Example document — fictitious patient. Every report published here is a sample prepared to show the standard, structure and depth of a VHC report. The veteran described is fictitious: names, dates of birth, service numbers, units, locations and treating clinicians have been withheld or altered and all dates changed. It must not be relied upon as a record of any real claim.
Diagnostic Assessment — Left Shoulder - Biceps Tenosynovitis
Example 1 of 2 · fictitious patient (Veteran D)
Example document — fictitious patient. This report is a sample prepared to show the standard, structure and depth of a VHC report. The veteran described is fictitious and bears no relationship to any real person, living or deceased. Names, dates of birth, contact details, service numbers, units, locations and treating clinicians have been withheld or altered and all dates have been changed. It must not be relied upon as a record of any real claim.
Diagnostic Assessment
Left Shoulder - Biceps Tenosynovitis
SOP No. 27 of 2020 (Reasonable Hypothesis) - Sprain and Strain SOP No. 28 of 2020 (Balance of Probabilities) - Sprain and Strain
ADF History
The veteran, Airfield Defence Guard (ADG), enlisted 29 July 1993, currently serving.
Occupational History
As an Airfield Defence Guard (ADG) in the Royal Australian Air Force, the veteran would have been exposed to a range of occupational hazards inherent to the role. This occupation involves providing security and ground defence for RAAF assets, personnel, and installations, both within Australia and on deployment. The duties are physically demanding and include manual handling of heavy equipment, weapons, ammunition, and field gear. This involves lifting, carrying, and pack marching, often over uneven terrain and for extended durations. ADGs are exposed to noise from weapons firing and aircraft operations, environmental hazards including prolonged exposure to sunlight, heat, cold, dust, and airborne particulates. The role involves psychological stressors, particularly during deployments, and the risk of traumatic injury due to the physical nature of duties, weapons handling, fieldcraft, and operational activities.
History
The veteran an RAAF Airfield Defence Guard, began experiencing left shoulder pain around Mar 2012, possibly after lifting a heavy container. This initial presentation, before a specific structural diagnosis, can be considered a Left Shoulder Strain. The condition progressed over time with an MRI in September 2020 confirming biceps tenosynovitis, alongside other left shoulder pathologies.
Timeline
- Approx. Mar 2012. Initial onset of left shoulder pain, possibly after lifting a heavy container. This marked the beginning of his left shoulder issues which, prior to definitive imaging, would constitute a Left Shoulder Strain.
- 13 Jul 2010. The veteran underwent X-ray and Ultrasound of the left shoulder for left shoulder pain with a query of impingement. The X-ray showed "Mild sclerosis and irregularity at lateral end of clavicle likely mild degenerative change." The Ultrasound report stated: "No abnormality is seen on sonography."
- 12 Oct 2010. Reviewed by the treating doctor G. the treating doctor, Orthopaedic Surgeon, for chronic disability in his left shoulder, present for 6 months. He reported mechanical anterior shoulder pain over the junction of the biceps and supraspinatus tendons, affecting physical training. Clinical assessment revealed evidence of mechanical subacromial impingement. the treating doctor suspected supraspinatus tendinopathy and recommended a subacromial corticosteroid injection before considering surgery.
- 18 Jul 2018. An MRI of the Left Shoulder was performed for "Frozen shoulder? Underlying pathology". The findings included: "Mild infraspinatus insertional tendinosis." "Localised 12 o'clock labral (SLAP) tear." "Mild degenerative arthrosis of the AC joint." "Trace fluid in the subacromial/subdeltoid bursa." "Fluid in the biceps sheath." Surgery for the SLAP repair was noted as pending for February 2021.
Symptoms
At the time of initial injury, the veteran experienced left shoulder pain, particularly over the junction of the biceps and supraspinatus tendons. The pain impacted his ability to conduct physical training. As the condition progressed, his symptoms included mechanical anterior shoulder pain and signs of subacromial impingement on clinical examination.
Currently, the veteran left shoulder symptoms include ongoing pain, limited range of motion suggestive of frozen shoulder, and associated functional limitations. The MRI findings of fluid in the biceps sheath (tenosynovitis), along with SLAP tear and other pathologies, correlate with his clinical presentation of shoulder pain and dysfunction.
Imaging
13 Jul 2010: X-ray and Ultrasound of the left shoulder. X-ray showed "Mild sclerosis and irregularity at lateral end of clavicle likely mild degenerative change." Ultrasound: "No abnormality is seen on sonography."
