claims folder review include Board of Veterans Appeals (BVA) remands, claims from former prisoners of war (POWs), and psychiatric examinations. http://72.14.203.104/search?q=cache:M6YZS2...s&ct=clnk&cd=13

Psyc exam is why my C-File went to the Hospital