Form To Accompany Nexus Letter

[Dan]

Hi,

I was recently denied on my first P & C exam. I have a couple of questions and I hope somebody might be able to help.

The examiner was a PA from Primary care and not a MD or a specialist from Infectious Diseases, does this have any credibility for the VA or me? The MD that signed off electronically, 4 minutes later, was from Occupational Medicine. Never heard of him or ever saw him.

I was 9 months waiting for my C file from St. Louis, the PA had it, but I didn't. I finally received it and there is earlier medical notes that may be relavent.

I filed a NOD about 6 weeks ago but haven't heard back yet. I am represented by the DAV, how well??, I'm not sure yet.

My civilian Doctor, a Hep and Liver Specialist has wrote a fantastic Nexus letter, I didn't know I was so SICK!! I have a form in my files somewhere that I guess gets submitted with Nexus letter. If I remember correctly my civilian doctor needs to fill this out. Is that correct?

Thanks to all who have posted on this site, I have reaped a weath of knowledge.

Any and all help is greatly appreciated.

Thanks,

Dan

If I die, I forgive you

If I live, we shall see

Spanish proverb

[LarryJ]

I am assuming that you have something wrong with your liver, though you don't say.

If this is the case, and a Physician's Assistant did your exam and a M.D. with a specialization in Occupational Medicine vetted the PA's performance, then this is probably the best thing that happened to you vs. the VA.

Go and get yourself an Independent Medical Opinion from a Nephrologist. If you can't come up with a Nephrologist then an Internal Medicine (Internist) specialist.

I don't know of the "form" of which you speak. There are certain things that need to be addressed in your IMO by your specialist.

First of all, you must have a copy of your Service Medical Records.

Your IMO doctor MUST state that he/she has access to and has read your service medical records (SMRs).

He/she must also state that "at least as likely as not" or "more than likely as not", your current condition is related to your time spent in service.

Then he/she must make an understandable statement as to why.

He/she must also state that you have this condition as an ongoing disease process and have had since your service.

[Vike17]

Dan,

There isn't ant specific form that you need to submit with a nexus statement from a physician. Just write a simple cover letter stating that you are submitting additional evidence in reference to your Notice of Disagreement. You may also use the VA Form 21-4138 to accomplish this.

When you said;

"I was 9 months waiting for my C file from St. Louis, the PA had it, but I didn't. I finally received it and there is earlier medical notes that may be relavent"

I don't know what you mean. Do you mean that the C&P examiner had your C-file for nine months until they sent it back to your Regional Office? Also when you received a copy of your C-file, you said "there is earlier medical notes that may be relavent." If those medical notes are in your C-file then they were looked at in reference to your claim by the RVSR.

"The examiner was a PA from Primary care and not a MD or a specialist from Infectious Diseases, does this have any credibility for the VA or me? The MD that signed off electronically, 4 minutes later, was from Occupational Medicine. Never heard of him or ever saw him"

If a MD signed off on the exam, then it's credible for VA.

Vike 17

[betrayed]

is this what your thinking of? I think its for VA practioners only?

nexus.pdf

Edited February 11, 2007 by BETRAYED

[Berta]

"My civilian Doctor, a Hep and Liver Specialist has wrote a fantastic Nexus letter, I didn't know I was so SICK!! "

I am sorry you are so sick- I assume that you found , in your SMRs, medical documentation as support for the inservice nexus.

We can never depend on -unless for a presumptive illness- that a doctor's nexus statement will fully satisfy the nexus requirement.

I hope the doctor had the SMRs- at least enough of them to make the medical connection for the VA by referring directly to inservice cause or etiology-as documented in your military records.That would definitely fulfill the nexus requirement.