Nexus Letters for VA disability claims
A Nexus Letter is a written medical opinion that explains, in the VA's own terms, how your current condition is connected to your service.
What is a Nexus Letter?
A Nexus Letter is a professionally written medical document, prepared by a licensed physician, that establishes the link between a current diagnosed condition and an event, injury, or exposure during military service.
It matters most where the connection is not obvious from your records — a condition that was never formally diagnosed on active duty, or a secondary condition caused by an already service-connected disability.
What's included
Comprehensive file review
A physician reads your service records, medical records, and any prior VA decisions.
Medical rationale
A reasoned opinion connecting your condition to service, written to the standard the VA expects.
Signed by a board-certified physician
Your letter carries the signature and credentials of the doctor who wrote it.
Secure, encrypted delivery
Released through your private portal. We never email medical documents.
Why choose us
U.S. board-certified physicians
Every letter is written by a licensed, board-certified physician in the United States. No AI-generated content, and no templates.
Flat fees, no surprise charges
You know the price before you start. No hourly billing, no upsells, and no charges you did not agree to.
HIPAA-compliant process
Your records are encrypted in transit and at rest, stored with strict access controls, and never sent by email.
Letters delivered within 7–14 days
Standard delivery is 7–14 business days. Expedited delivery is available if you are working to a deadline.
Veteran-focused service
We are veterans. We have been through the VA process ourselves and we know what a claim actually needs.
Pricing
Basic (Tier 1)
$400
Single, straightforward condition
One medical condition with a clear, direct connection to military service. Limited record review and a straightforward medical rationale.
Intermediate (Tier 2)
$450
Multiple or moderately complex conditions
Two or more related conditions, or a single condition with complicating factors. Requires a deeper review of medical and service records.
Advanced (Tier 3)
$500
Multiple, complex, or rare conditions
Three or more conditions, rare presentations, or significant ambiguity. Comprehensive review of extensive records and synthesis of multiple sources of evidence.
Standard delivery takes about two weeks at no extra charge. Expedited delivery is one week for an additional $100. Every tier includes physician review, secure document upload, a private portal, HIPAA-compliant handling, and one revision request within 7 days.
Is a Nexus Letter right for you?
Start a free case review and find out before you pay anything.