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I talk to veterans every week who walked into their hearing and tinnitus C&P exam completely blind. They didn’t know there were two different tests. They didn’t know the tinnitus evaluation is just a conversation. They didn’t know that three simple words — “I’m used to it” — would tank their entire claim.
They walked out with zero percent. For conditions they’ve had since their first deployment.
Here’s what most veterans don’t realize: your hearing loss exam and your tinnitus exam are two completely different animals. One involves actual testing — buttons, beeps, a booth. The other? Just a conversation. And if you don’t know how to handle both, you’re walking out with a rating that doesn’t reflect what’s actually wrong with you.
In this video, I break down exactly what happens in that exam room. Step by step. The tests they run. The questions they ask. The answers that help you — and the answers that sink you.
I’m Marshall — physician, Army Ranger (1st Batt, 75th Regiment), combat medic, disabled veteran. I’ve conducted C&P exams. And I’ve helped thousands of veterans navigate this process with a 96% approval rate.
Your C&P exam isn’t a mystery. It’s a process — and once you understand it, you can walk in prepared
ABOUT MARSHALL & XTERRA HEALTH
I’m Marshall — physician assistant, Army Ranger (1st Batt, 75th Ranger Regiment), Special Operations Combat Medic with five tours in Iraq and Afghanistan, disabled veteran.
I’ve conducted C&P exams. I’ve filled out the DBQs that determine ratings. And I’ve helped thousands of veterans get the ratings they’ve earned — with a 96% approval rate.
If you need a nexus letter or DBQ for hearing loss, tinnitus, or any condition — that’s exactly what we do at Xterra Health.
Here’s how Xterra Health works:
Free consultation — We talk through your situation at no cost
Free records review — We review ALL your records completely free
Free nexus letter draft — We write the letter before you pay anything
You participate in editing — This is YOUR story, your claim
You only pay if you like it — Only after you approve the finished product
$500 per letter — Not per condition
No contracts — Walk away anytime
Website: https://xterrahealth.com/
Email: mbahr@xterrahealth.com
Phone: (220) 270-6090
Instagram: https://www.instagram.com/xterra.health/
TikTok: https://www.tiktok.com/@xterra_health
Facebook: https://www.facebook.com/XterraHealth
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QUESTIONS? DROP A COMMENT:
1 Do you have a hearing or tinnitus exam scheduled?
2 What was your MOS and primary noise exposure?
3 Have you already been through this exam? What was your experience?
4 What other C&P exams should I cover?
5 Do you have questions about your specific situation?
I read comments and respond when I can. Let’s help each other navigate this system.
DISCLAIMER:
This video is for educational purposes only and does not constitute medical or legal advice. While I am a licensed physician assistant, I am not YOUR provider unless we have established care through Xterra Health.
The information provided reflects general guidance for understanding the C&P exam process. Individual cases vary, and the VA evaluates each veteran’s situation based on specific evidence and circumstances.
C&P exam outcomes depend on multiple factors including your medical history, service records, and examiner findings. This video provides educational information but cannot guarantee any specific outcome.
If you have questions about your claim, consult with a VA-accredited attorney, claims agent, or Veterans Service Organization (VSO).
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