Important Notice

I want to sincerely thank everyone who has trusted me and NexusByDonation.com with your documentation, questions, and veterans’ claims support. It has truly been an honor to serve you.

At this time, I can no longer keep up with the demands of family life, a 50-hour work week, this business, and the overwhelming volume of inquiries I continue to receive. Because of this, I will be discontinuing services effective immediately.

All files and records in my possession will be permanently destroyed in accordance with HIPAA-compliant practices to protect your privacy.

Thank you again for allowing me to be part of your journey. I wish each of you the very best moving forward.

— Adam Guy, MSN, RN-BC

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Nexus By Donation disclaimer

Nexus Letter Service Disclaimer (No Guarantees)

Disclaimer: The information and services provided through this website are for general informational purposes only. We do not provide legal advice, legal representation, or guidance on how to win a VA disability claim. For legal assistance, please consult an accredited VA attorney, claims agent, or Veterans Service Officer (VSO).

Nursing Opinion Notice: All nexus letters are written solely by licensed medical professionals. These clinicians form their opinions independently based on the medical records and information you provide. A nexus opinion may be positive, negative, or inconclusive, depending on the evidence. We do not influence or alter the clinician’s medical judgment.

No Guarantees: We do not guarantee:

  • Approval of any VA disability claim
  • A specific VA rating or outcome
  • That a nexus letter will be accepted by the VA
  • That the medical opinion will support your desired conclusion

The VA makes its own determinations based on all evidence in the record.

Not a Substitute for Medical Care: This service does not replace medical treatment, diagnosis, or ongoing care. Always consult your personal healthcare provider for medical concerns.

Privacy & Records: We take reasonable steps to protect the information you submit. However, submitting medical records through this site does not create a doctor–patient relationship. If you upload medical documents, you are responsible for ensuring they are accurate and complete.

Donation Model: Any donation made is voluntary and does not influence the content, tone, or outcome of the medical opinion. A donation does not guarantee a favorable nexus letter.

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