For Veterans
When the medical connection is unclear, the evidence matters.
You may already have a diagnosis, treatment history, service records, C&P examinations, and years of medical documentation. The harder question is often whether the evidence clearly explains how your current condition relates to military service or to another service-connected condition.
Nexus Medical Opinions reviews the medical record as a whole and develops a comprehensive, physician-reviewed medical opinion explaining what the evidence supports.
Records organized. Medical reasoning explained. Physician reviewed.
When the question is medical
A diagnosis alone may not answer the question.
Veterans may seek an independent medical opinion when the medical relationship itself needs to be evaluated and explained. These are medical questions; legal entitlement and VA claim requirements remain separate matters.
- 01
Direct service connection
The question is whether a current medical condition is related to an injury, disease, event, duty, or exposure during military service.
- 02
Secondary service connection
The question is whether a service-connected condition caused another medical condition.
- 03
Aggravation
The question is whether a service-connected condition increased the severity of another condition beyond its expected course.
- 04
Complex or conflicting medical evidence
The record may contain competing examinations, incomplete chronology, multiple diagnoses, or several possible medical explanations that need to be evaluated together.
The record
Your medical history is more than one diagnosis.
- 01Service treatment and personnel records
- 02Private and VA treatment records
- 03C&P examinations
- 04Imaging and diagnostic testing
- 05Medication history
- 06Lay statements
- 07Relevant medical literature
- 08Prior medical opinions
- 09Relationships between multiple conditions
- 10Favorable and unfavorable evidence
The purpose is not to search only for evidence that supports one conclusion. A credible medical opinion must account for the record as a whole, including evidence that may weigh against the proposed relationship.
The Nexus approach
One medical history. One integrated analysis.
Many VA disability cases involve more than one condition. A veteran may have direct-service questions, secondary conditions, medications, overlapping symptoms, competing risk factors, and years of medical history that interact with one another.
Nexus is designed to evaluate those relationships together rather than treating every medical question as an isolated template.
Your report
Built to explain the reasoning behind the opinion.
- Records reviewed
- Medical chronology
- Relevant lay evidence
- Medical literature
- Applicable medical framework
- Favorable evidence
- Adverse or competing evidence
- Condition-specific medical analysis
- Physician medical opinions
- References
GENERALIZED REPORT PREVIEW
Integrated Medical Analysis
REVIEWED
The process
From intake to physician-reviewed opinion.
- 01
Tell us about your case
Complete the intake so we can understand the medical questions you want evaluated.
- 02
Provide the available records
Submit the medical, service, examination, and supporting records available for review.
- 03
The medical evidence is analyzed
The record, relevant literature, competing evidence, and relationships between conditions are evaluated together.
- 04
Physician review and final report
The medical analysis and opinion are reviewed by the physician before the final report is completed.
Is Nexus a fit?
This service may be appropriate when the medical question needs a clear answer.
This guidance is educational and does not determine eligibility or predict a VA outcome.
May be a fit
- You have a current diagnosis or documented medical condition.
- You have records available for review.
- Your claim involves a direct, secondary, or aggravation medical question.
- Your record contains competing or unclear medical evidence.
- You already have an attorney or accredited representative and need independent medical evidence.
- You want a comprehensive medical opinion rather than a generic template letter.
May not be the right service
- You are looking for legal representation.
- You need someone to prepare or file your VA claim.
- You are seeking a guaranteed favorable medical opinion.
- You expect a guaranteed VA rating or outcome.
- You do not yet have enough medical information for the requested question to be evaluated.
Straightforward pricing
Straightforward pricing.
One clear starting price for a comprehensive medical opinion.
For a comprehensive medical opinion covering up to five medical issues.
WHAT’S INCLUDED
- Comprehensive record review
- Relevant medical literature
- Integrated medical analysis
- Physician review
- Completed medical opinion report
Already working with an attorney?
Nexus can work alongside your legal representation.
Nexus provides medical opinion services separately from legal representation. Veterans who already have an attorney or accredited representative may still use Nexus for the medical-evidence portion of their case.
For AttorneysFrequently asked questions
Questions before you begin.
Clear answers about the medical-opinion process and the role Nexus provides.
What is an independent medical opinion?
An independent medical opinion evaluates the available medical evidence and provides a physician’s medical analysis of a specific question, such as whether one condition is related to military service or to another service-connected condition.
What is the difference between a nexus letter and a Nexus report?
A traditional nexus letter may address a single medical connection. A Nexus report is designed to evaluate the broader medical record, relevant evidence, literature, and multiple related medical questions when appropriate.
Can Nexus evaluate more than one condition?
Yes, when the available records allow multiple medical questions to be evaluated. Each condition and relationship must still be addressed according to the evidence and the physician’s medical judgment.
Can I use Nexus if I already have an attorney?
Yes. Nexus provides medical opinion services separately from legal representation, so veterans may use Nexus while working with an attorney or accredited representative.
What records do you need?
The records depend on the medical questions being evaluated. Relevant materials may include service records, treatment records, C&P examinations, imaging, diagnostic testing, medication history, lay statements, and prior medical opinions.
What if the records do not support the opinion I am seeking?
An independent medical opinion must reflect the medical evidence. Nexus cannot guarantee that the evidence will support a favorable medical conclusion. The purpose of the review is to provide a medically supportable opinion based on the available record.
Does Nexus guarantee that VA will approve my claim?
No. Nexus provides independent medical opinion services and cannot guarantee the outcome of a VA disability claim.
Does Nexus prepare or file VA claims?
No. Nexus Medical Opinions is not a law firm, does not provide legal representation, and does not prepare or file claims on behalf of veterans.
Start with the medical record
Find out what the evidence supports.
Start your medical review by telling us about your case and the medical questions you need evaluated.