A nexus letter is a medical opinion that explains the connection (“nexus”) between a veteran’s current medical condition and their military service. It is written by a qualified medical professional and uses medical reasoning, evidence, and VA-appropriate language to support a VA disability claim.

A strong nexus letter can help clarify why your condition is related to your service, especially when the connection is not obvious or has been questioned in the past. It can be used to support:

• New claims

• Supplemental claims

• Appeals

• Previously denied claims

While no document can guarantee approval, a well-supported medical opinion can strengthen the overall evidence in your filescription

Our nexus letters are written by licensed medical professionals with clinical experience and a deep understanding of VA disability standards. Every opinion is based on a thorough review of your medical records, service history, and relevant medical literature.

No. The VA makes all final decisions regarding disability claims. Ethical medical providers cannot—and should not—guarantee outcomes. What we do guarantee is an honest, evidence-based medical opinion written with integrity and in accordance with VA guidelines.

We assist with a wide range of conditions, including but not limited to:

• Musculoskeletal injuries

• Mental health conditions

• Chronic pain

• Sleep disorders

• Secondary conditions

• Aggravation of pre-existing conditions

If you’re unsure whether your condition qualifies, we’re happy to review your situation.

Typically, we request:

• Relevant service records

• Post-service medical records

• Prior VA decisions (if applicable)

• Any C&P exam reports related to your condition

We’ll guide you through exactly what’s needed during the intake process.

Many of the veterans we work with have been denied at least once. A prior denial does not mean your claim lacks merit—it often means the medical connection wasn’t clearly established. Our role is to address that gap with a clear, medically supported opinion.

Your service deserves to be taken seriously.

Timelines vary depending on record availability and case complexity, but most nexus letters are completed within a few weeks once all required documentation is received. We prioritize accuracy and thoroughness over speed.

No, we do not work directly with these individuals; however, our medical opinions can complement the work of VSOs, accredited representatives, and attorneys. We focus strictly on the medical evidence so your claim team has strong support to work with.

Absolutely. Our opinions are independent, evidence-based, and written in compliance with VA standards. We do not exaggerate, misrepresent, or advocate beyond what the medical evidence supports.

Integrity is non-negotiable.

At this time, nexus letters are not covered by the VA or health insurance and are considered a private, self-pay service.

Contact us to begin the intake process. We’ll explain the process, and if you choose to move forward with our services, we will let you know whether a nexus opinion is appropriate for your situation after the records review. If you already know that a nexus opinion is what your case is missing, based on a prior VA decision, you can select that package from the start.