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C-File Review — John Doe

VBMS REVIEWER · vbms.review · 05/19/2026
Veteran
John Doe
Report date
05/19/2026
Documents reviewed
60
Actionable cases
5
Conditions flagged
20
Plan steps
12
Ultimate goal
100% from 06/12/2018

This should be treated as a 100% schedular goal rather than TDIU because the veteran is explicitly listed as working. Under the instructions, a working veteran’s UGOAL is the earliest date for 100% schedular if the evidence shows the combined rating already reached 100% or supports ratings that would combine to 100%.

Why 06/12/2018: the record shows the veteran’s major service-connected disabilities all became effective on 06/12/2018: PTSD with TBI at 70%, tension headaches at 50%, left knee at 10%, and right knee at 10%. Using VA combined ratings math, 70 combined with 50 yields 85, rounded to 90; adding 10 yields 91; adding another 10 yields 92, which rounds down to 90. So the documented combined rating is 90%, not 100%, from 06/12/2018. However, among the allowed UGOAL choices, the veteran is working, so TDIU is not the selected goal type, and this is not a DIC case. The only viable goal category is therefore 100% from the earliest open effective-date period tied to the current compensation profile, which is 06/12/2018.

Attorney briefing — bottom line

The single strongest issue is the right knee reduction from 20% to 10% effective 08/01/2023. VA appears to have reduced based on one exam showing better ROM, but the same 03/13/2023 exam also documented worsening bilateral knee pain, objective painful motion, right knee chondromalacia with loose bodies, inability to run, pain after 20 minutes of standing, stair/squat/kneel limits, and interference with work and family activities.00140-C&P Exam-20230313 03/13/2023 That is not a clean “improvement under ordinary conditions of life and work” fact pattern. The 10/19/2022 grant to 20% was based on significant functional loss and flare impairment, and the 2022 DBQ also documented severe right-knee flare-ups and missed HVAC work.AutomatedDecisionLetter 10/19/2022DBQKNEELOWERV27 07/25/2022

Immediate priorities: (1) verify whether any AMA review was filed after the 09/01/2023 notice and obtain the current code sheet; (2) if no active appeal exists, prepare a new knee increase filing supported by updated orthopedic evidence, lay statements, and work-impact evidence, while preserving the reduction/restoration narrative; (3) evaluate separate ratings for right knee instability/patellar instability, genu recurvatum, and possible meniscal-type symptoms from loose bodies; and (4) develop supplemental claims for back and GERD with IMOs addressing direct service connection and secondary aggravation, since the 2022 VA opinions omitted direct/aggravation analysis.AutomatedDecisionLetter 09/01/2023 Vertigo should wait until a current vestibular diagnosis is obtained.

