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VA must provide exam under McLendon v Nicholson

Question asked:

“Under McLendon v. Nicholson, the VA must provide an examination or medical opinion when the record contains evidence of a current disability or persistent/recurrent symptoms, evidence establishing that an in-service event, injury, or disease occurred, an indication that the claimed disability may be associated with service, and insufficient competent medical evidence to decide the claim.”
True
Confidence: High Checked on November 2, 2026

Summary

Under McLendon v. Nicholson, the VA is required to provide a medical examination or opinion when the record shows evidence of a current disability or ongoing symptoms, evidence that an in‑service event, injury, or disease occurred, an indication that the claimed disability may be linked to service, and a lack of sufficient competent medical evidence to decide the claim. This four‑part test is consistently described in the cited VA decisions and legal analyses.

Sources 57 searched

va.gov
  • Citation Nr: 0811849 Decision Date: 04/10/08 Archive Date: 04/23/08

    In addition, service medical records ... Therefore, the Board finds that the first three elements enunciated in McLendon are met. Therefore, a medical examination is required....

  • Va

    VA is obligated to provide a medical examination when the record contains competent evidence that the claimant has a current disability or signs and symptoms of a current disability; the record indicates that the disability or signs and symptoms of disability may be associated with active service; ...

  • Citation Nr: 0817225 Decision Date: 05/26/08 Archive Date: 06/04/08

    In McLendon v. Nicholson, 20 Vet. App. 79 (2006), the United States Court of Appeals for Veterans Claims (Court) addressed the four elements that must be considered in determining whether a VA medical examination must be provided as required by 38 U.S.C.A.

department.va.gov
uscourts.cavc.gov
  • UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS No. 17-2879

    ANALYSIS · A. The Parties' Arguments · The appellant argues that the Board erred in determining that the Secretary's duty to assist · did not require VA to afford him a medical examination to address whether there is a nexus · 1 The four-part test set forth in McLendon requires the following:

  • e UNITED STATES COURT OF APPEALS FOR VETERANS ...

    Chief Judge Michael P. Allen Clerk of the Court Tiffany M. Wagner · The United States Court of Appeals for Veterans Claims is a national court of record, established under Article I of the Constitution of the United States. The Court has exclusive jurisdiction to provide judicial review of ...

efiling.uscourts.cavc.gov
  • IN THE UNITED STATES COURT OF APPEALS FOR VETERANS CLAIMS

    low threshold for triggering the duty to obtain a VA examination, as discussed above, so ... facts in this case do not “indicate” that Appellant’s current disability “may be associated” · with military service. Accordingly, reversal of the Board’s finding that the duty to assist · was satisfied is the better remedy, and on remand the Board should be instructed to provide · a reasoned medical opinion based on the entire evidence of record. See McLendon v. Nicholson, 20 Vet.

docs.house.gov

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