Nexus Letters
Link your disability to your military service with documentation that supports a stronger VA claim.
A nexus letter is a written medical opinion from a licensed provider that establishes a clear, evidence-based connection between your current diagnosis and your military service – written to meet VA standards and strengthen your claim.
How It Works
Our services require access to secure portal for purchase. Please login or create an account login or create an account for access.
Medical Records Review is Complete
Complete your Medical Records Review which confirms eligibility and ensures your correct medical records.
Review & Delivery
Our clinicians will review your case and deliver your Nexus Letter document to the portal. No appointment is required for this service. Must complete a Medical Records Review prior to purchase.
Medical Records Review is Complete
Complete your Medical Records Review which confirms eligibility and ensures your correct medical records.
Upload Records
Upload your DD214, list of rated disabilities, medical records, and any other supporting evidence electronically to your account.
Documents Delivered
Our clinicians will review your case and deliver your Nexus Letter document to the portal. No appointment is required for this service. Must complete a Medical Records Review prior to purchase.
Purchase
Fill out the form below to access our secure portal and purchase the service you need.
Sign Up for an Account
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What You'll Get From This Service
Nexus Letters
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A medically supported opinion linking your condition to your service
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Clear rationale aligned with VA standards and claim requirements
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Documentation signed by a licensed provider with relevant credentials
FAQs About This Service
What is a Nexus Letter?
A Nexus Letter is a medical document written by a qualified healthcare professional, such as a PA-C or Nurse Practitioner, that provides a detailed, evidence-based opinion connecting a veteran's current medical condition to their military service or to an existing service-connected condition.
It typically includes a review of the veteran's medical and service records, references to relevant medical research, and a clinical rationale that supports the likelihood of a service connection. This letter is used to strengthen a VA claim by clearly establishing the "nexus" between the condition and military service.
Are Nexus Letters always provided?
No, we cannot guarantee a Nexus letter from the Medical Nexus team. The Medical Nexus team will review the request and uploaded documents, then communicate with the veteran directly through the patient portal. Documentation is essential, and the Medical Nexus team cannot complete Nexus documents without the proper documentation.
What is a P&T letter?
A P & T (Permanent and Total) letter is a document available to veterans who are already 100% service connected. It confirms that their service-connected conditions are considered static, meaning they are unlikely to improve and may even worsen over time. One of the primary advantages of this status is that it exempts the veteran from routine re-evaluations by the VA and may provide additional benefits for both the veteran and their family. Veterans interested in obtaining this document should sign up for the medical Nexus service for review. Additionally, maintaining up-to-date treatment records (from the past 1-2 years) for each service-connected condition is highly recommended.