Veterans Medical Advisors- Consult Form
Please fill out the following form to give us a better idea of your claims and we will contact you soon!
Sincerely,
Veterans Medical Advisors
http://www.veteransmedadvisor.com/
Name
Your answer
Location (City, State)
Your answer
Phone Number (including time zone + best time to call)
Your answer
E-mail address
Your answer
Explain any clinical urgency or VA deadlines or hearings
Your answer
When did you serve?
Your answer
When were you discharged?
Your answer
What is your Birth Year?
Your answer
What diagnosis has been given for your disability?
Your answer
How far back does your claim(s) go?
Your answer
What rating do you have now (if any)?
Your answer
What rating are you hoping to get for each claim?
Your answer
Do you have your medical records? military and civilian?
Your answer
Do you have your rating decisions and C & P exam reports?
Your answer
Do you have all x-ray/MRI reports and/or films?
Your answer
Are you working now?
Your answer
Are you trying for 100% scheduler and/or 100% via TDIU route?
Your answer
Do you have a retro-active award?
Your answer
Anything else we should know?
Your answer
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