A Nexus Letter or Medical Opinion is a letter written by a medical clinician, a PA, NP, MD, DO, Audiologist, Podiatrist, or Psychologist with a Ph.D. after reviewing your case files and medical records. The letter outlines evidence for your VA claim and provides a medico-legal statement required by the VA. One nexus letter will cover one medical condition. Valor 4 Vet encourages using a Nexus Letter for all fully developed claims. A  Record Review is required prior to ordering this service.

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Action plan

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We assess your prior claims and then develop an action plan that outlines the documentation we would need to provide a strong Nexus letter.

 

Nexus letter draft

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After completing all action plan items, we will work with a licensed medical practitioner to prepare a Nexus letter and have it reviewed by a VA-licensed and accredited disability attorney.

 

Letter delivery

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Finally, we will send the finalized Nexus letter to the veteran that they can then submit to the Department of Veteran's Affairs.

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Nexus Letter Advice

 

VA and VA-contracted doctors WILL NOT write nexus letters supporting veterans’ claims for direct service connection. Although technically permitted to do so, VA generally discourages these doctors from opining on service connection. Doctors who do wish to provide medical opinions that state causality must include clear and specific rationale citing evidence to support the conclusion reached and should employ standard language appropriate for medical opinions (i.e., at least as likely as).  Since VA-contracted medical providers are considered to be hired in the service of VA, some are not medical experts for the purposes of writing nexus letters. They can, however, help veterans complete forms such as Disability Benefits Questionnaires. Private, non-VA doctors can complete nexus letters for a veterans’ claims for service connection. This includes private physicians and independent medical examiners. However, it is essential to note that not all nexus letters will be given the same weight or probative value; the VA can still deny your claim!  If you have strong evidence that your conditions are service-connected, and you have not been successful in getting the rating you deserve for your disabilities then you need a Nexus Letter. You will definitely need a letter if you are trying to prove that your condition is secondary to another service-connected condition or if you do not have substantial medical evidence to prove your service connection.