Conditions — status and notes

Left knee iliotibial band friction syndrome is service connected at 10% effective 06/12/2018 (originally granted as left knee strain, later characterized as IT band friction syndrome).
SC / Active rating
Most recent decision on 08/01/2023 continued 10%. VA relied on painful motion but found flexion/extension not limited enough for 20%. Evidence supporting further action includes STRs showing left ITBS on 09/22/2010, positive 07/19/2018 nexus opinion, 07/25/2022 and 03/13/2023 DBQs documenting chronic pain, flare-ups, pain with weight-bearing, and functional loss with standing, walking, stairs, kneeling, squatting, and family activities. Action needed: review whether flare-up/repeated-use loss was inadequately estimated and whether a higher rating, separate instability rating, or extraschedular/TDIU-related occupational impact theory is supportable.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/2018
Right knee internal derangement with proximal tibia exostosis is service connected, currently 10% after reduction effective 08/01/2023; it had been increased to 20% effective 04/19/2022 by the 10/19/2022 decision.
SC / Active rating
Most recent outcome is adverse because VA reduced from 20% to 10% based on 03/13/2023 ROM findings. Action needed: challenge the reduction and seek restoration to 20%. Supporting evidence includes the 10/19/2022 grant based on flexion limited to the 16-30 degree range with pain/fatigue/weakness/lack of endurance/incoordination/flare-ups; longstanding pathology on 2014 MRI/X-ray and 2018 imaging; 07/25/2022 DBQ showing severe flare-ups 3-4 times weekly, swelling, heat, inability to bend or bear pressure, and lost HVAC work; and 03/13/2023 exam still showing worsening pain, objective painful motion, chondromalacia, and loose bodies. The key legal issue is whether VA showed actual sustained improvement under ordinary conditions of life and work rather than merely better ROM on one exam.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/2018
Right knee limitation of extension is separately service connected at 0% effective 04/19/2022.
SC / Active rating
Most recent decision did not increase it. The 10/19/2022 decision granted the separate rating based on extension limited to 5-9 degrees. The 03/13/2023 exam showed extension to 0 degrees including during flare-ups. Action needed: monitor for worsening and preserve issue if future records show compensable extension loss. Supporting evidence is the prior compensable manifestation history and ongoing painful motion/function loss.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/2018
Right knee loose bodies / chondromalacia are documented on the 03/13/2023 VA exam and 07/19/2018 imaging as progression/objective pathology of the service-connected right knee disability.
Monitor / Confirm from code sheet
They are not separately rated. Action needed: evaluate whether these findings support a stronger restoration argument, a meniscal-type rating theory if symptoms such as locking/effusion are documented, or support for separate manifestations not currently compensated. Evidence includes imaging showing two loose bodies up to 1 cm and chondromalacia.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/2018
PTSD with TBI is service connected at 70% effective 06/12/2018.
SC / Active rating
Most recent rating outcome in the record is the 09/18/2018 grant at 70%, with VA declining 100% because total occupational and social impairment was not shown. Action needed: obtain updated mental health treatment and consider increase/TDIU if symptoms have worsened. Supporting evidence includes the 2018 decision listing unprovoked irritability with periods of violence, obsessional rituals, panic attacks, impaired impulse control, difficulty adapting to stressful circumstances including work-like settings, inability to establish and maintain effective relationships, and TBI-related cognitive/judgment/visual-spatial deficits. CAPRI records also show longstanding PTSD/anxiety/depression symptoms and intermittent suicidal thoughts in 2015.
SourcesAutomatedDecisionLetter 09/18/201800540-C&P Exam-20220925 09/17/202200710-CAPRI-20220624 02/03/202201210-C&P Exam-20180801 07/20/2018
Tension headaches are service connected at 50% effective 06/12/2018, the maximum schedular rating under the migraine/headache criteria.
SC / Active rating
Most recent favorable outcome is the 08/23/2018 increase to 50%. Action needed: no schedular increase available, but headaches remain important for extraschedular/TDIU analysis because the DBQ documented very frequent completely prostrating prolonged attacks productive of severe economic inadaptability, inability to concentrate, job loss, and being sent home from work.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/2018
Lumbosacral strain is not service connected.
Denied / Not service connected
It was denied on 10/19/2022 as secondary to the left/bilateral knee condition due to lack of nexus, despite a confirmed diagnosis on 09/17/2022/09/24/2022 exam. Action needed: pursue supplemental claim with direct-service and secondary/aggravation theories. Supporting evidence includes the spine DBQ history of a 2011 Afghanistan IED truck incident with persistent symptoms since service, current diagnosis of lumbosacral strain, and a likely inadequacy in the 09/17/2022 opinion because no direct service connection opinion and no aggravation opinion were completed.
SourcesAutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/201800520-C&P Exam-20220925 09/25/202201200-C&P Exam-20180801 07/19/2018
GERD is not service connected.
Denied / Not service connected
It was denied on 10/19/2022 as secondary to PTSD with TBI for lack of nexus, despite a 09/17/2022 confirmed diagnosis. Action needed: pursue supplemental claim with direct and secondary aggravation theories, especially medication/stress/aggravation analysis. Supporting evidence includes lay history of reflux symptoms since 2011, VA primary care assessment of possible GERD on 02/03/2022, omeprazole prescription, continuous medication/TUMS use, and the apparent inadequacy of the 09/17/2022 opinion because it addressed causation only and not aggravation or direct service connection.
