Your Mission Plan

A Straightforward 4-Step Process

No confusing handoffs. You’ll know what happens next at every stage of the medical-evidence process.

Tell Us Your Situation

Complete a confidential intake and explain the condition, denial, increase, secondary issue or aggravation question you are working on.

Upload Your Records

Provide relevant service treatment records, VA records, civilian records, prior decisions and supporting evidence.

Clinician Review

A qualified medical professional evaluates the evidence and determines what can be independently and medically supported.

Receive Documentation

When supportable, you receive your completed medical opinion and/or DBQ for your records and submission as appropriate.

What to have ready

VA rating decisions or denial letters
Service treatment records and personnel records when relevant
VA and civilian medical records
Imaging, labs or specialist records where applicable
A current medication list and symptom history

Not sure what you need?

Start with a consultation. We can explain the difference between a record review, Nexus Letter and DBQ so you can decide which medical service makes sense for your situation.

Start My Review

Important: Nexus Letters USA is an independent private medical-evidence service and is not affiliated with, endorsed by, or part of the U.S. Department of Veterans Affairs. No outcome, rating, service connection, or benefits award is guaranteed. Medical opinions are provided only when supported by the clinician’s independent professional judgment. VA may request its own examination even when a private DBQ or medical opinion is submitted. For claims representation, consult a VA-accredited VSO, attorney, or claims agent.