Evidence-Based Causation Analysis

Your service earned it.
Our evidence proves it.

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.

Chiropractic Physician and university professor who authors specialist VA nexus letters

Eligibility Checklist

Is your claim a fit for our specialty?

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.

A guide who has been here before

We understand the challenges of filing VA claims. You are not alone in this fight.

160+
Nexus Letters Authored
AMA Guides
Standardized Causation Analysis
7 Days
Typical Turnaround Time

Authored by a Chiropractic Physician and university professor — a specialist in spine, nerve, and joint causation analysis. Not a generalist mail-order letter service.

Credentials

A clinician-scientist trained to argue causation — and to write it well.

Degrees

  • Doctor of Chiropractic (DC)
  • PhD, Health Sciences
  • MS, Neuroscience
  • Advanced training in Clinical Neurology

Teaching

  • Pain physiology
  • Neurological examination
  • Pathophysiology
  • Graduate & undergraduate levels

The PhD matters here. A nexus letter is a written argument, not a form — and many clinicians simply are not trained to build one. Doctoral-level academic writing means each opinion is structured, cited, and reasoned in a way VA raters can follow and rely on.

The Path to Approval

Three steps to a defensible claim.

We've removed the complexity from the medical evidence process, so you can focus on what matters.

01

Submit Details

Provide your service history and any existing treatment records through our secure intake form.

02

Receive Confirmation

We review your file to confirm your claim fits our clinical specialty before proceeding.

03

Get Your Opinion

Receive a specific, defensible nexus letter ready for submission — in 7 business days.

Inside the 7 Business Days

What happens after you submit.

A clear view of each phase, so you know exactly when to expect updates from us.

  1. Day 1

    Intake & confirmation

    Within one business day of your submission, we confirm receipt by email and verify your claim fits our spine, nerve, or joint specialty.

  2. Days 2–3

    Records review

    We read through your service treatment records, post-service medical history, and any imaging or diagnostic reports you've provided.

  3. Days 4–5

    Causation analysis

    We apply AMA Guides methodology to build the differential etiology and 'at least as likely as not' causation reasoning.

  4. Day 6

    Drafting & internal review

    Your nexus opinion is drafted, cited, and internally reviewed for clarity and defensibility before it reaches you.

  5. Day 7

    Delivery

    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

The difference is in the medical evidence.

Without a specialist opinion

  • Claim denied for lack of medical evidence
  • Generic letters that VA raters don't find convincing
  • Months of wasted time in the appeals backlog
  • Health and benefits compromised by paperwork

With our nexus letter

  • Claim backed by a credible, specialist-level opinion
  • Peace of mind and a stronger shot at approval
  • Feeling heard and taken seriously, finally
  • Evidence grounded in AMA medical guides

Transparent Pricing

Straightforward, veteran-friendly rates.

One flat fee for your first letter. Discounted pricing for additional conditions. Rebuttals are always free.

First Nexus Letter

$500flat fee

A defensible, specialist-authored medical nexus opinion for your primary spine, nerve, or joint condition.

  • Full records review & causation analysis
  • 7 business-day turnaround
  • AMA Guides–based opinion
Best Value

Additional Letter

$99per condition

One letter is required per claimed condition. Add coverage for additional spine, nerve, or joint conditions at a reduced rate.

  • Same specialist-level analysis
  • Bundled with your initial submission
  • No hidden fees

Rebuttals

Free

If the VA questions or challenges one of our letters, we prepare a rebuttal at no additional cost.

  • We stand behind every opinion
  • Direct response to VA concerns
  • Never an extra charge

Pricing FAQ

Answers about what you'll pay.

The flat $500 fee covers everything needed to produce one defensible, specialist-authored medical nexus opinion for your primary spine, nerve, or joint condition. That includes a full review of the service treatment records, VA records, and civilian records you provide; an AMA Guides–based causation analysis; and a signed, submission-ready letter delivered within 7 business days. There are no hidden fees, per-page charges, or add-ons.

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

Stop fighting the paperwork.
Start proving the connection.

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