Nexus, DBQ & Telehealth Evaluation Questions

Choosing your service

What if I have symptoms but no diagnosis?

A physical or mental health evaluation may help clarify what is causing your symptoms. The provider reviews your history and current concerns and documents a diagnosis only when clinically warranted. Further testing or an in-person assessment may be needed.

Does an older diagnosis need updating?

Age alone does not mean a diagnosis is invalid. An updated assessment may be useful if symptoms have changed, recent records are missing or the documentation no longer describes your current functioning.

Can symptoms in my records lead to a diagnosis?

Notes describing symptoms are useful history. They do not automatically establish a diagnosis. A licensed provider assesses whether the clinical criteria are met.

How are a diagnosis, DBQ and nexus letter different?

An evaluation considers diagnosis. A DBQ documents the condition and its impact. A nexus letter explains a supported medical connection. The appropriate service depends on the evidence gap.

Pricing and included documents

$600–$795 per nexus letter, DBQ or evaluation. Your quote confirms the service, provider, required assessment and documents included before you purchase. An evaluation does not automatically include a separate nexus letter or DBQ. Ask about the right combination for your needs.

Is everything included in an evaluation?

Your quote identifies the evaluation and documents included. A separate nexus letter or DBQ is not automatically included.

What does the records review cost?

$195 one time, with future records reviews included. We refund that fee if no conditions can be supported with a nexus letter.

How long does it take?

Records reviews typically take 3–5 business days after complete records; nexus letters typically take 7–10 business days after ordering and complete records. DBQ and evaluation scheduling and delivery are confirmed individually.

Providers and getting started

Who performs the evaluation?

Claim Launchers works with its own providers. The appropriately licensed clinician independently conducts the assessment and signs their documentation.

Do I upload records on the first form?

No. The initial inquiry asks for contact information and a few quick answers. The team provides records instructions if you continue.

Can every DBQ be completed remotely?

No. The form, condition and required findings determine whether an in-person exam or tests are needed.

Will you file my claim or guarantee a rating?

No. You or your accredited representative handles filing. VA decides the claim, and providers determine what the evidence supports.