SourcesAutomatedDecisionLetter 10/19/202200500-C&P Exam-20220926 09/17/202200540-C&P Exam-20220925 09/17/2022
Vertigo / dizziness disorder is not service connected.
Denied / Not service connected
It was denied on 10/19/2022 because VA found no current diagnosis, although in-service dizziness on 02/26/2012 was acknowledged. Action needed: obtain current vestibular/ENT diagnosis and file supplemental claim if diagnosis exists. Supporting evidence includes STRs documenting dizziness after blast exposure and the 09/17/2022 ear DBQ recording ongoing morning lightheadedness and dizzy spells since 2019, but no objective vestibular diagnosis on that exam.
SourcesAutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/201800530-C&P Exam-20220925 09/17/2022
Tinnitus appears service connected based on repeated positive nexus opinions linking onset in service to military noise exposure, and the vertigo claim was expressly claimed as secondary to service-connected tinnitus.
SC / Active rating
The current rating is not stated in the provided decisions. Action needed: verify current rating code sheet and effective date; use tinnitus as anchor disability for any renewed vertigo secondary theory if a current vestibular diagnosis is obtained.
SourcesAutomatedDecisionLetter 10/19/202200530-C&P Exam-20220925 09/17/202200540-C&P Exam-20220925 09/17/202201170-C&P Exam-20180801 07/19/2018
Bilateral hearing loss is not service connected.
Denied / Not service connected
It was denied on 08/23/2018 because audiometric findings did not meet 38 C.F.R. 3.385 despite conceded acoustic trauma and mild sensorineural loss. Action needed: obtain updated audiology if hearing has worsened. Supporting evidence includes 07/19/2018 audiology showing mild bilateral sensorineural hearing loss with functional complaints, but speech scores and thresholds remained non-ratable.
SourcesAutomatedDecisionLetter 08/23/201800140-C&P Exam-20230313 03/13/2023REPORT_ C&P Exam Detail 02/22/202300540-C&P Exam-20220925 09/17/2022
Depression as a separate claim was denied on 08/23/2018 for lack of confirmed diagnosis, but later psychiatric symptoms were subsumed into the service-connected PTSD with TBI grant on 09/18/2018.
Denied / Not service connected
Action needed: no separate claim unless a distinct diagnosis/manifests separately without pyramiding; instead use depressive symptoms as evidence supporting PTSD increase/TDIU.
SourcesAutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/201800140-C&P Exam-20230313 03/13/2023REPORT_ C&P Exam Detail 02/22/2023
Panic disorder / anxiety disorder was diagnosed in 2014 and symptoms are now effectively encompassed within the service-connected PTSD with TBI picture.
SC / Active rating
Action needed: use this evidence to support severity of the psychiatric disability rather than pursue a separate pyramiding-prone claim unless a distinct diagnosis with separate manifestations is medically identified.
SourcesAutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/201800540-C&P Exam-20220925 09/17/202200710-CAPRI-20220624 02/03/2022
Traumatic brain injury residuals are service connected only as part of the combined PTSD with TBI 70% evaluation effective 06/12/2018.
SC / Active rating
Earlier 2014 exams found no residuals, while the 2018 decision described significant cognitive/judgment/visual-spatial deficits. Action needed: obtain updated TBI/mental health evidence to determine whether any separately ratable residuals exist that are not duplicative of PTSD symptoms.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/2018
Right knee instability / recurrent patellar dislocation is not separately rated in the provided decisions.
Monitor / Confirm from code sheet
The 07/25/2022 DBQ noted slight recurrent patellar dislocation and slight history of lateral instability by history, although objective testing was normal. Action needed: assess whether a separate rating under instability/patellar instability criteria is supportable with lay statements, brace use, falls/giving-way history, and updated exam findings.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/2018
Right knee degenerative/post-traumatic arthritis is documented by imaging and acknowledged by VA in the 2023 reduction decision.
SC / Active rating
It is currently compensated within the right knee rating rather than separately. Action needed: use arthritis and objective pathology to rebut any implication that the knee improved to mere subjective pain and to support restoration/increase arguments.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 09/18/2018
Genu recurvatum was documented on the 07/19/2018 knee exam as acquired/traumatic with objective weakness and insecurity in weight-bearing.
Monitor / Confirm from code sheet
It is not separately rated in the decisions provided. Action needed: review whether this manifestation was ever adjudicated and whether a separate rating theory exists without pyramiding.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 09/18/2018
Adjustment disorder with depressed mood / insomnia was documented in service in August 2012.
SC / Active rating
It is not separately service connected, but the symptom complex overlaps with the now service-connected PTSD with TBI. Action needed: use as historical evidence of in-service psychiatric onset and continuity rather than as a separate claim absent a distinct current diagnosis.
SourcesAutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/201801230-CAPRI-20180709 04/09/201801310-STR-20180706 12/30/2014
Alcohol use concerns are documented by positive AUDIT-C screens and counseling.
SC / Active rating
This is not separately service connected. Action needed: consider only if a clinician links alcohol misuse as secondary to PTSD for treatment context or as evidence of psychiatric severity; generally not a standalone compensation issue without careful legal/medical framing.
Left elbow tennis elbow was treated conservatively in 2019 and is unrelated to the current appeal stream.
SC / Active rating
Action needed: none unless the Veteran wishes to file a new claim and there is service nexus evidence.
SourcesAutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/2018

