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Need For C & P Exam Or Not?

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I am a Gulf War vet that has been diagnosed from the VA with Fibromyalgia and PTSD. I am holding off filing a claim because I want to send a fully developed claim that is open and shut. On the advice of the VA Rheumatologist I am making an appointment to see the War Related Illness and Injury Study Center to see if I have CMI.

I have a great VSO guiding me and providing support. So far on my claim form I have claimed:



Anxiety D.O.

Mood D.O.

Sexual Trauma (not sure how to get proof of this since it wasn't reported)



The first four have been diagnosed by the VA mental health team (a social worker and a psychiatrist). I also have an IMO for PTSD.

The sexual trauma I think I am on shaky ground. Nothing was ever reported, and to be truthful I am not so sure I could endure a C&P exam for that. I may take this off the claim form.

The Fibromyalgia was diagnosed by a VA rheumatologist. The CMI is pending my appointment but I am pretty confident I have it based upon my symptoms.

My question is, if I have already had all this diagnosed by the VA, will I need to go through a C&P exam too? Or will they just take the VA diagnoses and call it good? The Fibromyalgia and CMI are presumptive conditions.

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  • HadIt.com Elder

Very few and I mean a very minute number of claims are processed without a C and P exam. My bet is you will get one.


A Veteran is a person who served this country. Treat them with respect.

A Disabled Veteran is a person who served this country and bears the scars of that service regardless of when or where they served.

Treat them with the upmost respect. I do. Rejection is not a sign of failure. Failure is not an option, Medical opinions and evidence wins claims. Trust in others is a virtue but you take the T out of Trust and you are left with Rust so be wise about who you are dealing with.

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  • HadIt.com Elder

I agree w/basser, they almost always order C&P's. On the sexual assault you should look for changes in behavior after it happened. Very often the injured party starts having abnormal behavior, such as showing up late, art 15's/captain's masts, AWOL, disobeying orders, etc.. jmo


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Welcome here.

You will fall under the new 2010 PTSD criteria, here in our PTSD forum. You said you do have the required VA diagnosis of PTSD but you will have to prove the stressor.

"Sexual Trauma (not sure how to get proof of this since it wasn't reported)"

There are ways.... documented outcry statements, sudden changes of duty station and/or demeanor, causing possible discipline problems, etc.....

BUT...VA will lump together all MH issues into one diagnosis with one single rating.

We have some very good MST claim info here under a search.

For the FDC ,have you gone over carefully ( and I can see you probably did as you have a good handle on GW illnesses)

the medical criteria and regulations for the CMI?

GRADUATE ! Nov 2nd 2007 American Military University !

When thousands of Americans faced annihilation in the 1800s Chief

Osceola's response to his people, the Seminoles, was

simply "They(the US Army)have guns, but so do we."

Sameo to us -They (VA) have 38 CFR ,38 USC, and M21-1- but so do we.

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