A Nexus Letter or Medical Opinion is a letter written by a medical clinician, a PA, NP, MD, DO, Audiologist, Podiatrist, or Psychologist with a Ph.D. after reviewing your case files and medical records. The letter outlines evidence for your VA claim and provides a medico-legal statement required by the VA. One nexus letter will cover one medical condition. Valor 4 Vet encourages using a Nexus Letter for all fully developed claims. More about Nexus Letters can be found here.

*A Record Review is required prior to ordering this service*

A direct link to order a nexus letter is not available. This is because a record review is required. There is a link to order a nexus letter in your Record Review Report.

How to Get a Medical Opinion

1. Sign Up: Begin by registering for the Valor 4 Vet Portal.

2. Submit Documentation: Upload your medical records to the Portal for review.

3. Choose a Record Review: Select the appropriate Record Review that aligns with your medical condition, such as an Audiology Record Review for tinnitus.

4. Request a Nexus Letter: Following the Record Review, if a nexus is identified, proceed to order a Nexus Letter.

5. Review and Approval: Examine the Nexus Letter draft, approve it, and receive the final signed digital copy for your VA submission.<p>

Please note, Valor 4 Vet does not submit reports to the VA directly.

Ready to Start? Register Here and take the first step towards your medical opinion.

Get Started Now


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Valor 4 Vet does not represent veterans for legal claims, does not provide legal advice, and does not provide medical advice.

If you have difficulties navigating the website please call the office at 888-448-1011.