Nexus letter
Sensorineural hearing loss
For hearing loss from in-service noise exposure, including delayed-onset claims.
$895 for this condition · $149 to start
What this claim turns on
A frequent denial reason is that a veteran's separation audiogram looked normal, so the VA concludes hearing loss developed afterward. That reasoning misreads the science. Noise-induced cochlear damage can be present before it appears as a measurable threshold shift, and delayed-onset hearing loss following significant acoustic trauma is well documented. A physician who knows that literature can address the VA's stated reason for denial head-on rather than repeating the original claim.
Commonly claimed as secondary to
If one of these is already service connected, this condition may be claimable as secondary to it. Your intake asks which pathway applies.
Conditions often secondary to this one
If hearing loss is already service connected for you, these conditions are frequently claimed as flowing from it. Each needs its own opinion.
Records to have ready
Your physician needs these to form an opinion. Gathering them before you start is the single biggest thing you can do to move your case quickly.
- DD-214 or other separation document
- Service treatment records covering your time in service
- Current VA or private treatment records showing a diagnosis
- Any VA rating decision or denial letter you have received
- Entrance and separation audiograms
- Current audiology evaluation with word recognition scores
- MOS documentation
Missing something? Start anyway and tell us in the intake. Sometimes a gap changes the approach rather than stopping the claim. How to request your records.