Nexus Letter Direct is a private company. We are not affiliated with, endorsed by, or acting on behalf of the U.S. Department of Veterans Affairs or any government agency.
Purchasing an independent medical opinion does not guarantee any particular VA decision, disability rating, or effective date. The VA weighs all evidence in your claim file and reaches its own conclusion.
Our physicians exercise complete medical independence. They will decline to write a favourable opinion where the evidence does not support one, and that outcome is not refundable beyond the terms in our refund policy.
Nothing on this site is legal advice. We do not represent veterans before the VA and we are not accredited claims agents or attorneys. Our physicians provide a records review and medical opinion, not a treatment relationship. We do not diagnose, prescribe, or provide ongoing care.