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Commander Health

“We don't sign until the evidence is there.”

The last signature your claim needs.Signed only when the evidence is there.

Nexus letters ($500 flat) and DBQs ($200) for VA disability claims, from your records. Every nexus letter is drafted from your records, screened against the evidence criteria the VA looks for, and reviewed by our licensed clinicians before anyone picks up a pen.

New here

Screen your records free

No account, no payment. Your files are read in your browser, and our servers keep nothing from the screen.

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From VA Claim Commander

Your case comes with you

Tap “Get it signed” on your claim. Your records analysis and drafted letter carry over — nothing to re-upload.

Back to my claim

Currently serving physical conditions only. Mental health conditions — coming soon.

Nexus letter — a clinician’s written opinion connecting your condition to your service.

DBQ — the VA’s standardized form for rating conditions.

to screen your records
$0to screen your records
evidence checks before review
4evidence checks before review
flat, for a nexus letter
$500flat, for a nexus letter
verified studies in the sample letter
11verified studies in the sample letter

How it works

Two ways in. One standard.

Start with a free screen, or bring the claim you built in VA Claim Commander. Either way your case reaches a clinician the same way — complete.

Starting here

Screen your records — free

  1. 1. Screen free, no account

    Add your conditions and upload your records. They're read in your browser; only the extracted text runs the screen, and we don't save it.

  2. 2. Approve your clinical summary

    If you screen through, we build a summary of your records for your clinician from the same upload. You check it; it's the only thing we keep, not your records.

  3. 3. Pay and send it to a clinician

    A licensed clinician reviews your records and signs only if the evidence supports it. Any follow-up comes by email.

Screen my eligibility — free

Coming from VA Claim Commander

Your case comes with you

  1. 1. Your claim is already built

    Your records are read, your clinical summary is written, and your nexus letter is drafted.

  2. 2. Tap “Get it signed”

    Your name, service dates, conditions, clinical summary and drafted letter carry over in a one-time encrypted handoff. Nothing to re-upload.

  3. 3. Pick the letter, the DBQ, or both

    Confirm your details and check out.

Back to my claim

Then, either way

  • A licensed clinician reviews your case

    Your clinical summary and drafted nexus letter are checked for clinical accuracy. The clinician signs only what their own judgment supports.

  • Records only — no appointment

    Nothing to schedule and nowhere to travel. The opinion rests on what's in your records, and if our clinicians need anything more, they'll email you.

  • Receive your signed letter in 2–3 days

    Your signed nexus letter or completed DBQ, ready to submit with your claim.

  • If it can't be completed

    The clinician can say no. Money back if we cannot complete your case.

Why Commander Health

What $500 gets you here.

  • Screened free, before you pay

    Upload your records and our screen reads them for what an opinion needs. If the evidence isn't there, we tell you now — not after you've paid.

  • Reviewed by licensed clinicians

    Every opinion is reviewed by a licensed clinician and signed only if your records support it. We take physical conditions only; mental-health opinions call for a psychiatrist or psychologist.

  • No appointment to schedule

    Records in, opinion out. Nothing to travel to and no call to book — if a clinician needs anything more, they email you.

  • A letter built to the standard

    Drafted from your records, with verified peer-reviewed citations and the regulation that fits your claim — laid out the way a rater reads it. Read the sample before you decide.

  • Part of a whole claim

    Coming from VA Claim Commander, your records, statements and drafted letter come with you — the signed opinion joins the package you're filing.

  • Backed if it doesn't go your way

    One targeted rebuttal letter at no charge if VA denies the claim, and your money back if we can't complete your case. No outcome is ever promised — VA decides.

Read a sample letter

The evidence gate

We don’t sign until the evidence is there.

  1. Upload your records

    PDF, Word or text files, up to ten, with the conditions you're claiming. They're read in your browser; only the extracted text is screened, and we don't save it.

  2. The screen reads them for what an opinion needs

    A current diagnosis, the in-service event or exposure, continuity of care, support for the link — and the test the rating is built on, like a sleep study or range of motion in degrees.

  3. You hear the answer before you pay

    Enough to work with, and your case goes ahead. Not yet, and we tell you exactly what's missing and where to get it — no charge.

The VA weighs a nexus opinion by the evidence and the clinical judgment behind it — a signature alone isn’t enough. So every case is earned.

Every case is screened against the evidence criteria the VA looks for — diagnosis, in-service event, continuity, and nexus support — plus the test the rating is built on, before a licensed clinician ever picks up a pen. If the evidence isn’t there, we won’t sign it. Period.

That refusal protects you. A thin, boilerplate opinion doesn’t just fail to help — it can undercut a claim, and the VA is now actively screening for template letters. When we sign “yes,” it’s because the evidence earned it.

Our standard is simple: an opinion a rater can weigh, built on records that support it.

And when your case is ready — really ready — this is where it gets signed.

Record review · sample chart

2 of 4 ready

  • Obstructive sleep apnea

    Polysomnogram: AHI 34, severe. Assessment: obstructive sleep apnea. CPAP prescribed nightly.

    Ready for clinical review

  • Left knee strain

    Assessment: left knee strain. Pain on stairs and kneeling. Ibuprofen as needed.