18 Jul 2018: MRI of the Left Shoulder. Findings included: "Mild infraspinatus insertional tendinosis." "Localised 12 o'clock labral (SLAP) tear." "Mild degenerative arthrosis of the AC joint." "Trace fluid in the subacromial/subdeltoid bursa." "Fluid in the biceps sheath."
1. What is the formal diagnosis of the condition claimed above? The formal diagnosis is Left Shoulder - Biceps Tenosynovitis, which aligns with ICD-10 code M65.812 (Other synovitis and tenosynovitis, left shoulder). This can be considered under the Sprain and Strain SOP (No. 27 of 2020 for Reasonable Hypothesis and No. 28 of 2020 for Balance of Probabilities).
Biceps tenosynovitis is inflammation of the tendon sheath surrounding the long head of the biceps tendon. The biceps tendon runs through a groove in the humerus and is enclosed in a synovial sheath. When this sheath becomes inflamed, it causes pain, tenderness, and potentially reduced function in the shoulder. The inflammation can result from overuse, trauma, repetitive movements, or degenerative changes. In some cases, it may coexist with other shoulder pathologies such as rotator cuff injuries or labral tears.
In the veteran case, the biceps tenosynovitis exists alongside other left shoulder conditions, including a SLAP tear, infraspinatus insertional tendinosis, mild AC joint arthrosis, and trace subacromial/subdeltoid bursitis. The temporal relationship suggests a progression from an initial shoulder strain or injury in Mar 2012, which over time developed into multiple concurrent pathologies including the biceps tenosynovitis that was formally identified on MRI in September 2020.
2. For each diagnosis identified, please also provide the following dates: "When did the veteran first experience symptoms attributable to this condition?" the veteran first experienced symptoms attributable to left shoulder pain around Mar 2012, after reportedly lifting a heavy container. The specific biceps tenosynovitis symptoms would have been part of his overall shoulder pain presentation, though they may not have been specifically diagnosed as such at that early stage.
When did the veteran first present to a health / medical provider for this condition? The veteran first presented to a health provider for his left shoulder issues on 13 July 2010, when he underwent X-ray and Ultrasound imaging of the left shoulder for pain with a query of impingement. He was subsequently reviewed by the treating doctor G. the treating doctor, Orthopaedic Surgeon, on 12 October 2010 for chronic disability in his left shoulder.
When was the condition confirmed / formally diagnosed? The condition of biceps tenosynovitis was formally diagnosed based on the MRI findings of 18 July 2018, which identified "Fluid in the biceps sheath" - a diagnostic feature of biceps tenosynovitis. This MRI was performed for "Frozen shoulder? Underlying pathology" and provided the definitive imaging evidence for the diagnosis.
When did the veteran first present to you (or your practice) for this condition? September 12, 2022
3. How was this diagnosis confirmed? i.e. what were the key symptoms and signs, investigation results, specialist opinions? Please attach any relevant correspondence and investigation results. The diagnosis of left shoulder biceps tenosynovitis was confirmed through a combination of clinical presentation and diagnostic imaging. The veteran presented with left shoulder pain and symptoms suggestive of frozen shoulder.
Key symptoms included shoulder pain, particularly over the anterior aspect, limited range of motion, and functional impairment. An MRI conducted on 18 July 2018 provided definitive evidence with the finding of "Fluid in the biceps sheath," which is diagnostic of biceps tenosynovitis.
This condition existed alongside other pathologies identified on the same MRI, including a "Localised 12 o'clock labral (SLAP) tear," "Mild infraspinatus insertional tendinosis," "Mild degenerative arthrosis of the AC joint," and "Trace fluid in the subacromial/subdeltoid bursa."
These findings correlated with the veteran's clinical presentation of shoulder pain and dysfunction, and with the earlier assessment by the treating doctor G. the treating doctor on 12 October 2010, who had noted "mechanical anterior shoulder pain over the junction of the biceps and supraspinatus tendons" and evidence of mechanical subacromial impingement.
