Can I change the type of exam?

Yes, you can request a change from an ACE (Acceptable Clinical Evidence) review to an in-person examination, but the VA has the ultimate discretion to decide the type of exam it deems necessary under 38 CFR 3.326(a). The VA schedules exams based on what is needed to decide the claim, and an ACE exam—where a clinician reviews your file without an interview—is often used when they believe the existing evidence is sufficient for an opinion. However, you have the right to assert that the record is inadequate for a proper evaluation and that a hands-on, in-person exam is required to fully assess the nature and severity of your condition, a principle supported by *DeLuca v. Brown* (which holds that the VA must obtain a thorough exam addressing all pertinent issues). Your actionable next step is to **immediately contact the VA’s contractor scheduling the exam (likely VES, QTC, or Optum) to request an in-person exam and to concurrently submit a written statement via VA Form 21-4138 or through QuickSubmit on VA.gov, addressed to the appropriate claims folder**. In this statement, clearly argue that an in-person exam is medically necessary for an accurate assessment, citing any specific functional limitations or symptoms that cannot be adequately evaluated through a records review alone. Be aware that while the VA must consider your request, they may proceed with the ACE if they find it adequate; if they deny your request and you later receive an unfavorable decision, you could argue, on appeal, that the VA failed in its duty to assist under 38 U.S.C. § 5103A by not providing an adequate exam. *This information is for educational purposes regarding VA claims processes and is not intended as legal or medical advice; for guidance specific to your claim, consider consulting an accredited VA attorney or claims agent.*