Your Telemedica Quick Guide

A Nexus Letter is a medical document written by a qualified healthcare professional 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 medical and service records, references to relevant medical research, and a clinical rationale supporting the likelihood of a service connection.

Yes, a Medical Records Review must be completed before a Nexus Letter can be purchased, so your provider has the full clinical picture needed to support the service connection.

No, a Nexus Letter cannot be guaranteed. Our clinical team reviews your case and uploaded documents and communicates with you directly through the patient portal. Complete, accurate documentation is essential. We cannot complete a Nexus Letter without it.

Your Nexus Letter is delivered securely to your patient portal within 7 business days. No appointment is required for this service.

A Disability Benefits Questionnaire (DBQ) is a form created by the VA to document the severity of a specific medical condition. It supports your disability claim by aligning your symptoms with the VA's rating criteria, and a strong DBQ can even help you avoid a separate C&P exam.

We can only complete DBQs for conditions that do not require an in-person physical exam for accurate assessment. Some conditions, like orthopedic issues or most neurological conditions (with the exception of headaches), typically require a physical evaluation to meet VA rating standards. For conditions that can be assessed through medical history and symptom reporting, we're able to complete the DBQ remotely.

Yes. A completed Medical Records Review confirms your eligibility and ensures your provider has accurate, up-to-date records before completing your DBQ.

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, exempting them from routine re-evaluations and potentially providing additional benefits for the veteran and their family.

A Medical Records Review, a nexus letter linking your diagnosis to your military service, a completed DBQ documenting your functional limitations, and a formal mental health diagnosis if clinically warranted.

Currently, the VA has not made a DBQ publicly available for initial PTSD claims. To ensure veterans still have the necessary medical evidence, we provide an Independent Medical Opinion (IMO) that includes all the key information typically found in a DBQ for an initial PTSD claim.

If a symptom you mentioned wasn't marked or checked off in your evaluation, it's likely because it didn't meet the clinical criteria required for documentation. Our providers assess symptoms based on established medical definitions, which can sometimes differ from how symptoms are described in everyday language. While you may describe an experience that feels significant, it may not align with the clinical standards necessary to document it as a symptom for VA purposes, and providers generally won't update their findings unless a clear documentation error has occurred.

It's completely normal to feel nervous before a mental health evaluation. Our psychologists are here to listen to and understand your story, but they don't expect you to go into deep detail about distressing events: a sentence or two describing what you experienced and how it affects you now is often enough. Avoid scheduling anything stressful the same day, consider speaking with a trusted friend, family member, or therapist beforehand, and prioritize self-care on the day of your appointment.

A Rebuttal Letter is a targeted medical response addressing factual or medical inaccuracies in a VA rating or decision, giving you evidence-backed rationale to support a stronger appeal.

Your Rebuttal Letter is delivered securely to your patient portal within 7 business days. 2 day priority delivery is also available.

No appointment is required. After purchase, our care team will work with you to gather the information a provider needs to prepare your letter.

Telemedica reviews your request and assigns your case to a licensed provider, who prepares the Rebuttal Letter on your behalf.

Yes, the Medical Records Review must be completed before booking any other medical evidence service, so your provider has the full clinical picture of your history.

Your Medical Records Review is delivered securely to your patient portal within 7 business days.

No appointment is required. You complete a short assessment and upload your records through the secure portal.

Both a MedSummary (a clear summary of your records, conditions, and history) and a Provider Review that identifies which conditions can be supported and what additional evidence you may need.