Rivet62 Posted January 28, 2022 Share Posted January 28, 2022 I need assistance please with filling out the TDIU form, VA Form 21-8940. Do I need to break down the dates that I was under each doctor's care? It's all at the same VA Medical Center. Thank you 80% combined (rounded). 82% actual. 70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016 10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016 10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016 10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020 10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016 10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016 0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016 Left ear hearing loss, Service-connected disability? No Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No Link to comment Share on other sites More sharing options...
0 Rivet62 Posted January 29, 2022 Author Share Posted January 29, 2022 18 hours ago, brokensoldier244th said: Those 4142's, though- SUPER IMPORTANT. We cannot request records from private providers without them, and signed. Period. BLUF. Sorry to keep asking you...but do I send the private healthcare providers my signed 4142 and they mail it back to me? Or do I ask them to mail it to VA? 80% combined (rounded). 82% actual. 70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016 10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016 10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016 10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020 10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016 10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016 0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016 Left ear hearing loss, Service-connected disability? No Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No Link to comment Share on other sites More sharing options...
0 Rivet62 Posted January 29, 2022 Author Share Posted January 29, 2022 3 minutes ago, brokensoldier244th said: Have to? No, Ive had one but it was for an increase exam. My initial exam was a pin/poke test with various implements on the tops and bottoms of my feet and my legs in various places where the peripheral nerve paths are. You can look that up and see a picture if you google "radicular nerves back picture" Wow. Good to know. 80% combined (rounded). 82% actual. 70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016 10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016 10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016 10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020 10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016 10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016 0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016 Left ear hearing loss, Service-connected disability? No Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No Link to comment Share on other sites More sharing options...
0 Moderator brokensoldier244th Posted January 29, 2022 Moderator Share Posted January 29, 2022 You don't need one to request the records yourself. The form is for us to request them for you. We need both parts of the form 4142 allows us to request on your behalf, 4142a is where you list the providers and basic contact info and treatment dates. We then send those to the provider to prove that you are giving us informed release to request your records. They don't always respond to us, though- they are not obligated to do so. So, many times it is easier if you do it with whatever forms, process, website, whatever- and then send them to us. I used to pull stuff off some of my providers pages that have websites showing notes and clinical visits that you can access. Print to PDF, merge it all together into 1 or 2 PDF's rather than 50, and kick it down the road. Rivet62 and ArNG11 1 1 The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution. B.S. Doane College, Mgt Info Systems/Systems Analysis 2008 M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021 M.S. Purdue University Information Technology/InfoSec, Dec 2022 100% P/T MDD Spine Radiculopathy Sleep Apnea Some other stuff -------------------------------------------B.S. Info Systems Mgt/Systems Analysis-Doane College 2008M.S. Instructional Technology and Design- Purdue University 2021 (I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents, and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those) Link to comment Share on other sites More sharing options...
0 Moderator brokensoldier244th Posted January 29, 2022 Moderator Share Posted January 29, 2022 (edited) 8 minutes ago, Rivet62 said: Wow. Good to know. If you know where the nerves are and where you are injured you can literally follow the lack of sensation or tingles all the way down. It helps to have a basic idea of the nerve paths and how they correlate to your back or neck for when you describe it to them. "I hurt here and it radiates to "here" or "here", or I lose partial or full feeling "there" or "There". You can also look up straight leg raise test and Waddell's sign. They can tell if you are faking- Waddell's sign is how. Knowing the straight leg raise test is good, too, so you know what to expect, physically, during an exam. Edited January 29, 2022 by brokensoldier244th ArNG11 and Rivet62 1 1 The Earth is degenerating these days. Bribery and corruption abound.Children no longer mind their parents, every man wants to write a book,and it is evident that the end of the world is fast approaching. --17 different possible sources, all lacking verifiable attribution. B.S. Doane College, Mgt Info Systems/Systems Analysis 2008 M.S.Ed. Purdue University, Instructional Development and Technology, Feb. 2021 M.S. Purdue University Information Technology/InfoSec, Dec 2022 100% P/T MDD Spine Radiculopathy Sleep Apnea Some other stuff -------------------------------------------B.S. Info Systems Mgt/Systems Analysis-Doane College 2008M.S. Instructional Technology and Design- Purdue University 2021 (I AM NOT A RATER- I work the claims BEFORE they are rated, annotating medical evidence in your records, VA and Legal documents, and DA/DD forms- basically a paralegal/vso/etc except that I also evaluate your records based on Caluza and try to justify and schedule the exams that you go to based on whether or not your records have enough in them to warrant those) Link to comment Share on other sites More sharing options...
