I'm not sure I understood all of what you were saying, but I'm an Army TDRL PEBLO, and this is how we do it at our facility: First, we talk to the service member (SM) to ask at what facilities you've been treated since being placed on the TDRL. We ask about any new medical conditions you feel need to be evaluated. I get a signed Release of Medical Information form, and get a copy of all your records. Then, I scour the records to make a list of medical conditions that need to be evaluated along with the ones listed on your DA 199, 3947 and w/in the NARSUM. I then talk w/the SM again about this list and make sure we're addressing everything that needs to be evaluated. I request referrals for the examinations, and send a packet of info. regarding each condition to send to the evaluating doctor. It includes a copy of the 199, 3947, NARSUM, and any medical notes relating to that condition for which the doctor is evaluating you. I also include the VA worksheet for that condition for the doctor to use as a template for the report. Generally, the closer they stick to the template, the better the report. Then, I spend the next few months waiting for/checking up on your appointments and chasing paper (i.e. getting copies of those reports). Depending on which facility we're dealing with, this can be the most challenging part...getting those reports! Once they're all in, I review them for completeness/accuracy and appropriate signatures and send them, along with some of your background info., radiology reports and medication profile to our MEB doctor. He writes a consolidated summary and we send that to the deputy commander for clinical services, who offers his opinion as to whether or not the SM's conditions are stable for rating purposes. We then send the whole thing to the SM for you to review and concur or nonconcur-rebutt. Once I get that back from you, it all goes down to the PEB. Right now, our PEB is taking aobut 90 days to adjudicate, and I wouldn't be surprised to see that time-frame increase based upon the backlog of cases and a physical relocation of the office. The whole process can take close to a year, but it really varies on a case by case basis. If I can get my SM's to our MTF for their appt's., we'd be ready to go in a month or two. Anyways, hope this was helpful, and good luck!