4. What do you consider to be the cause(s) of the condition in this veteran? Give consideration to constitutional and common risk factors, pre-existing injuries or diseases, and occupational or lifestyle risks, as well as direct causative mechanisms.
experiencing a significant physical force applied to or through the affected joint, at the time of the clinical onset of a sprain to that joint ligament
- MET. The veteran reported the onset of left shoulder pain around Mar 2012, possibly after lifting a heavy container. This represents a significant physical force applied to the shoulder joint. As an Airfield Defence Guard (ADG), his duties regularly involved manual handling of heavy equipment, weapons, ammunition, and field gear, which would place significant stress on the shoulder joints.
forceful stretching or high intensity use of a muscle or tendon at the time of the clinical onset of a strain to that muscle or tendon
- MET. The veteran's occupation as an ADG requires forceful stretching and high-intensity use of the shoulder muscles and tendons, including the biceps tendon. Activities such as lifting weapons, equipment, and performing physical training would constitute high-intensity use. The initial pain onset was temporally linked to lifting a heavy container, which would involve forceful use of the biceps tendon.
experiencing a significant physical force applied to or through the affected joint, at the time of the clinical worsening of a sprain to that joint ligament
- MET. The veteran's ongoing duties as an ADG would involve continued exposure to significant physical forces through the shoulder joint, contributing to the progression of the condition. This includes manual handling of equipment, weapons training, and physical training activities.
forceful stretching or high intensity use of a muscle or tendon at the time of the clinical worsening of a strain to that muscle or tendon
- MET. The veteran's military occupation requires continued forceful use of the shoulder muscles and tendons, including the biceps. The progression from initial strain to biceps tenosynovitis is consistent with repeated high-intensity use in the context of his duties.
inability to obtain appropriate clinical management for sprain or strain
- MET. There was a significant interval between the initial presentation in 2014 and the definitive diagnosis by MRI in September 2020, suggesting barriers to obtaining appropriate clinical management. The Full Federal Court in Brew v Repatriation Commission (14 May 1993) enlarges on the meaning of "inability" to include both objective and subjective barriers to obtaining treatment. The veteran's military service, including deployments and high operational tempo, may have created practical barriers to accessing appropriate specialist care and diagnostic imaging in a timely manner. The initial investigations in September 2012 (X-ray and ultrasound) did not identify the specific pathology, which was only later confirmed on MRI. This delay in definitive diagnosis and targeted treatment likely contributed to the progression of the condition from an initial strain to tenosynovitis.
Sequelae
The biceps tenosynovitis appears to be part of a constellation of left shoulder pathologies that likely developed from the initial shoulder strain/injury. The MRI from September 2020 identified multiple concurrent conditions including a SLAP tear, infraspinatus tendinosis, AC joint arthrosis, and subacromial/subdeltoid bursitis. While the biceps tenosynovitis is not exclusively a sequela of these other conditions, they represent a pattern of progressive shoulder degeneration following the initial injury, with shared risk factors and pathophysiologic mechanisms.
Unintended Consequence
There is no evidence that the biceps tenosynovitis is an unintended consequence of medical management. The condition appears to be related to the veteran's occupational duties and physical activities rather than a complication of medical treatment.
Inability to Attain Appropriate Medical Management
There is evidence of an inability to attain appropriate medical management for this condition. The significant interval between the initial presentation in 2014 and the definitive diagnosis in September 2020 suggests barriers to timely specialized care and advanced imaging. Despite presenting with left shoulder symptoms in 2014, only basic imaging (X-ray and ultrasound) was initially performed, which did not identify the specific pathology.
The Full Federal Court in Brew v Repatriation Commission (14 May 2013) ruled that "inability" encompasses both objective and subjective barriers to obtaining treatment. The veteran's military service commitments, including deployments and training, may have created practical barriers to accessing appropriate specialist care. Additionally, the initial conservative management approach, while standard, may have delayed the definitive diagnosis and targeted treatment of the specific biceps tenosynovitis pathology.
This delay in obtaining appropriate clinical management for the initial shoulder strain/injury allowed the condition to progress to tenosynovitis and other shoulder pathologies, representing a permanent worsening of his condition. With earlier MRI diagnosis and appropriate intervention, the progression to chronic biceps tenosynovitis might have been mitigated.
The % contribution of the causes is 100% and significant
5. Please provide a Health Summary and a medication / prescribing history. -see attached report
Example document — fictitious patient. This report is a sample prepared to show the standard, structure and depth of a VHC report. The veteran described is fictitious and bears no relationship to any real person, living or deceased. Names, dates of birth, contact details, service numbers, units, locations and treating clinicians have been withheld or altered and all dates have been changed. It must not be relied upon as a record of any real claim.