0 Rivet62 Posted January 29, 2022 Author Share Posted January 29, 2022 4 minutes ago, brokensoldier244th said: You don't need one to request the records yourself. The form is for us to request them for you. We need both parts of the form 4142 allows us to request on your behalf, 4142a is where you list the providers and basic contact info and treatment dates. We then send those to the provider to prove that you are giving us informed release to request your records. They don't always respond to us, though- they are not obligated to do so. So, many times it is easier if you do it with whatever forms, process, website, whatever- and then send them to us. I used to pull stuff off some of my providers pages that have websites showing notes and clinical visits that you can access. Print to PDF, merge it all together into 1 or 2 PDF's rather than 50, and kick it down the road. Thank you so much 80% combined (rounded). 82% actual. 70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016 10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016 10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016 10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020 10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016 10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016 0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016 Left ear hearing loss, Service-connected disability? No Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No Link to comment Share on other sites More sharing options...
0 Rivet62 Posted January 29, 2022 Author Share Posted January 29, 2022 2 minutes ago, brokensoldier244th said: If you know where the nerves are and where you are injured you can literally follow the lack of sensation or tingles all the way down. It helps to have a basic idea of the nerve paths and how they correlate to your back or neck for when you describe it to them. "I hurt here and it radiates to "here" or "here", or I lose partial or full feeling "there" or "There". You can also look up straight leg raise test and Waddell's sign. They can tell if you are faking- Waddell's sign is how. Knowing the straight leg raise test is good, too, so you know what to expect, physically, during an exam. Ok on the nerves... I need to get clear on the straight leg test. I'll search that. But I actually couldn't raise my leg. Waddell's sign. I'll search that too. ArNG11 1 80% combined (rounded). 82% actual. 70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016 10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016 10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016 10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020 10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016 10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016 0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016 Left ear hearing loss, Service-connected disability? No Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No Link to comment Share on other sites More sharing options...
Question
Rivet62
I need assistance please with filling out the TDIU form, VA Form 21-8940.
Do I need to break down the dates that I was under each doctor's care?
It's all at the same VA Medical Center.
Thank you
80% combined (rounded). 82% actual.
70% - Major depressive disorder with anxious distress (claimed depression), Service-connected disability? Yes. Effective date:19/08/2016
10% - Degenerative disc disease thoracolumbar spine, Service-connected disability? Yes. Effective date:19/08/2016
10% - Radiculopathy, left lower extremity, Service-connected disability? Yes. Effective date:19/08/2016
10% - Sciatic nerve radiculopathy right lower extremity, Service-connected disability? Yes. Effective date:26/02/2020
10% - Bilateral temporomandibular joint syndrome (claimed TMJ), Service-connected disability? Yes. Effective date:19/08/2016
10% - Tinnitus, Service-connected disability? Yes. Effective date:19/08/2016
0% - Right ear hearing loss, Service-connected disability? Yes. Effective date:19/08/2016
Left ear hearing loss, Service-connected disability? No
Cognitive impairment (claimed due to major depressive disorder), Service-connected disability? No
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brokensoldier244th
Nope, I get it. Just laying out that normally thats what *should* happen. Those 4142's, though- SUPER IMPORTANT. We cannot request records from private providers without them, and signed. Period. BLUF
brokensoldier244th
Have to? No, Ive had one but it was for an increase exam. My initial exam was a pin/poke test with various implements on the tops and bottoms of my feet and my legs in various places where the periphe
brokensoldier244th
You don't need one to request the records yourself. The form is for us to request them for you. We need both parts of the form 4142 allows us to request on your behalf, 4142a is where you list the pro
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