DVBCWEA1.m

DVBCWEA1 ;ALB/CMM EATING DISORDERS WKS TEXT - 1 ; 6 MARCH 1997

 ;;2.7;AMIE;**12**;Apr 10, 1995

 ;

 ;

TXT ;

 ;;A. Review of Medical Records:

 ;;

 ;;

 ;;

 ;;

 ;;B. Medical History (Subjective Complaints):

 ;;

 ;;   Comment on:

 ;;   1. PAST MEDICAL HISTORY

 ;;

 ;;      a. Previous hospitalizations and outpatient care for parenteral

 ;;         nutrition or tube feeding.

 ;;

 ;;

 ;;      b. Medical and occupational history from the time between the 

 ;;         last such rating examination and the present needs to be 

 ;;         accounted for, UNLESS the purpose of this examination is to 

 ;;         ESTABLISH service connection, then a complete medical history

 ;;         since discharge from military service is required.

 ;;

 ;; 

 ;;      c. Periods of incapacitation (during which bed rest and treatment 

 ;;         by a physician are required due to the eating disorder). 

 ;;         Describe the frequency and duration.

 ;;

 ;;

 ;;     d.  Current treatment, response, side effects.

 ;;

 ;;

 ;;  2. PRESENT MEDICAL, OCCUPATIONAL AND SOCIAL HISTORY - over the past

 ;;     one year.

 ;;

 ;;     a. History of onset of eating disorder.

 ;; 

 ;;     b. Its course, treatment, and current status to include symptoms.

 ;;

 ;;     c. Extent of time lost from work over the past 12 month period 

 ;;        and social impairment. If employed, identify current occupation

 ;;        and length of time at this job.

 ;;

 ;;

 ;;  3. SUBJECTIVE COMPLAINTS:

 ;;

 ;;     a. Describe fully.

 ;;

 ;;

 ;;C. Examination (Objective Findings):

 ;;

 ;;   Address each of the following and fully describe:

 ;;   1. Mental status exam to confirm or establish diagnosis in 

 ;;      accordance with DSM-IV.

 ;; 

 ;;   2. Additionally, please provide this specific information.

 ;;

 ;;      a. Current weight.

 ;; 

 ;; 

 ;;      b. Expected minimum weight based on age, height, and body build.

 ;; 

 ;;

 ;;      c. Obtain weight history.

 ;;

 ;;

 ;;   3. Additionally, to allow evaluation by the rating specialist, 

 ;;      describe and fully explain the existence, frequency, and extent

 ;;      of the following signs and symptoms and relate how they 

 ;;      interfere with employment:

 ;; 

 ;;      a. Binge eating.

 ;; 

 ;; 

 ;;      b. Self-induced vomiting or other measure to prevent weight gain

 ;;         when weight is already below expected minimum normal weight.

 ;; 

 ;; 

 ;;D. Diagnostic Tests (including psychological testing if deemed necessary):

 ;; 

 ;;   1. Provide specific evaluation information required by the rating 

 ;;      board or on a BVA Remand. Diagnostic Tests (See the examination

 ;;      request remarks for specifics.):

 ;; 

 ;;      a.  COMPETENCY: State whether the veteran is capable of managing

 ;;          his or her benefit payments in the individual's own best 

 ;;          interests.  (A physical disability which prevents the veteran

 ;;          from attending to financial matters in person is not a proper 

 ;;          basis for a finding of incompetency unless the veteran is, 

 ;;          by reason of that disability, incapable of directing someone

 ;;          else in handling the individual's financial affairs.)

 ;;

 ;;TOF 

 ;;      b.  OTHER OPINION: Furnish any other specific opinion requested

 ;;          by the rating board or BVA Remand, furnishing the complete 

 ;;          rationale and citation of medical texts or treatise supporting 

 ;;          opinion, if medical literature review was undertaken. If the

 ;;          requested opinion is medically not ascertainable on exam or

 ;;          testing, please state WHY. If the requested opinion cannot 

 ;;          be expressed without resorting to speculation or making 

 ;;          improbable assumptions say so, and explain why. If the opinion 

 ;;          asks "...is it at least as likely as not...", fully explain

 ;;          the clinical findings and rationale for the opinion.

 ;;

 ;;

 ;;  2.  Include results of all diagnostic and clinical tests conducted 

 ;;      in the examination report.

 ;;

 ;;

 ;;E. Diagnosis:

 ;;

 ;;

 ;;Signature:                              Date:

 ;;END

--- Routine Detail   --- with STRUCTURED ROUTINE LISTING ---DVBCWEA1   4229     printed  Apr 23, 2025@18:05                                                                                                                                                                                                       Page 2

DVBCWEA1  ;ALB/CMM EATING DISORDERS WKS TEXT - 1 ; 6 MARCH 1997

 +1       ;;2.7;AMIE;**12**;Apr 10, 1995

 +2       ;

 +3       ;

TXT       ;

 +1       ;;A. Review of Medical Records:

 +2       ;;

 +3       ;;

 +4       ;;

 +5       ;;

 +6       ;;B. Medical History (Subjective Complaints):

 +7       ;;

 +8       ;;   Comment on:

 +9       ;;   1. PAST MEDICAL HISTORY

 +10      ;;

 +11      ;;      a. Previous hospitalizations and outpatient care for parenteral

 +12      ;;         nutrition or tube feeding.

