Nancy,
Thank you for speaking with me during your Complete Care Call. Our goal is to make sure your claim is as strong as possible, supported by the right evidence and testimony to maximize your chances of approval.
Below are your recommended next steps:
Step 1 – Obtain Medical Diagnoses
Please schedule appointments with either private or VA medical providers to confirm and document the following claimed conditions:
● Bilateral Hearing Loss (requesting increase)
● Migraines
● Irritable Bowel Syndrome (IBS)
● Lumbar Spine Degenerative Arthritis
● Bilateral Knee Degenerative Arthritis
● Bilateral Lower Extremity Radiculopathy
● Female Sexual Dysfunction
● Mental Health (Bipolar Disorder, Depression, Anxiety, ADD from MST) A current, written diagnosis from a licensed medical professional is essential. If you already have a diagnosis, request an updated evaluation to ensure your records are recent and complete.
Step 2 – Gather Private Medical Records
Collect treatment records from all non-VA providers you have seen for these conditions. You do not need to request VA medical records—VA will obtain those automatically. Focus solely on private treatment sources.
Step 3 – Obtain Witness Statements
Identify family members, friends, coworkers, or others who have witnessed either the in-service incident or ongoing struggles since then. If you were married while in service, your spouse’s statement would be especially valuable. Witnesses can submit statements in any format—typed or handwritten—provided they are signed and dated. These statements strengthen lay-centered establishing evidence of continuity and impact.
Step 4 – VA Medical Center Information
For your awareness and potential use, your nearest VA Medical Center is: John D. Dingell VA Medical Center
4646 John R Street
Detroit, MI 48201
Phone: 313-***-****
Website: www.detroit.va.gov
You have already taken important steps by completing your Complete Care Call. We will continue to stand with you, ensuring your evidence is organized and your claim is as strong as possible. Your courage and perseverance—both in service and now in this process—are recognized and valued.
Helena