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Fdc Submitted, Disability Awarded, No C+P's ?

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I don't think a C&P exam is always necessary whether you do a traditional claim or an FDC claim as long as your evidence is strong and good enough to support your claim you don't always need one.

I had a claim for IBS and never received a C&P exam as I had my DBQ filled out by my Gastro Doc (Private); SMR back up; progress notes; and well documented evidence to include colonoscopy.

So again not always required unless the VA feels the need to get a medical opinion.

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Veteran claims dmii and in metformin and vn svc verified and svc verified. Automatic 20 percent. No exam as no evidence submitted for complicTions. Long story short. Yes

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Submitted my sleep apnea paperwork with FDC awarded 50% with no exam(if that is even possible with sleep apnea). I had the apnea study done before I was retired but it wasn't annotated in my final exam since I didn't submit it while I was still in.

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I would think proof of a recent MEB or PEB with a Narsum could grant the claim without C & Ps.

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C and P exams are not (always) required. There is nothing "magic" about a C and P exam, that a doc can not provide in an examination unrelated to C and P. The C and P is normally ordered when a doc has not made an opinion, and that opinion is needed for service connection. Evidence is needed but that can come from many sources including, but not limited to, a C and P exam. To get service connection you still need 3 things:

1. A current diagnosis. If you have no current diagnosis, or its unclear, you may need a C and P exam.

2. An inservice event or aggravation. Mostly, a C and P exam wont help here. A C and P exam wont make up for a lack of an inservice event or aggravation.

3. A link between one and 2, called a Nexus. This is often where a C and P exam is needed. Maybe you have a diagnosis, but was it caused by military service? Further, you may need a C and P exam to specify symptoms as they may or may not be included in other medical exams.

Since the VA has very specific things the raters are looking for, they sometimes ask the doc his opinion on this, for example, was this malady related to military service?

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My hope, is that they will not forgo the C+P in an attempt to just "get it done"....and I end up getting a low settlement, and spend the rest of my life trying to get it fixed/upgraded.

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