Medical Evidence for TDIU Claims

TDIU Opinion Letter + Record Review

An independent medical record review focused on how your service-connected conditions affect your ability to function reliably and consistently in the workplace.

Comprehensive Record Review

Functional Impact Analysis

Qualified Medical Provider

Evidence-Based Opinion

Veteran meeting with a healthcare professional to review medical records and occupational limitations

Important

A TDIU medical opinion is only provided when supported by the reviewing provider's independent professional judgment and the available medical evidence.

A Thorough, Evidence-Based Process

More Than Just a Letter

A strong medical opinion begins with the evidence. Our process starts with an individualized review of your service-connected conditions, medical history, functional limitations, and relevant occupational information.

Submit Your Records

Provide relevant VA and private medical records, rating information, C&P examinations, DBQs, employment history, and other available supporting documentation.

Professional Record Review

A qualified medical provider reviews the evidence to assess the functional limitations associated with your service-connected condition or conditions.

Medical Opinion

When medically supported, the provider prepares a detailed opinion explaining how documented limitations affect occupational functioning.

Our Services

TDIU Opinion Letter + Record Review

Our TDIU Opinion Letter service begins with a comprehensive review of your medical records, service-connected conditions, treatment history, occupational history, and supporting documentation.

The purpose of the review is to determine whether the medical evidence supports an opinion that your service-connected condition or conditions create functional limitations that interfere with your ability to secure or follow substantially gainful employment.

The initial Record Review is included as part of the service and helps ensure that any medical opinion provided is based on credible, documented evidence.

Your Service Includes

A Comprehensive Medical Review

Review of relevant medical records and treatment history
Review of current service-connected conditions
Evaluation of documented physical and mental functional limitations
Review of relevant occupational and educational history when provided
Assessment of symptoms affecting workplace functioning
Independent determination of whether a medical opinion is supportable
Detailed TDIU medical opinion letter when medically appropriate
Evidence-based rationale explaining the provider's conclusions
Relevant medical literature when applicable

Individualized Review

What the Provider Evaluates

TDIU is not simply about whether you are currently working. The medical question is how your service-connected conditions affect your ability to perform the physical and mental demands of substantially gainful employment.

Attendance & Reliability

Whether symptoms, flare-ups, treatment, or medical appointments may contribute to absences, interruptions, or difficulty maintaining a consistent work schedule.

Concentration & Pace

Limitations involving concentration, memory, focus, task completion, persistence, decision-making, or the ability to maintain an appropriate work pace.

Physical Functioning

Limitations with sitting, standing, walking, lifting, carrying, bending, reaching, repetitive movement, mobility, or other physical activities.

Stamina & Endurance

The effect of pain, fatigue, weakness, sleep impairment, or other symptoms on sustained workplace activity and productivity.

Workplace Interaction

Documented difficulty interacting appropriately or consistently with supervisors, coworkers, customers, or the general public.

Medication & Symptoms

Relevant effects of prescribed treatment or symptoms that may affect alertness, safety, reliability, performance, or workplace functioning.

Medical provider reviewing a female Veteran's medical records and occupational documentation

Connecting the Evidence

Documenting the Real-World Impact of Your Conditions

A diagnosis or disability rating alone does not fully explain how a condition affects someone in a work environment.

Medical evidence can help describe the functional impact of service-connected symptoms — including their frequency, severity, duration, and effect on a person's ability to perform work activities consistently.

The provider's role is to evaluate the available medical evidence and explain the medically supported functional limitations associated with the Veteran's service-connected condition or conditions.

This creates a clearer medical picture of how the documented disability affects occupational functioning.

Preparing for Your Review

Medical Evidence Supports the Claim. VA Makes the Decision.

Valor Health's role is limited to providing an independent medical record review and, when medically supported, a professional medical opinion regarding functional impairment.

The reviewing provider does not determine whether VA will grant TDIU and does not make a legal determination regarding entitlement to VA disability benefits.

Every medical opinion is based on the provider's independent professional judgment and the evidence available for review.

Clinical Integrity

Important Disclaimer

This service provides an independent medical record review and, when medically supported, a professional medical opinion addressing the functional limitations associated with the Veteran's service-connected condition or conditions.

Valor Health does not provide legal advice, vocational assessments, claim strategy, employment placement services, representation before the Department of Veterans Affairs, or assistance preparing or filing a claim for VA benefits.

A medical opinion does not guarantee entitlement to TDIU, an increased disability evaluation, or any other VA benefit. The U.S. Department of Veterans Affairs makes all decisions regarding eligibility, disability ratings, and entitlement to benefits.

Age, non-service-connected conditions, and unrelated employment barriers are not used as the medical basis for an opinion regarding impairment caused by service-connected conditions.

If, after the record review, the reviewing provider determines that the available evidence does not support a P&T medical opinion letter, the paid service fee will be refunded less a $299 record review and administrative fee.