Combination Evaluations

One record for both TDIU and Aid & Attendance.

For Veterans pursuing both Total Disability Individual Unemployability (TDIU) and Aid & Attendance (SMC), we produce a single defensible vocational record that integrates employment and daily-living findings.

01

Thorough Medical File Review

The medical review forms the foundation of every opinion. We examine service, treatment, and expert records to identify documented conditions and their functional impact on both employability and the need for aid and attendance.

02

Interview with the Veteran or Caregiver

We interview the Veteran or caregiver to understand current functioning, daily limitations, and the real-world impact of the disabling conditions across both employment and daily-living contexts.

03

TDIU & A&A Alignment

We align findings across both TDIU and Aid & Attendance criteria — translating the same medical evidence into employability limitations and ADL/IADL dependency — so the record is consistent across both claims.

04

Functional & Vocational Analysis

We translate documented medical limitations into both occupational and daily-living terms, producing a single reasoned opinion supported at every step of the record.

Defensibility

What makes the opinion stand up.

Each pillar is documented, sourced, and connected to the next — so the conclusion is supported at every step.

Standard 01

Record-Anchored

Every limitation is tied to a specific medical record entry, not a general assertion.

Standard 02

Veteran-Informed

The Veteran's account is captured directly and reconciled with the clinical record.

Standard 03

Occupation-Specific

Work capacity is measured against actual occupational demands, not abstract impairment.

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