When clinical evidence is needed for a Veteran's or Servicemember's claim, VBA sends a Request for Examination to a VHA compensation and pension (C&P) clinic, the equivalent Integrated Disability Evaluation System (IDES) clinic, or for contractors, through the Veterans Benefits Management System (VBMS). The examiner should review the Request for examination in detail prior to conducting a C&P TBI Residuals examination. More time may be needed for this examination, so the examiner should keep this in mind. This table shows three types of examinations that can be requested.

Original	Increase	Review
This is the first time the Veteran or Servicemember has applied for service connection of any disability. The history should be detailed and encompass the origin of the condition(s) until today, including any mechanism of injury. Ask open-ended questions and document the functional impact of reported symptoms that affect the claimant's functional ability.	The Veteran or Servicemember believes service-connected condition(s) have increased in severity since the last evaluation. The history should be detailed and encompass from the date of the last C&P examination until today, including where the Veteran goes for care of the condition(s). (It is not necessary to provide the history prior to the last C&P exam.) Ask open-ended questions and document the functional impact of reported symptoms that affect the claimant's functional ability.	The Veteran or Servicemember is already service connected for a condition(s) and VA is requesting an examination to see if the condition(s) have changed since the last rating as part of a requirement to periodically review non-static conditions. The history should be detailed and encompass from the date of the last C&P examination until today, including where the Veteran or Servicemember goes for care of the condition(s). Ask open-ended questions and document the functional impact of reported symptoms that affect the claimant's functional ability.

Original

Increase

Review

This is the first time the Veteran or Servicemember has applied for service connection of any disability.

The history should be detailed and encompass the origin of the condition(s) until today, including any mechanism of injury. Ask open-ended questions and document the functional impact of reported symptoms that affect the claimant's functional ability.

The Veteran or Servicemember believes service-connected condition(s) have increased in severity since the last evaluation.

The history should be detailed and encompass from the date of the last C&P examination until today, including where the Veteran goes for care of the condition(s). (It is not necessary to provide the history prior to the last C&P exam.) Ask open-ended questions and document the functional impact of reported symptoms that affect the claimant's functional ability.

The Veteran or Servicemember is already service connected for a condition(s) and VA is requesting an examination to see if the condition(s) have changed since the last rating as part of a requirement to periodically review non-static conditions.

The history should be detailed and encompass from the date of the last C&P examination until today, including where the Veteran or Servicemember goes for care of the condition(s). Ask open-ended questions and document the functional impact of reported symptoms that affect the claimant's functional ability.

Important Note

The General Remarks section of a Request for Examination is essential because it contains specific instructions for the examination and possibly questions to answer for VBA. If you, as examiner, have any questions about the Request, you should contact the VBA requestor using the contact information at the bottom of the Request for Examination. This can avoid having your C&P examination report returned to you for clarification or additional information.