The NOD form contains blocks for any dispute matter (the medical conditions for which you claim), for example. B knee disorders or kidney stones. List only the terms of the NOD if you do not agree with the assessment. For example, if you have been assessed for three conditions and you disagree with only one decision, list only the decision with which you disagree. Then check the block that indicates what you don`t agree with (service binding, evaluation level, or effective date). . . .