Diagnostic Assessment — Left Shoulder - Biceps Tenosynovitis
Example 2 of 2 · fictitious patient (Veteran D)
Example document — fictitious patient. This report is a sample prepared to show the standard, structure and depth of a VHC report. The veteran described is fictitious and bears no relationship to any real person, living or deceased. Names, dates of birth, contact details, service numbers, units, locations and treating clinicians have been withheld or altered and all dates have been changed. It must not be relied upon as a record of any real claim.
Diagnostic Assessment
Left Shoulder - Biceps Tenosynovitis
SOP No. 27 of 2020 (Reasonable Hypothesis) - Sprain and Strain SOP No. 28 of 2020 (Balance of Probabilities) - Sprain and Strain
ADF History
The veteran, Airfield Defence Guard (ADG), enlisted 29 July 1993, currently serving.
Occupational History
As an Airfield Defence Guard (ADG) in the Royal Australian Air Force, the veteran would have been exposed to a range of occupational hazards inherent to the role. This occupation involves providing security and ground defence for RAAF assets, personnel, and installations, both within Australia and on deployment. The duties are physically demanding and include manual handling of heavy equipment, weapons, ammunition, and field gear. This involves lifting, carrying, and pack marching, often over uneven terrain and for extended durations. ADGs are exposed to noise from weapons firing and aircraft operations, environmental hazards including prolonged exposure to sunlight, heat, cold, dust, and airborne particulates. The role involves psychological stressors, particularly during deployments, and the risk of traumatic injury due to the physical nature of duties, weapons handling, fieldcraft, and operational activities.
History
The veteran an RAAF Airfield Defence Guard, began experiencing left shoulder pain around Mar 2012, possibly after lifting a heavy container. This initial presentation, before a specific structural diagnosis, can be considered a Left Shoulder Strain. The condition progressed over time with an MRI in September 2020 confirming biceps tenosynovitis, alongside other left shoulder pathologies.
Timeline
- Approx. Mar 2012. Initial onset of left shoulder pain, possibly after lifting a heavy container. This marked the beginning of his left shoulder issues which, prior to definitive imaging, would constitute a Left Shoulder Strain.
- 13 Jul 2010. The veteran underwent X-ray and Ultrasound of the left shoulder for left shoulder pain with a query of impingement. The X-ray showed "Mild sclerosis and irregularity at lateral end of clavicle likely mild degenerative change." The Ultrasound report stated: "No abnormality is seen on sonography."
- 12 Oct 2010. Reviewed by the treating doctor G. the treating doctor, Orthopaedic Surgeon, for chronic disability in his left shoulder, present for 6 months. He reported mechanical anterior shoulder pain over the junction of the biceps and supraspinatus tendons, affecting physical training. Clinical assessment revealed evidence of mechanical subacromial impingement. the treating doctor suspected supraspinatus tendinopathy and recommended a subacromial corticosteroid injection before considering surgery.
- 18 Jul 2018. An MRI of the Left Shoulder was performed for "Frozen shoulder? Underlying pathology". The findings included: "Mild infraspinatus insertional tendinosis." "Localised 12 o'clock labral (SLAP) tear." "Mild degenerative arthrosis of the AC joint." "Trace fluid in the subacromial/subdeltoid bursa." "Fluid in the biceps sheath." Surgery for the SLAP repair was noted as pending for February 2021.
Symptoms
At the time of initial injury, the veteran experienced left shoulder pain, particularly over the junction of the biceps and supraspinatus tendons. The pain impacted his ability to conduct physical training. As the condition progressed, his symptoms included mechanical anterior shoulder pain and signs of subacromial impingement on clinical examination.
Currently, the veteran left shoulder symptoms include ongoing pain, limited range of motion suggestive of frozen shoulder, and associated functional limitations. The MRI findings of fluid in the biceps sheath (tenosynovitis), along with SLAP tear and other pathologies, correlate with his clinical presentation of shoulder pain and dysfunction.
Imaging
13 Jul 2010: X-ray and Ultrasound of the left shoulder. X-ray showed "Mild sclerosis and irregularity at lateral end of clavicle likely mild degenerative change." Ultrasound: "No abnormality is seen on sonography."
18 Jul 2018: MRI of the Left Shoulder. Findings included: "Mild infraspinatus insertional tendinosis." "Localised 12 o'clock labral (SLAP) tear." "Mild degenerative arthrosis of the AC joint." "Trace fluid in the subacromial/subdeltoid bursa." "Fluid in the biceps sheath."
