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Advocate’s Example Medical Nexus Opinion Letter July 1, 2018 John D. Dingell VA Medical Center Dr. House 4646 John R. Street Detroit, MI 48201 Re: Veteran, Mary Smith D.O.B.: 7/25/61 Dear Dr. House: I represent Ms. Smith in her claim for veteran’s disability benefits. I am writing this letter to request a medical nexus opinion regarding her back condition. While serving in the Navy, Ms. Smith fell down a flight of stairs during a sexual assault. She was treated for back problems following the attack. Details of the fall and treatment during the service are found in her service medical records. Since her 1988 discharge, Ms. Smith’s back problems have been treated by a rheumatologist at the VA Medical Center. Treating doctors at the VA facility have diagnosed Ms. Smith with the following conditions: * Cervicalgia with radiculopathy across both shoulders; * Lumbago with radiculopathy down both lower extremities; * Bilateral SI joint arthralgia; Myalgia, middle fibers of both trapezius muscles. Ms. Smith indicated that you would be willing to review her records and provide an opinion regarding the cause of her back conditions for her VA disability claim. It is my belief that Ms. Smith’s fall down the flight of stairs during her attack caused her current back condition. If a medical expert determines that it is “as likely as not” that Ms. Smith’s current back condition is linked to her in service fall then her current back disability will be considered service connected and her claim for benefits compensable. After reviewing the veteran’s medical records please answer the following questions: 1. Is it “as likely as not” that her current back condition is linked to her fall down the flight of stairs during her attack in service? 2. What are the reasons and basis for your opinion? The reasoning for your opinion is as important as your opinion. Therefore, please indicate the documents you reviewed to reach your opinion and the facts on which you base your findings. Please find enclosed a copy of Ms. Smith’s disability claims file (C-File) which includes her service and post-service medical records. It is important to note in your opinion that you reviewed Ms. Smith’s claims file. Please note that relevant portions of the claims file have been highlighted for your convenience. The veterans’ disability benefits system is unlike other legal proceedings in which medical opinions are requested. If you choose to assist Ms. Smith you will not be called to testify in court proceedings or depositions. Your opinion cannot be directly challenged and you cannot be cross-examined. If there is additional information that you believe may be useful to this claim or you have questions regarding this request, please contact me at your convenience. Thank you for assisting Ms. Smith in her pursuit of the veterans’ benefits she earned. Very truly yours, Linda Agent, VA Accredited Claims Agent ID# Enclosures
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Advocate's Example Medical Nexus Opinion Letter July 1, 2018 John D. Dingell VA Medical Center Dr. House 4646 John R. Street Detroit, MI 48201 Re: Veteran, Mary Smith D.O.B.: 7/25/61 Dear Dr. House: I represent Ms. Smith in her claim for veteran's disability benefits. I am writing this letter to ...