Built for veterans. Backed by medical evidence.
Medical evidence for the benefits you earned.
Patriot NEXUS Letters builds clear, evidence-based medical opinions connecting your diagnosed condition to your military service. Your story is personal. Your evidence should be precise.
Free consultation · Flat fee · We never take a percentage of your back pay
30+ years of experience
HIPAA-secured document portal
Flat fee — never a cut of back pay
You review the draft before it is final
Nationwide mission
Serving veterans in every state.
Remote evaluations, secure records, and local coverage from major metros to rural communities.
Our expertise
We can help with any medical or mental health condition.
Physical injuries, chronic pain, sleep disorders, or psychological conditions like PTSD, depression and anxiety — our medical and mental health providers review your case and write a clear, supportive nexus statement.
Physical injuries
Musculoskeletal injuries, joint and back conditions, and post-surgical limitations documented in service.
Chronic pain
Ongoing pain conditions and secondary conditions that developed from an original service injury.
Sleep disorders
Sleep apnea and insomnia, including claims secondary to PTSD, rhinitis, or weight gain from medication.
PTSD & trauma
Mental health evaluations by licensed providers tied to documented stressors and service events.
Depression & anxiety
Mood and anxiety conditions, on their own or secondary to a service-connected physical condition.
Exposure conditions
Illnesses tied to burn pits, Agent Orange, Camp Lejeune water, and other documented exposures.
If you have a service-connected condition — or think you might — reach out today for a free consultation. No matter the condition, we're here to support you.
Why it matters
Every VA claim needs three things.
A current diagnosis, an in-service event or exposure, and a medical link between the two. That link is the nexus — and it is where most claims fall apart.
- 1A current diagnosisDocumented by a provider and supported by recent treatment records or testing.
- 2An in-service eventAn injury, illness, stressor or exposure that appears in your service or personnel records.
- 3The medical linkA licensed provider's opinion that your condition is at least as likely as not related to that service event.
How it works
Four steps, in plain English.
No jargon, no guesswork. You always know what happens next and what it costs.
- 1
Free phone consultation
We discuss the conditions you want service-connected, your prior VA decisions, how we may help, and the flat-fee quote for your situation.
- 2
Payment and secure upload
After payment, you upload your DD-214, VA letters, medical records, and supporting statements through a HIPAA-secured patient portal.
- 3
Doctor review and draft
A qualified doctor reviews your records and tailors a nexus letter to your case. The process takes up to 4 weeks after you confirm that all documents are uploaded and ready for review.
- 4
Review and final letter
You have an opportunity to review the draft before it is finalized and receive the completed nexus letter for your VA disability claim.
Why veterans choose us
Straight answers, flat-fee quotes, qualified providers.
You keep 100% of your back pay
You receive a flat-fee quote during your free consultation. We never take a percentage of your back pay.
You review the draft
Before anything is finalized, you read the opinion and can ask for factual corrections. Nothing goes out that you have not seen.
Written by qualified professionals
Opinions are written by highly qualified healthcare professionals and tailored to your records, condition, and military service.
Refund if we cannot support it
If a provider reviews your records and cannot write a supportable opinion, you get a full refund. We will not write an opinion the evidence does not carry.
Records-first review
We start with your DD-214, service treatment records, VA decision letters and current medical documentation, then build the rationale around what is actually there.
A real person answers
Call or email Patriot NEXUS Letters to ask questions and arrange your free consultation.
Conditions
Find your condition.
Tap a condition to see what the VA requires, how it is rated, and what a medical opinion has to prove.
- PTSDPost-traumatic stress disorder tied to a documented or corroborated in-service stressor.Read more
- Sleep ApneaDirect and secondary service connection for obstructive sleep apnea.Read more
- Tinnitus & Hearing LossNoise-exposure claims for tinnitus and sensorineural hearing loss.Read more
- Back, Knee & Joint ConditionsMusculoskeletal claims for the spine, knees, hips, shoulders, and ankles.Read more
- Migraines & HeadachesDirect and secondary migraine claims, including post-TBI and cervicogenic headache.Read more
- Depression & AnxietyMood and anxiety disorders, including those secondary to chronic physical conditions.Read more
- Traumatic Brain InjuryResiduals of blast exposure, concussion, and closed head injury.Read more
- Burn Pit & Respiratory ConditionsAirborne hazard and burn pit exposure claims under the PACT Act.Read more
- GERD & Digestive ConditionsReflux and digestive claims, most often secondary to medication or PTSD.Read more
- HypertensionBlood pressure claims, commonly secondary to PTSD, sleep apnea, or diabetes.Read more
What you pay
A clear flat-fee quote before you begin.
You will never be asked for a share of your retroactive award.
- Your consultation is free and includes a quote for your specific situation.
- The quoted amount is a flat fee. We never take a percentage of your back pay.
- If we cannot write the letter after reviewing your records, you receive a full refund.
Nationwide
Wherever you served, wherever you live.
Every step happens remotely, so where you live never limits who reviews your records.
All 50 states, D.C. and U.S. territories
Telehealth evaluations and record review are conducted by providers licensed to practice for your situation. If a service requires a provider licensed in your state, we match you with one.
Overseas and remote veterans
If you live abroad or in a rural area, secure upload and phone or video appointments mean no travel and no in-person visit.
Secure from end to end
Documents move through a HIPAA-secured portal. Nothing is handled over unsecured email or text.
Scheduling around your time zone
Appointments are booked to your local time, including early and late slots where provider availability allows.
Find out which of your conditions a medical opinion can support.
Answer eight plain-English questions. No cost, no obligation, and a real person follows up.
Patriot NEXUS Letters is a veteran-owned and operated company providing independent medical opinions and mental health evaluations for VA disability claims. We are not affiliated with or acting on behalf of the U.S. Department of Veterans Affairs. The VA makes all claim and rating decisions, and no outcome is guaranteed.