Individual evidence
Your medical history, service records and relevant decision documents provide the starting point.
Claim Launchers by Stern HealthWorks
Personalized Nexus Letters for Veterans
An independent medical opinion that explains the connection your records may support.
What is a nexus letter?
A nexus letter is a medical opinion about the relationship between a condition and military service. A useful opinion explains its reasoning and the records considered, rather than simply stating a conclusion.
Not every condition needs a separate nexus letter. Start with the evidence already in your file and a review of what it shows.
Built around your records
Independent judgment
A licensed provider decides whether the available evidence supports a medical connection. Payment does not determine the opinion.
Clear reasoning
The letter explains the provider’s findings, medical reasoning and relevant supporting research.
Provider signature
The final opinion is prepared and signed by the provider responsible for it.
Start with a records review
The review costs $195. Letters are $600–$795 each depending on quantity. You receive pricing before ordering. Typical letter delivery is 7–10 business days after ordering and receipt of complete records.
A nexus letter does not guarantee service connection, a rating or benefits. The VA evaluates the evidence and makes the decision.
Nexus letters and DBQs answer different questions
A nexus letter explains a supported medical connection. A DBQ can document a condition’s symptoms and functional effects. Claim Launchers offers nexus letters, DBQs, physical telehealth evaluations and mental health evaluations. The appropriate service depends on your records, clinical findings and provider assessment.
DBQ availability and any separate fees are confirmed before you decide. Learn about DBQ support.
More than a nexus letter
Explore DBQs to document symptoms and functional impact, physical telehealth evaluations to assess missing or outdated clinical documentation, and mental health evaluations for a current assessment and diagnosis when clinically warranted. Our own licensed providers independently assess what is appropriate.
A clearer next step starts here.
A few quick answers help us understand what you need. Free to start. No obligation.
Get Started