
The PAS mission is to promote excellence in interventions, assessments, and technological advancement, including consultation for
AI-driven solutions,
Trusted Experts in Behavioral Health.
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Expert support in consultation, intervention, assessment, and AI-powered behavioral health solutions.
Request a free 15 minute consultation
VA Psych IMEs & DBQs
Comprehensive Psychological Evaluations for Veterans
Independent forensic assessments that capture what rushed C&P exams miss.
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Dr. Richard Fleitas and his team bring 20+ years of assessment and military mental health expertise to every evaluation. As past C&P examiners who conducts thorough independent assessments, they understand exactly where the system can sometimes fail veterans as well as how comprehensive documentation makes the difference.
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While typical C&P contractors process 4-6 evaluations daily, our clinical team members conduct one detailed assessment
that actually documents your experiences and your complete clinical picture.
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Based in Washington, DC & Northern Virginia
10-14 day report turnaround
Expedited reports (2–4 business days) available; additional fee applies.

Why Independent Evaluation Matters
After conducting hundreds of C&P examinations, we understand precisely how adjudicators evaluate mental health claims. Too many veterans receive inadequate ratings because their initial evaluations failed to properly document symptoms and functional impairment. That's why we established this independent practice - to provide comprehensive evaluations and DBQs that speak directly to rating criteria.
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PAS evaluations through Pivotal Psych deliver what adjudicators need:
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Complete records review (STRs, VA files, personnel records)
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1.5-2 hour clinical interviews capturing all symptom domains
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DBQs with thorough rationales linking symptoms to rating criteria
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Clear documentation of occupational and social impairment levels
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Service connection nexus opinions with full clinical justification
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Reports that translate complex presentations into VA-relevant language