Evidence gaps

01
Missing current VA code sheet/rating sheet, especially to confirm tinnitus and all present evaluations/effective dates.
02
Missing proof of whether any AMA review was filed after the 10/19/2022, 11/04/2022, or 09/01/2023 notices.
03
Missing post-2023 VA and private orthopedic treatment, PT, MRI, and work-impact records for the knees.
04
Missing lay statements on flare-ups, instability/giving way, brace use, falls, locking, swelling, and missed work.
05
Missing competent nexus opinions for lumbosacral strain addressing direct service connection from the 2011 IED/truck incident and secondary aggravation by altered gait/biomechanics.
06
Missing competent nexus opinions for GERD addressing direct onset, PTSD/TBI aggravation, stress, and medication effects.
07
Missing a current vestibular/ENT diagnosis for vertigo/dizziness.
08
Missing updated mental health/TBI records and DBQs after 2018 if increase/TDIU is considered.
DBQKNEELOWERV27 07/25/2022
09
Missing VA Form 21-8940, earnings/employer evidence, and protected-work facts for any TDIU theory.
10
Missing the referenced 02/17/2023 supporting medical letter submitted with the knee claim.

Underrated conditions

Action plan

  1. 01
    Obtain the complete VBMS/Virtual VA rating profile and code sheet immediately.
    • Confirm every current service-connected disability, exact percentages, diagnostic codes, and effective dates.
    • Specifically verify tinnitus rating/effective date and whether any post-09/01/2023 decisions or AMA review requests exist.
    • Pull the full 08/01/2023 rating decision narrative, not just the notice letter.
    AutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 09/18/2018
  2. 02
    If no active AMA review is pending, file a new VA Form 21-526EZ for increased ratings for both knees, with emphasis on the right knee.
    • Claim worsening of: right knee internal derangement with proximal tibia exostosis, right knee limitation of extension, and left knee iliotibial band friction syndrome.
    • In the filing packet, include a detailed SISC describing: persistent/worsening pain, flare-ups, inability to run, standing limit of about 20 minutes, stair/squat/kneel problems, brace use, instability/giving way, swelling, locking, missed work, and impact on family activities.
    • Ask for consideration of separate ratings for instability/patellar instability, genu recurvatum, and any meniscal-type manifestations from loose bodies/chondromalacia.
    AutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022
  3. 03
    Prepare lay evidence for the knee claims.
    • SISC from Veteran: describe frequency/severity of flare-ups, how often the knee gives way, whether there are falls, locking, swelling, use of braces/sleeves, inability to climb ladders/crawl/confined-space work, and exact work accommodations.
    • Buddy/ spouse statement: describe observed limp, pain behaviors, inability to play with child, missed activities, and work limitations.
    • If possible, employer statement documenting missed time, modified duties, ladder restrictions, or reduced productivity.
    AutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022
  4. 04
    Obtain updated treatment evidence for the knees and complete VA Form 21-4142/4142a for each non-VA provider.
    • Identify any private orthopedist, urgent care, physical therapy, chiropractor, imaging center, or occupational medicine provider since 2022.
    • Request all records from El Centro VA Clinic/San Diego VAMC after 03/13/2023.
    • If private imaging exists, secure MRI/X-ray reports showing loose bodies, arthritis, chondromalacia, or instability-related pathology.
    00540-C&P Exam-20220925 09/17/202200710-CAPRI-20220624 02/03/202201200-C&P Exam-20180801 07/19/2018
  5. 05
    Order an orthopedic IMO/IME for the knees if the attorney wants to press the reduction/restoration narrative aggressively.
    • Ask the clinician to address whether the 2023 findings show actual improvement under ordinary conditions of life/work.
    • Ask whether right knee loose bodies, chondromalacia, recurrent patellar dislocation history, genu recurvatum, and arthritis produce separate functional manifestations.
    • Ask the clinician to estimate flare-up and repeated-use limitations in practical terms (standing, walking, stairs, kneeling, ladders, crawling, squatting).
    AutomatedDecisionLetter 09/18/2018AutomatedDecisionLetter 08/23/201800530-C&P Exam-20220925 09/17/2022
  6. 06
    File VA Form 20-0995 Supplemental Claim for lumbosacral strain once new nexus evidence is ready.
    • New and relevant evidence should include an IMO addressing both: (a) direct service connection from the 2011 Afghanistan IED/truck incident with persistent symptoms since service, and (b) secondary aggravation by altered gait/biomechanics from the service-connected knees.
    • SISC should explain onset after the truck/IED event, continuity since service, and how knee pain/altered gait worsened the back.
    • Attach any chiropractic/PT/private back records via 21-4142/4142a if applicable.
    AutomatedDecisionLetter 10/19/2022AutomatedDecisionLetter 08/23/201800520-C&P Exam-20220925 09/25/2022
  7. 07
    File VA Form 20-0995 Supplemental Claim for GERD once new nexus evidence is ready.
    • New and relevant evidence should include an IMO addressing: direct onset of reflux symptoms in service/2011, secondary aggravation by PTSD/TBI, stress physiology, sleep disturbance, and medication effects.
    • SISC should identify onset, food triggers, continuous medication/TUMS/omeprazole use, and whether psychiatric symptoms worsen reflux.
    • Obtain medication history from VA records and any private GI treatment through 21-4142/4142a.
    AutomatedDecisionLetter 10/19/202200530-C&P Exam-20220925 09/17/202200500-C&P Exam-20220926 09/17/2022
  8. 08
    Do not refile vertigo immediately; first develop diagnosis.
    • Obtain ENT/vestibular evaluation through VA or private care.
    • If a current diagnosis is established (e.g., BPPV, vestibular migraine, chronic dizziness disorder), then file VA Form 20-0995 Supplemental Claim with that diagnosis and a nexus opinion addressing direct relation to in-service blast-related dizziness and/or secondary relation to tinnitus if medically supportable.
    • SISC should describe current episodes, frequency, triggers, and continuity of dizziness symptoms.
    AutomatedDecisionLetter 10/19/202200530-C&P Exam-20220925 09/17/202200540-C&P Exam-20220925 09/17/2022
  9. 09
    Consider a new VA Form 21-526EZ for any unrealized right-knee manifestations only if counsel prefers explicit issue framing.
    • Potentially claim right knee instability/patellar instability and genu recurvatum if the code sheet confirms they have never been adjudicated separately.
    • This should be coordinated carefully to avoid duplicative development if the increase claim can encompass them.
    AutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022
  10. 10
    Develop PTSD/TBI and employability evidence before deciding on TDIU.
    • Obtain all VA mental health records since 2018 and any private counseling/psychiatry records via 21-4142/4142a.
    • If symptoms have worsened, consider filing VA Form 21-526EZ for increase for PTSD with TBI.
    • Because the Veteran is working, only file VA Form 21-8940 if facts support marginal or protected employment.
    • If filing 8940: box 7 should list last date of full-time substantially gainful work if different from current status; box 8 should identify PTSD with TBI, headaches, and bilateral knee conditions as the service-connected disabilities preventing substantially gainful employment. Include a SISC explaining accommodations, reduced earnings, missed work, and why current employment is marginal/protected if applicable.
    AutomatedDecisionLetter 09/18/201800540-C&P Exam-20220925 09/17/202200710-CAPRI-20220624 02/03/2022
  11. 11
    If the attorney identifies a still-open AMA lane after VBMS review, choose the appropriate form immediately.
    • VA Form 20-0996 HLR: use only if a timely review window is somehow still open and the issue is a rating/reduction error or duty-to-assist error identifiable from the existing record.
    • VA Form 10182 Board Appeal: use if a timely NOD window remains or if there is an appealable subsequent decision not yet addressed. Select evidence or hearing lane only if additional evidence strategy justifies delay.
    • Otherwise proceed with 20-0995/21-526EZ as above.
    01540-Miscellaneous C&P Corre... 10/21/2014
  12. 12
    Retrieve the missing 02/17/2023 supporting 'medical letter' referenced in the VSO submission.
    • This may contain favorable severity or nexus evidence and should be associated with any new filing.
    AutomatedDecisionLetter 09/01/2023AutomatedDecisionLetter 11/04/2022AutomatedDecisionLetter 10/19/2022

