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Curated physician-written library

VA Disability Medical Opinion Resources for Attorneys

The public library is organized around recurring medical problems: causation, conflicting evidence, favorable findings, record chronology, lay history, severity, work capacity, exposure, and evidentiary limits.

Start here

Choose the medical problem you are trying to solve.

These three pieces are a good introduction to how Valor approaches causation, case selection, and physician independence.

Building & challenging medical opinions

Request the right opinion, compare the reasoning, and decide when a response is actually needed.

Provider selection

How Attorneys Should Evaluate a VA Nexus / IMO Provider

Questions counsel should ask about methodology, complete-record review, contrary evidence, scope, and physician accountability.

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Opinion strategy

Nexus Letter vs. Independent Medical Opinion

Match the depth of the report to the number and difficulty of the medical questions the record actually creates.

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Competing opinions

Private Medical Opinion vs. VA C&P Opinion

Compare the testing, factual foundation, chronology, mechanism, and reasoning—not who ordered the opinion.

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Contrary evidence

Negative or Conflicting C&P Opinions

Test the reasoning that produced the conclusion and preserve what the examiner got right.

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After filing

The IMO Is Filed. What Happens When VA Pushes Back?

Decide whether the later C&P adds new evidence, new reasoning, or only a different conclusion before ordering a rebuttal.

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C&P factual foundation

When a C&P Opinion Starts With the Wrong Facts

Why incorrect dates, diagnoses, procedures, exposures, or histories can materially change a medical opinion.

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Decision analysis

Read the Favorable Findings First

Identify what VA has already accepted and focus development on the medical or factual element that actually remains disputed.

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Causation reasoning

Risk Factor Is Not Diagnosis—and Diagnosis Is Not Causation

Weigh predisposition and competing risk factors without letting them substitute for individualized causal analysis.

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Reading the medical record

Work through the timeline, documentation gaps, lay history, and the difference between one encounter and the natural history of a condition.

Severity & function

Translate diagnosis and symptoms into medically supportable severity, functional loss, and work capacity.

Exposure & complex causation

Use population evidence and exposure history without letting either substitute for the individual medical record.

About the physician

Read the work in the context of the person doing it.

Scope: Physician-authored educational material for attorneys and law firms. These resources do not provide legal advice, determine entitlement, or replace individualized review of the complete record.

Need the physician to apply the method to a record?

Begin with the medical question. Records are exchanged after professional contact, ordinarily through PageAI or Dropbox.

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