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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Consultation Fee — $150

Nexus By Donation offers a comprehensive clinician consultation for a flat fee of $150, regardless of the number of conditions reviewed. During this consultation, your medical records, service history, and supporting evidence are carefully evaluated to determine medical plausibility, service connection pathways, and nexus strategy.

Following your request, an invoice for the $150 consultation fee will be sent directly to you using the contact information you provide. Payment instructions will be included on the invoice.

Any work beyond the initial consultation — including nexus letters, detailed record reviews, research, or documentation support — is provided on a donation basis, allowing veterans access to professional nursing review services without the high upfront costs commonly charged elsewhere.

By requesting our fast-track nexus letter services, you acknowledge our Disclaimer (no legal advice, no guarantees on VA outcomes, and other important notices).

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Ready to get started? Use our HIPAA-compliant Hushmail to safely submit your documentation and begin your path to a stronger VA claim.

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