Nexus Letter Service

A psychological evaluation and medical opinion for your VA claim.

A nexus letter is a medical opinion that explains the connection between a veteran’s current mental health condition and their military service. We provide the full evaluation behind it.

For the VA to grant service connection, there must be a current diagnosis, evidence of an in-service event, injury, or stressor, and a medical opinion linking the two. Our service provides a comprehensive psychological evaluation and a formal nexus opinion letter that addresses these requirements in clinically sound, VA-aligned language.

Who this may be appropriate for

  • Veterans filing an initial disability claim
  • Veterans appealing a denial
  • Veterans who need a documented medical opinion linking a diagnosis to service
  • Symptoms related to PTSD, depression, anxiety, trauma exposure, or other service-connected conditions

What to expect

  1. Initial consultation

    We review your service history, current symptoms, prior records, and goals for your claim, and decide whether a comprehensive evaluation is appropriate.

  2. Comprehensive evaluation

    Over up to five sessions: structured clinical interviews, symptom and trauma assessment, diagnostic clarification, functional impact evaluation, and review of medical and service records.

  3. Diagnostic formulation

    We determine whether a current diagnosis is supported and document the findings in a formal psychological report.

  4. Nexus opinion letter

    A detailed opinion stating the diagnosis, explaining the connection to service in VA-recognized language, and giving clear clinical reasoning.

  5. Finalization

    You receive the completed psychological report and nexus opinion letter for submission with your claim.

More than a letter

While the term “nexus letter” is commonly used, what we provide is a full psychological evaluation followed by a formal medical opinion. Your evaluation includes up to five clinical sessions, a comprehensive record review, a formal diagnostic assessment, a full psychological report, and a written nexus opinion letter.

The final document explains whether your condition is “at least as likely as not” connected to your military service and provides the clinical rationale supporting that opinion.

Pricing

Flat fee

$1,850

Includes up to five clinical sessions, record review, diagnostic assessment, a full psychological report, and the nexus opinion letter.

Additional fees

$185per additional session, if clinically necessary

$350rush fee, completion in under 30 days

A nexus letter is a professional medical opinion. It does not guarantee claim approval. Final determinations are made by the VA.

Ready to get started?

If you would like to find out whether a nexus letter is appropriate for your claim, schedule a free consultation.