Your service earned it.
Our evidence proves it.
Most nexus letters are pure clinical opinion with no data behind the reasoning. Ours are structured, literature-backed causation arguments — Hill's criteria, AMA Guides methodology, and cited peer-reviewed research — delivered in 7 business days.
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.
Why our letters are different
We don't just give an opinion. We build the argument behind it.
Most nexus letters are pure clinical opinion — “in my professional judgment, this is at least as likely as not related to service” — with no supporting data behind the reasoning. Every opinion we write is a structured, literature-backed causation argument instead.
A typical nexus letter
- “In my professional judgment, this is at least as likely as not related to service.”
- No supporting data behind the conclusion
- Rests entirely on the provider's say-so
- Easy for a C&P examiner or rater to discount
Our medical opinion
- Hill's criteria for causation applied explicitly
- AMA Guides–based causation methodology and differential etiology
- Peer-reviewed literature cited for biological plausibility and clinical consistency
- Population-level incidence data supporting the mechanism
- An evidence-based argument built to hold up under scrutiny
Hill's Criteria
The recognized epidemiological framework for establishing causation — applied point by point, not gestured at.
AMA Guides Methodology
Standardized causation analysis and differential etiology that rules competing causes in or out on the record.
Peer-Reviewed Literature
Established research cited to support the mechanism, biological plausibility, and clinical consistency of the claim.
This matters because C&P examiners and VA raters are evaluating the strength of the evidence, not just the opinion itself. A letter that says “I believe this is connected” is easy to discount. A letter that says “this is connected, and here is the peer-reviewed literature establishing the mechanism, the population-level incidence data, and the causation framework applied” is much harder to dismiss.
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.
Submit Details
Provide your service history and any existing treatment records through our secure intake form.
Receive Confirmation
We review your file to confirm your claim fits our clinical specialty before proceeding.
Get Your Opinion
Receive a cited, evidence-based causation argument — not a one-paragraph opinion — 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.
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.
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.
Days 4–5
Causation analysis
We apply Hill's criteria and AMA Guides causation methodology to build the differential etiology, then identify the peer-reviewed literature that supports biological plausibility and clinical consistency.
Day 6
Drafting & internal review
Your nexus opinion is drafted, cited, and internally reviewed for clarity and defensibility before it reaches you.
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
A literature-backed causation argument — not a one-paragraph opinion — for your primary spine, nerve, or joint condition.
- Full records review & causation analysis
- 7 business-day turnaround
- Hill's criteria, AMA Guides & cited literature
Additional Letter
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
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.
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