1. What is the formal diagnosis of the condition claimed above? The formal diagnosis is Left Shoulder - Biceps Tenosynovitis, which aligns with ICD-10 code M65.812 (Other synovitis and tenosynovitis, left shoulder). This can be considered under the Sprain and Strain SOP (No. 27 of 2020 for Reasonable Hypothesis and No. 28 of 2020 for Balance of Probabilities).
Biceps tenosynovitis is inflammation of the tendon sheath surrounding the long head of the biceps tendon. The biceps tendon runs through a groove in the humerus and is enclosed in a synovial sheath. When this sheath becomes inflamed, it causes pain, tenderness, and potentially reduced function in the shoulder. The inflammation can result from overuse, trauma, repetitive movements, or degenerative changes. In some cases, it may coexist with other shoulder pathologies such as rotator cuff injuries or labral tears.
In the veteran case, the biceps tenosynovitis exists alongside other left shoulder conditions, including a SLAP tear, infraspinatus insertional tendinosis, mild AC joint arthrosis, and trace subacromial/subdeltoid bursitis. The temporal relationship suggests a progression from an initial shoulder strain or injury in Mar 2012, which over time developed into multiple concurrent pathologies including the biceps tenosynovitis that was formally identified on MRI in September 2020.
2. For each diagnosis identified, please also provide the following dates: "When did the veteran first experience symptoms attributable to this condition?" the veteran first experienced symptoms attributable to left shoulder pain around Mar 2012, after reportedly lifting a heavy container. The specific biceps tenosynovitis symptoms would have been part of his overall shoulder pain presentation, though they may not have been specifically diagnosed as such at that early stage.
When did the veteran first present to a health / medical provider for this condition? The veteran first presented to a health provider for his left shoulder issues on 13 July 2010, when he underwent X-ray and Ultrasound imaging of the left shoulder for pain with a query of impingement. He was subsequently reviewed by the treating doctor G. the treating doctor, Orthopaedic Surgeon, on 12 October 2010 for chronic disability in his left shoulder.
When was the condition confirmed / formally diagnosed? The condition of biceps tenosynovitis was formally diagnosed based on the MRI findings of 18 July 2018, which identified "Fluid in the biceps sheath" - a diagnostic feature of biceps tenosynovitis. This MRI was performed for "Frozen shoulder? Underlying pathology" and provided the definitive imaging evidence for the diagnosis.
When did the veteran first present to you (or your practice) for this condition? September 12, 2022
3. How was this diagnosis confirmed? i.e. what were the key symptoms and signs, investigation results, specialist opinions? Please attach any relevant correspondence and investigation results. The diagnosis of left shoulder biceps tenosynovitis was confirmed through a combination of clinical presentation and diagnostic imaging. The veteran presented with left shoulder pain and symptoms suggestive of frozen shoulder.
Key symptoms included shoulder pain, particularly over the anterior aspect, limited range of motion, and functional impairment. An MRI conducted on 18 July 2018 provided definitive evidence with the finding of "Fluid in the biceps sheath," which is diagnostic of biceps tenosynovitis.
This condition existed alongside other pathologies identified on the same MRI, including a "Localised 12 o'clock labral (SLAP) tear," "Mild infraspinatus insertional tendinosis," "Mild degenerative arthrosis of the AC joint," and "Trace fluid in the subacromial/subdeltoid bursa."
These findings correlated with the veteran's clinical presentation of shoulder pain and dysfunction, and with the earlier assessment by the treating doctor G. the treating doctor on 12 October 2010, who had noted "mechanical anterior shoulder pain over the junction of the biceps and supraspinatus tendons" and evidence of mechanical subacromial impingement.
