Our Examination Services

Federal Guardian provides Medical and Psychological Disability, Fitness for Duty, and Occupational Health Examinations for a variety of federal, state, local government and private sector programs.

Under the Veterans Benefits Administration (VBA) Medical Disability Examinations (MDE) Program, Federal Guardian assists the U.S. Department of Veterans Affairs in providing quality compensation and pension examinations to Veterans seeking benefits for service-connected health issues. Clinical findings from our network providers are delivered to the Government to enable prompt disability award determinations.

We now also support the U.S. Military Entrance Processing Command (USMEPCOM) by providing examination services to help ensure Military Applicants are are medically suitable to join our nation’s Armed Forces.

Examination Process


Veterans complete and submit a claim for VA disability benefits, which outlines medical and/or psychological conditions they believe are service-connected.  The VA then processes each Veteran’s claim and orders an independent third part examination (C&P exam) from a state-licensed and credentialed provider as part of their review.

For USMEPCOM, independent consultations are only requested by the government if a Military Applicant’s initial entrance examination warrants further testing.


Once an exam is ordered, providers will receive electronic access to the patient’s medical records for review prior to their appointment.

On the day of the appointment, providers administer an examination of previously documented service-connected medical or behavioral health conditions.  No treatment or prescriptions will be administered during or after the exam.  Rather, providers will document their impartial findings within the standardized reporting format and then submit their complete examination electronically.

Once a medical or behavioral health report outlining provider findings is received by the VA (or other client organization), a determination of the patient’s disability benefits or work suitability will be made by the government (or other client organization). Providers do not decide disability benefits ratings – they only record their impartial findings for the client in a pre-determined and agreed upon format.

Frequently Asked Questions (FAQ)

Scheduling and Payments

Scheduling is extremely flexible and designed to meet your availability, so you can work as much or as little as you want with no follow-up treatment required.  However, we do expect providers we credential to maintain regular availability when they are not on vacation or sick leave.

Time Commitment and Examination Details

We start by providing you with a short training module as part of credentialing and onboarding process.  From there we work strictly within your schedule to accommodate local Veterans on an ad hoc basis.

What is a "Service-Connected" VA Disability?

The U.S. Department of Veterans Affairs (VA) awards disability compensation to a veteran because of physical injuries, psychological trauma or diseases that were sustained while or made worse by active-duty military service.

Why Are These Exams and Evaluations Required?

Each separating, retiring member or Veteran of the U.S. Military is eligible to have a one-time evaluation to determine if there are any service-connected medical conditions. Follow-up examinations are occasionally required to update the status of previously documented medical or psychological conditions. Determination of a Veteran’s disability rating will be made by Veterans Benefits Administration (VBA), which is based upon your medical or psychological examination.

What is a Disability Benefits Questionnaire (DBQ)?

Disability Benefits Questionnaires (DBQs) are standard government forms used by the VA to document the required information that is necessary to properly rate a disabled Veteran’s conditions.  You will not be writing reports – only completing these questionnaires within our online portal.

Will I be providing treatment?

You are only asked to evaluate the conditions specifically documented on the Veteran’s Disability Benefit Questionnaire (DBQ).  No treatment shall be rendered unless it is an emergency situation.

How long does it take to join Federal Guardian's network and begin seeing patients?

Depending on provider responsiveness, onboarding and credentialing can usually be completed within a month.

What are the requirements to join Federal Guardian's network?

• You must have an active medical license with no adverse actions.

• No criminal history (confirmed by a background check).

• Must not be excluded from any federal programs.

• Current resume with satisfactory explanation for any gaps in work history.

• Current NPI number.

Where do these exams take place?

Exams must be performed In-Person at your ADA compliant practice location.  Telehealth is available for select programs and locations only, which will be communicated to you during the recruitment process.

How are exam appointments scheduled?

We will contact you directly to schedule examinations as they are ordered.

How many referrals should I expect to receive?

Patient volume fluctuates as orders are generally pulled from within a 50-mile radius of your physical address, so major metros may have much steadier volume than rural areas or smaller cities with fewer Veteran residents.

While a significant number of veterans are applying for disability compensation benefits nationwide, it is not possible to predict the volume of referrals at any given time.

As such, we will work closely with your office to ensure scheduling is as efficient and fair as possible.  Additionally, “No Shows” are reimbursed at your approved rate according to your fee schedule.  

How do I receive payment for examinations I provide?

Once you submit your evaluation and it is reviewed/accepted, we will process your payment within 45-60 business days by direct deposit (ACH).

There are no billing requirements or invoices you will need to send in order to receive payment as completed exams are automatically tracked and viewable within an online portal. 


What is the minimum time I can commit to providing exams?

There are no specific time requirements, and each case will depend on practitioner availability and patient volume.  We will work with you to assess volume and ensure we are requesting an appropriate amount of your time each month.

Email Us

Additional information can be obtained by contacting us directly at: Providers@federalguardian.com

Become a Federal Guardian Provider today!