 +13      ;;

 +14      ;;

 +15      ;;      b. Medical and occupational history from the time between the 

 +16      ;;         last such rating examination and the present needs to be 

 +17      ;;         accounted for, UNLESS the purpose of this examination is to 

 +18      ;;         ESTABLISH service connection, then a complete medical history

 +19      ;;         since discharge from military service is required.

 +20      ;;

 +21      ;; 

 +22      ;;      c. Periods of incapacitation (during which bed rest and treatment 

 +23      ;;         by a physician are required due to the eating disorder). 

 +24      ;;         Describe the frequency and duration.

 +25      ;;

 +26      ;;

 +27      ;;     d.  Current treatment, response, side effects.

 +28      ;;

 +29      ;;

 +30      ;;  2. PRESENT MEDICAL, OCCUPATIONAL AND SOCIAL HISTORY - over the past

 +31      ;;     one year.

 +32      ;;

 +33      ;;     a. History of onset of eating disorder.

 +34      ;; 

 +35      ;;     b. Its course, treatment, and current status to include symptoms.

 +36      ;;

 +37      ;;     c. Extent of time lost from work over the past 12 month period 

 +38      ;;        and social impairment. If employed, identify current occupation

 +39      ;;        and length of time at this job.

 +40      ;;

 +41      ;;

 +42      ;;  3. SUBJECTIVE COMPLAINTS:

 +43      ;;

 +44      ;;     a. Describe fully.

 +45      ;;

 +46      ;;

 +47      ;;C. Examination (Objective Findings):

 +48      ;;

 +49      ;;   Address each of the following and fully describe:

 +50      ;;   1. Mental status exam to confirm or establish diagnosis in 

 +51      ;;      accordance with DSM-IV.

 +52      ;; 

 +53      ;;   2. Additionally, please provide this specific information.

 +54      ;;

 +55      ;;      a. Current weight.

 +56      ;; 

 +57      ;; 

 +58      ;;      b. Expected minimum weight based on age, height, and body build.

 +59      ;; 

 +60      ;;

 +61      ;;      c. Obtain weight history.

 +62      ;;

 +63      ;;

 +64      ;;   3. Additionally, to allow evaluation by the rating specialist, 

 +65      ;;      describe and fully explain the existence, frequency, and extent

 +66      ;;      of the following signs and symptoms and relate how they 

 +67      ;;      interfere with employment:

 +68      ;; 

 +69      ;;      a. Binge eating.

 +70      ;; 

 +71      ;; 

 +72      ;;      b. Self-induced vomiting or other measure to prevent weight gain

 +73      ;;         when weight is already below expected minimum normal weight.

 +74      ;; 

 +75      ;; 

 +76      ;;D. Diagnostic Tests (including psychological testing if deemed necessary):

 +77      ;; 

 +78      ;;   1. Provide specific evaluation information required by the rating 

 +79      ;;      board or on a BVA Remand. Diagnostic Tests (See the examination

 +80      ;;      request remarks for specifics.):

 +81      ;; 

 +82      ;;      a.  COMPETENCY: State whether the veteran is capable of managing

 +83      ;;          his or her benefit payments in the individual's own best 

 +84      ;;          interests.  (A physical disability which prevents the veteran

 +85      ;;          from attending to financial matters in person is not a proper 

 +86      ;;          basis for a finding of incompetency unless the veteran is, 

 +87      ;;          by reason of that disability, incapable of directing someone

 +88      ;;          else in handling the individual's financial affairs.)

 +89      ;;

 +90      ;;TOF 

 +91      ;;      b.  OTHER OPINION: Furnish any other specific opinion requested

 +92      ;;          by the rating board or BVA Remand, furnishing the complete 

 +93      ;;          rationale and citation of medical texts or treatise supporting 

 +94      ;;          opinion, if medical literature review was undertaken. If the

 +95      ;;          requested opinion is medically not ascertainable on exam or

 +96      ;;          testing, please state WHY. If the requested opinion cannot 

 +97      ;;          be expressed without resorting to speculation or making 

 +98      ;;          improbable assumptions say so, and explain why. If the opinion 

 +99      ;;          asks "...is it at least as likely as not...", fully explain

 +100     ;;          the clinical findings and rationale for the opinion.

 +101     ;;

 +102     ;;

 +103     ;;  2.  Include results of all diagnostic and clinical tests conducted 

 +104     ;;      in the examination report.

 +105     ;;

 +106     ;;

 +107     ;;E. Diagnosis:

 +108     ;;

 +109     ;;

 +110     ;;Signature:                              Date:

 +111     ;;END