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When the exam goes badly — inadequate exam doctrine
If the C&P exam was incomplete, inaccurate, or failed to follow VA’s requirements (especially Mitchell/Correia for joint claims), you can argue it was an INADEQUATE EXAM and request a new one.
What makes an exam inadequate
- Examiner did not address flare-ups for a joint condition
- Examiner did not test active AND passive motion, weight-bearing AND non-weight-bearing
- Examiner did not consider your reported symptoms or wrote that you reported things you did not say
- Examiner did not review the C-File before the exam
- Examiner’s specialty does not match the condition (e.g., a general practitioner doing a mental health exam)
- Examiner’s opinion has no rationale, just a conclusion
Strategy
Request a copy of your C&P exam report immediately after the exam (you have the right to it). If it’s wrong:
- Draft a rebuttal statement on Form 21-4138 documenting what was missed or incorrect
- Submit to VA before the rating decision is issued
- If the decision has already been issued, file a Supplemental Claim with the rebuttal and any new evidence
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