Frequently Asked Questions

• What is a nexus letter?

  A nexus letter is a medical opinion that links a veteran’s current condition to their military service. It is often used as evidence in VA disability claims to prove service connection, especially when the VA has denied a claim or needs further medical justification.

• Who writes the nexus letters?

  All letters are written by Adam G., MSN, RN-BC, a board-certified Registered Nurse with extensive experience in military and veteran healthcare. Although not a physician or NP, he is qualified to provide professional medical opinions supported by evidence, service history, and medical literature. (Per Wise v. Shinseki, 2014, credible medical evidence is not limited to physicians.)

• Are nurse-written nexus letters accepted by the VA?

  es. While the VA may give more weight to a physician’s opinion, it cannot dismiss a competent, well-supported letter from a nurse. Many claims have been approved using letters from RNs—especially when the opinion is clear, evidence-based, and explains the rationale.

• How much does a nexus letter cost?

  We operate on a donation-based model. That means: There is no required fee to receive a letter. You may donate what you can afford, if anything. Donations help sustain the service, website maintenance, and provide a small profit for services provided while saving you money.

• Why donation-based? What’s the catch?

  There is no catch. Many veterans can’t afford the $500–$1,500 charged by private physicians or legal firms. Our mission is to make quality nexus letters accessible to every veteran—regardless of income. This service was founded by a fellow veteran who understands the struggle.

• What kind of conditions can you write letters for?

  Chronic conditions (e.g., migraines, IBS, sleep apnea, joint pain) Mental health (e.g., PTSD, anxiety, depression) Secondary conditions (e.g., diabetes secondary to PTSD) Claims involving combat, deployment exposures, or complex service histories Support for TDIU or increased ratings If your condition is outside our scope, we’ll let you know.

• What do I need to provide?

  To write an effective letter, please provide: Your VA decision letter (showing what was denied or under appeal) Medical records or VA progress notes Service records (DD214, OPRs, MOS history) A brief personal statement about your symptoms and when they began Any past nexus letters or C&P exams (if available) We’ll guide you through this step-by-step after initial contact.

• Is this legal or official?

  Yes. There is no legal requirement for a nexus letter to come from a doctor or to be notarized. As long as it is medically sound, supported by evidence, and written by a qualified healthcare professional, it can be submitted to the VA.

• How long does it take?

  Turnaround is typically 5–10 business days, depending on complexity and current caseload. Emergency or expedited requests are reviewed on a case-by-case basis.

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