BVA9503545 DOCKET NO. 93-13 554 ) DATE ) ) On appeal from the decision of the Department of Veterans Affairs Regional Office in St. Petersburg, Florida THE ISSUE Entitlement to an increased rating for HIV-related illness, currently rated 10 percent disabling. REPRESENTATION Appellant represented by: The American Legion ATTORNEY FOR THE BOARD Mark J. Swiatek, Counsel REMAND The veteran had active duty from November 1988 to May 1992. This matter comes before the Board of Veterans' Appeals (Board) from an August 1992 decision of the Department of Veterans Affairs (VA) Regional Office (RO) in St. Petersburg, Florida. The representative has requested that the case be returned to the RO for additional development in view of the veteran's reference to medical treatment and greater symptoms. The record reflects that the veteran, in his substantive appeal, referred to medical records which would support a rating in excess of the currently assigned 10 percent. The veteran appears to be referring to additional medical records which are not currently on file. The RO should clarify this matter and obtain copies of any pertinent medical records which are not already of record. The Board notes that a VA examination in July 1992 did not include laboratory studies. The referenced "CD-4 count" was apparently a previous value reported to the examiner by the veteran. Nor was any information regarding any employment limitation reported. In view of the foregoing, and to ensure that the VA has met its duty to assist the claimant in developing the facts pertinent to the claim and to ensure full compliance with due process requirements, the case is REMANDED to the RO for the following development: 1. The RO should request the veteran to provide the names and addresses of all medical care providers who treated him for HIV-related illness since service. After securing any necessary authorization from the veteran, the RO should obtain copies of these records. 2. The veteran should be afforded an examination by a board certified specialist in immunologic disorders, if available, to determine the current severity of his HIV- related illness. The claims folder should be made available to the examiner for review before the examination. The examiner should review pertinent data in the claims folder and elicit from the veteran current complaints and symptoms, as well as his account of the effects of the disorder on employment. The examiner should rule in or out the presence of recurrent constitutional symptoms, intermittent diarrhea, Hairy Cell Leukoplakia, and/or Oral Candidiasis. The examiner should also note whether or not the veteran is on approved medication(s), and determine the T4 cell count. All special studies necessary for a complete evaluation should be obtained. 3. Thereafter, the RO should readjudicate the issue on appeal. The decision should reflect consideration of the applicability of 38 C.F.R. § 3.321(b)(1). If the benefit sought on appeal is not granted to the veteran's satisfaction, a supplemental statement of the case should be prepared and furnished to the veteran and his representative. They should be provided the applicable period in which to respond. Thereafter, in accordance with the proper appellate procedures, the case should be returned to the Board for further appellate review, if otherwise in order. In taking this action, the Board implies no conclusion, either legal or factual, as to any final outcome warranted. No action is required of the veteran until he is otherwise notified by the RO. GARY L. GICK Member, Board of Veterans' Appeals The Board of Veterans' Appeals Administrative Procedures Improvement Act, Pub. L. No. 103-271, § 6, 108 Stat. 740, ___ (1994), permits a proceeding instituted before the Board to be assigned to an individual member of the Board for a deter- mination. This proceeding has been assigned to an individual member of the Board. Under 38 U.S.C.A. § 7252 (West 1991), only a decision of the Board of Veterans' Appeals is appealable to the United States Court of Veterans Appeals. This remand action has been taken in accordance with the Veterans' Benefits Improvements Act of 1994, Pub. L. No. 103-446, § 303, 108 Stat. 4645, (1994) and is in the nature of a preliminary order and does not constitute a decision of the Board on the merits of your appeal. 38 C.F.R. § 20.1100(b) (1993).