The process
Four steps from records to a signed medical opinion.
Every step is explained before it happens, and a real person is reachable at 844-368-2757 the whole way through.
- 1
Contact our team
Talk with us at no cost about the conditions you want service-connected, your prior VA decisions, and which of our three services fits your situation.
- 2
Medical record review
You upload your DD-214, VA letters, medical records, medications, and personal statement through a secure, HIPAA-compliant client portal. A contracted physician reviews the evidence relevant to your medical question.
- 3
Independent medical opinion
A licensed provider develops an individualized opinion with a detailed rationale when the evidence supports one. Nexus letters take up to 4 weeks after your records are complete; a records review is typically about 7 days.
- 4
Support for your VA claim
You receive the completed opinion and can review it for factual accuracy. One revision is included when necessary and medically appropriate.
Before you start
What to gather.
You do not need all of it to begin — bring what you have and we will tell you how to request the rest.
- DD-214 (and any other separation documents)
- Service treatment records, if you have them
- VA decision letters, rating decisions, and C&P exam reports
- Private medical records and current treatment notes
- Imaging, sleep studies, or lab results relevant to the condition
- Buddy statements or personal statements you have already written
What a strong opinion contains
Why our letters carry weight.
A rater weighs an opinion on its reasoning, not its conclusion.
A stated review of your actual records
The provider names the documents reviewed, by date, so the opinion is clearly grounded in your file rather than a template.
An identified in-service event
The specific injury, illness, exposure, or stressor is cited to the record that documents it.
A medical mechanism
The letter explains how the in-service event physiologically or psychologically leads to the current diagnosis.
Literature and regulatory citations
Peer-reviewed sources and the applicable 38 CFR criteria are cited, along with relevant VA case law where it applies.
The correct standard of proof
The conclusion is stated as 'at least as likely as not,' the 50-percent threshold the VA applies.
A signature and credentials
The letter is signed by the licensed provider who wrote it, with license number and specialty stated.
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.