Method
Records first. Opinion second.
Ingleside starts with the documents. The point is to understand what the record actually shows before deciding whether a signed psychiatric opinion is supportable.
Records reviewed
- Service treatment and personnel records when provided
- VA medical records and outside treatment records
- Prior C&P examinations and rating decisions
- Lay statements, attorney summaries, and supporting materials
- Records uploaded after the review has started
Records not considered
New uploads remain open during the matter, but late records are not automatically part of the opinion. The final letter identifies the records Dr. Craig considered. If something arrives too late or falls outside scope, it can be flagged separately.
Review summary
After records are organized and reviewed, Ingleside sends a summary of the key record issues. This may include missing records, factual questions, dates that need clarification, or problems with how a prior exam handled the evidence.
Clinician review
Dr. Craig reviews the record summary, flags clinical concerns, asks any necessary follow-up questions, and decides whether the requested opinion is medically supportable.
Factual clarification
The veteran or representative can comment on factual issues before final review. That step is not a negotiation over the medical conclusion. It is a chance to correct the record before Dr. Craig signs anything.
Final opinion
If supportable, the final letter states the records considered, the relevant psychiatric findings, the standard being applied, and Dr. Craig's conclusion. If the conclusion is not supportable, Ingleside will say so.