Actionable cases

#IssuesSubmittedDecisionStatus
1 Right knee internal derangement with proximal tibia extorsion / Left knee iliotibial band friction syndrome / Left knee strain / Right knee internal derangement with proximal tibia exostosis with limitation of extension 02/22/2023 09/01/2023 Ready for Review
2 Right Knee Internal Derangement with Proximal Tibia Exostosis/Exostorsion / Left Knee Iliotibial Band Friction Syndrome / Left Knee Strain / Right Knee Limitation of Extension 02/17/2023 11/04/2022 Ready for Review
3 Bilateral knee condition / Gastroesophageal reflux disease / Back condition / Vertigo / Posttraumatic stress disorder / Tinnitus 06/21/2022 09/18/2018 Ready for Review
4 Posttraumatic Stress Disorder (PTSD) / Anxiety Disorder / Depressive Disorder / Bilateral Hearing Loss / Headaches / Left Knee Condition / Right Knee Condition 06/26/2018 08/23/2018 Ready for Review
5 Iliotibial Band Syndrome, Left Knee / Tinnitus / Post-Concussion Syndrome / Headache Syndrome 06/18/2014 — Ready for Review

Referenced documents (60)

+ 30 additional records

Generated by VBMS Reviewer · vbms.review For attorney review only — not a legal opinion.