QTC Records Review Instead of Exam A veteran shared: “QTC letter says an IMO eligible clinician will review existing records and a provider will review the referral to complete the DBQ.” 👉 This just means they’re doing a records review only—no in-person exam. That’s common when your condition is already well documented, and the VA just needs a medical opinion (like whether it’s linked to service or exposures). ✅ Once that opinion is in your file, the VA should move forward with a decision—assum