Generic nexus letters fail because they lack clinical depth. We provide defensible, specialist-level medical opinions for veterans with spine, nerve, and joint conditions — delivered in 7 business days.

Eligibility Checklist
We focus on spine, nerve, and joint conditions with a credible link to military service. Use this quick checklist to see if you're in the right place.
Let's review your situation.
Check the boxes above to see if your claim matches our spine, nerve, and joint nexus focus.
The Path to Approval
We've removed the complexity from the medical evidence process, so you can focus on what matters.
Provide your service history and any existing treatment records through our secure intake form.
We review your file to confirm your claim fits our clinical specialty before proceeding.
Receive a specific, defensible nexus letter ready for submission — in 7 business days.
Inside the 7 Business Days
A clear view of each phase, so you know exactly when to expect updates from us.
Day 1
Within one business day of your submission, we confirm receipt by email and verify your claim fits our spine, nerve, or joint specialty.
Days 2–3
We read through your service treatment records, post-service medical history, and any imaging or diagnostic reports you've provided.
Days 4–5
We apply AMA Guides methodology to build the differential etiology and 'at least as likely as not' causation reasoning.
Day 6
Your nexus opinion is drafted, cited, and internally reviewed for clarity and defensibility before it reaches you.
Day 7
You receive your finalized, signed nexus letter by email — ready to submit with your VA claim.
You'll hear from us at intake confirmation and again at delivery. If we need clarification on any record during review, we'll reach out directly — otherwise, no news means your file is on track.
What's at stake
Without a specialist opinion
With our nexus letter
Transparent Pricing
One flat fee for your first letter. Discounted pricing for additional conditions. Rebuttals are always free.
First Nexus Letter
A defensible, specialist-authored medical nexus opinion for your primary spine, nerve, or joint condition.
Additional Letter
One letter is required per claimed condition. Add coverage for additional spine, nerve, or joint conditions at a reduced rate.
Rebuttals
If the VA questions or challenges one of our letters, we prepare a rebuttal at no additional cost.
Pricing FAQ
In the veteran's own words
“The nexus letter I received was detailed and directly tied my injuries to my service. I finally felt heard.”
— Sgt. Michael R., U.S. Army Veteran
Don't let a generic letter be the reason your claim is denied. Get the specialist opinion your service deserves.
Chiropractic Physician & University Professor Led · 160+ Letters Authored