A Nexus Letter is an independent medical opinion that clearly explains how your current diagnosis is at least as likely as not connected to your military service. Our physicians cite medical research, service records, and VA guidelines to build a direct bridge between your condition and your duty. It’s the expert link between your diagnosis and your service.
Every letter is authored and signed by a board‑certified MD or DO—never nurse practitioners or assistants. The VA gives greater weight to specialist opinions, so our physicians list full credentials, licenses, and CV summaries on each document for maximum evidentiary value. Specialist credentials equal stronger evidence.
Letters are crucial for non‑presumptive conditions, secondary service connections, rating increases, or previously denied claims. When the causal link isn’t obvious, a physician’s rationale can be the deciding factor. Essential when the connection isn’t crystal‑clear.
Flat pricing keeps things simple: $500 for the record review, $1,000 per Nexus Letter, and $500 flat per DBQ (clinical interview via secure electronic platform for verified MA/FL residents; record-review-only for other states). Flat rates—no surprise fees.
Standard turnaround is 1–2 weeks on average. Need it sooner? Choose expedited processing, for qualifying cases, in 3 business days for an additional fee.
Please upload your service treatment records, recent medical notes, prior rating decisions, and any lay statements. The more complete your file, the stronger and more specific our rationale will be. Better records = stronger rationale.
We focus exclusively on the medical evidence. For claim preparation and submission, partner with a VSO, accredited agent, or VA‑experienced attorney. We handle the medicine—your VSO handles the paperwork.
No ethical provider can promise a specific VA outcome. What we guarantee is a thoroughly researched, physician‑signed opinion that meets VA standards. No guarantees—just the strongest medical case possible.
1) Upload your records. 2) Enjoy a free 15‑minute MD consult. 3) Approve the invoice and draft. 4) Receive your final letter securely. Four simple steps from upload to letter.
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