Question 1

What is a nexus letter?

Accepted Answer

A nexus letter (or independent medical opinion) is a written statement from a qualified medical professional addressing whether a condition is likely related to military service or to another service-connected condition, along with the medical reasoning behind that conclusion.

Question 2

Does a nexus letter guarantee my claim will be approved?

Accepted Answer

No. The VA makes all decisions on disability claims and weighs all of the evidence. A private medical opinion is one piece of evidence. We cannot and do not guarantee any outcome.

Question 3

Will the opinion always support my claim?

Accepted Answer

No. Every opinion reflects the physician's independent, honest medical judgment based on the records and medical literature. If the evidence does not support a favorable opinion, we will tell you.

Question 4

Are you affiliated with the VA?

Accepted Answer

No. We are a private medical practice and are not affiliated with, endorsed by, or acting on behalf of the U.S. Department of Veterans Affairs or any government agency.

Question 5

What medical evidence is helpful?

Accepted Answer

Service treatment records, records of in-service injuries or complaints, post-service treatment records, imaging reports, and any prior VA examinations or DBQs are typically the most relevant.

Question 6

Do I need a private evaluation to file a claim?

Accepted Answer

No. You can file a claim without a private opinion, and the VA may schedule its own examination. Some veterans choose an independent opinion to add specialist evidence to their file.

Question 7

Is there free help available?

Accepted Answer

Yes. VA-accredited Veterans Service Officers (VSOs), as well as accredited attorneys and claims agents, can help you file. VSO assistance is free. We encourage veterans to use these resources.

Question 8

What is a DBQ?

Accepted Answer

A Disability Benefits Questionnaire is a standardized form documenting the findings of a medical condition. Relevant public DBQs are included in the comprehensive package only when clinically supported; not every form is required or appropriate.

Question 9

How much does it cost?

Accepted Answer

The initial medical evaluation is $199. The Complete Nexus Evaluation Package is $1,000 total — the $199 is credited, leaving $801. Relevant DBQs are included when clinically supported, with no separate DBQ fee for the evaluated condition. Unrelated conditions may involve additional fees.

Question 10

Do you see patients nationwide?

Accepted Answer

Yes, we serve veterans nationwide. Our office will explain how the process works for your location.

Frequently asked questions

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