4. What do you consider to be the cause(s) of the condition in this veteran? Give consideration to constitutional and common risk factors, pre-existing injuries or diseases, and occupational or lifestyle risks, as well as direct causative mechanisms.
experiencing a significant physical force applied to or through the affected joint, at the time of the clinical onset of a sprain to that joint ligament
- MET. The veteran reported the onset of left shoulder pain around Mar 2012, possibly after lifting a heavy container. This represents a significant physical force applied to the shoulder joint. As an Airfield Defence Guard (ADG), his duties regularly involved manual handling of heavy equipment, weapons, ammunition, and field gear, which would place significant stress on the shoulder joints.
forceful stretching or high intensity use of a muscle or tendon at the time of the clinical onset of a strain to that muscle or tendon
- MET. The veteran's occupation as an ADG requires forceful stretching and high-intensity use of the shoulder muscles and tendons, including the biceps tendon. Activities such as lifting weapons, equipment, and performing physical training would constitute high-intensity use. The initial pain onset was temporally linked to lifting a heavy container, which would involve forceful use of the biceps tendon.
experiencing a significant physical force applied to or through the affected joint, at the time of the clinical worsening of a sprain to that joint ligament
- MET. The veteran's ongoing duties as an ADG would involve continued exposure to significant physical forces through the shoulder joint, contributing to the progression of the condition. This includes manual handling of equipment, weapons training, and physical training activities.
forceful stretching or high intensity use of a muscle or tendon at the time of the clinical worsening of a strain to that muscle or tendon
- MET. The veteran's military occupation requires continued forceful use of the shoulder muscles and tendons, including the biceps. The progression from initial strain to biceps tenosynovitis is consistent with repeated high-intensity use in the context of his duties.
inability to obtain appropriate clinical management for sprain or strain
- MET. There was a significant interval between the initial presentation in 2014 and the definitive diagnosis by MRI in September 2020, suggesting barriers to obtaining appropriate clinical management. The Full Federal Court in Brew v Repatriation Commission (14 May 1993) enlarges on the meaning of "inability" to include both objective and subjective barriers to obtaining treatment. The veteran's military service, including deployments and high operational tempo, may have created practical barriers to accessing appropriate specialist care and diagnostic imaging in a timely manner. The initial investigations in September 2012 (X-ray and ultrasound) did not identify the specific pathology, which was only later confirmed on MRI. This delay in definitive diagnosis and targeted treatment likely contributed to the progression of the condition from an initial strain to tenosynovitis.
Sequelae
The biceps tenosynovitis appears to be part of a constellation of left shoulder pathologies that likely developed from the initial shoulder strain/injury. The MRI from September 2020 identified multiple concurrent conditions including a SLAP tear, infraspinatus tendinosis, AC joint arthrosis, and subacromial/subdeltoid bursitis. While the biceps tenosynovitis is not exclusively a sequela of these other conditions, they represent a pattern of progressive shoulder degeneration following the initial injury, with shared risk factors and pathophysiologic mechanisms.
Unintended Consequence
There is no evidence that the biceps tenosynovitis is an unintended consequence of medical management. The condition appears to be related to the veteran's occupational duties and physical activities rather than a complication of medical treatment.
Inability to Attain Appropriate Medical Management
There is evidence of an inability to attain appropriate medical management for this condition. The significant interval between the initial presentation in 2014 and the definitive diagnosis in September 2020 suggests barriers to timely specialized care and advanced imaging. Despite presenting with left shoulder symptoms in 2014, only basic imaging (X-ray and ultrasound) was initially performed, which did not identify the specific pathology.
The Full Federal Court in Brew v Repatriation Commission (14 May 2013) ruled that "inability" encompasses both objective and subjective barriers to obtaining treatment. The veteran's military service commitments, including deployments and training, may have created practical barriers to accessing appropriate specialist care. Additionally, the initial conservative management approach, while standard, may have delayed the definitive diagnosis and targeted treatment of the specific biceps tenosynovitis pathology.
This delay in obtaining appropriate clinical management for the initial shoulder strain/injury allowed the condition to progress to tenosynovitis and other shoulder pathologies, representing a permanent worsening of his condition. With earlier MRI diagnosis and appropriate intervention, the progression to chronic biceps tenosynovitis might have been mitigated.
The % contribution of the causes is 100% and significant
5. Please provide a Health Summary and a medication / prescribing history. -see attached report
Example document — fictitious patient. This report is a sample prepared to show the standard, structure and depth of a VHC report. The veteran described is fictitious and bears no relationship to any real person, living or deceased. Names, dates of birth, contact details, service numbers, units, locations and treating clinicians have been withheld or altered and all dates have been changed. It must not be relied upon as a record of any real claim.
Need a Diagnostic Assessment like this written from your own medical record? A VHC Chart Review finds every claimable condition in your file, and each one is written up against its Statement of Principles. Fixed fee $600 + GST per stage — see all fees or book an appointment.