    Not yet — one record short

    Needs: Range of motion measurements in degrees (flexion and extension). From your PCP, orthopedist, or physical therapist — ask them to measure and document it at your next visit.

  • Type 2 diabetes

    Diagnosis: type 2 diabetes mellitus. HbA1c 7.9%. Metformin 500 mg twice daily.

    Ready for clinical review

  • Asthma

    Assessment: asthma, moderate persistent. Albuterol inhaler refilled.

    Not yet — one record short

    Needs: A pulmonary function test (spirometry) with FEV-1/FVC values. From your PCP or a pulmonologist — the rating criteria are built on those numbers.

Synthetic records, no real veteran. Each verdict is computed by the same readiness rules that gate a case for clinical review.

The letter

Read it before you pay.

A complete sample is published in full — no account, no email. Here is how every letter is built, layer by layer, with the sample's own words on the right.

  1. The medical opinion, first

    The letter opens with the clinician's conclusion in the VA's own words — “at least as likely as not.” Case law supports the opinion later; it never opens it.

  2. The reasoning, from your records

    The records reviewed, your history, how the condition works in the body, and the other possible causes weighed and ruled out. Our drafting rules never describe a record that isn't in your file.

  3. Studies you can look up

    Peer-reviewed studies from our verified citation set, each with its PubMed number and a “Relevance to Case” line tying it to your facts.

  4. The legal standard

    The regulation the VA decides under (38 C.F.R. §§ 3.303, 3.310) and the court decisions that set the bar. Those citations are fixed, checked text placed by code — never written freehand.

  5. The signature

    Our clinicians read it against your records, edit whatever their judgment requires, and sign in their own name — or decline.

  6. 4,348 words11 studies4 court decisions

Sample — excerpts from the published letter

Invented veteran · not a signed medical opinion

Independent Medical Opinion

Medical opinion

It is my opinion that it is at least as likely as not (a 50 percent or greater probability) that Obstructive Sleep Apnea is proximately due to, the result of, or aggravated beyond its natural progression by the veteran's service-connected Chronic sinusitis (38 C.F.R. §§ 3.303, 3.310).

The sections that earn it

  • reason for evaluation
  • medical opinion
  • qualifications of the opining clinician
  • records reviewed
  • military service background
  • clinical background and patient history
  • pathophysiological basis
  • alternative etiologies considered and excluded
  • chronic sinusitis as a causal and aggravating factor of obstructive sleep apnea
  • evidence reviewed
  • summary and nexus conclusion
  • legal authorities and evidentiary standards

One of the cited studies

[3] Ferreira NB, Ponte A, Castelo Grande A, Pimenta AC, Pinto CS, Bousquet J, Drummond M, Sousa-Pinto B. Frequency of obstructive sleep apnea in patients with asthma or allergic rhinitis: a systematic review and meta-analysis. Sleep Med. 2025;134:106705. PMID:40774162; doi:10.1016/j.sleep.2025.106705.
Summary: This meta-analysis of polysomnographically confirmed OSA across 19,203 participants found roughly a doubling of the odds of OSA in patients with allergic-rhinitis nasal obstruction.
Relevance to Case: As the only association estimate here requiring PSG-confirmed OSA, it supplies the most defensible modern number linking nasal-obstructive disease to OSA.

Legal authorities

Secondary service connection requires (1) a current disability, (2) a service-connected disability, and (3) medical evidence of a nexus between them. Wallin v. West, 11 Vet. App. 509, 512 (1998). Each element is satisfied here: Obstructive Sleep Apnea is currently diagnosed, Chronic sinusitis is established as service-connected, and the pathophysiological basis set out above supplies the medical nexus joining them.

Secondary service connection is also established where a service-connected disability is a but-for cause of the claimed condition — that is, where the claimed condition would not have arisen, or would not have reached its current severity, but for the service-connected disability. …

Respectfully submitted,

Clinician's name and credentials

License and NPI on file

Date: August 4, 2026

Excerpts, word for word, from the complete sample. The sample's signer is withheld here.

Read all 4,348 words of the sample

What we review

Physical conditions, head to toe.

A nexus letter can cover any physical condition. These are the ones we see most. Whether a DBQ fits depends on the condition and the measurements already in your records — the screen tells you.

  • Joints & spine

    • Knee
    • Shoulder
    • Back (lumbar / thoracic)
    • Neck (cervical)
    • Hip
    • Ankle
    • Elbow
    • Wrist / carpal tunnel

  • Feet

    • Flat feet (pes planus)
    • Plantar fasciitis
    • Gout

  • Nerves

    • Radiculopathy / sciatica
    • Peripheral neuropathy

  • Head injury & headache

    • Migraines
    • TBI

    With a physical cause — head injury, neck, or noise exposure

  • Ears, nose & sinus

    • Hearing loss
    • Tinnitus
    • Sinusitis / rhinitis

  • Breathing & sleep

    • Sleep apnea
    • Asthma
    • COPD / bronchitis

  • Heart & metabolism

    • Hypertension
    • Diabetes

  • Digestive

    • GERD / acid reflux
    • Hernia
    • Hemorrhoids

  • Genitourinary

    • Erectile dysfunction
    • Nocturia

  • Skin

    • Scars
    • Eczema / dermatitis

  • Whole-body

    • Fibromyalgia
    • Chronic fatigue

  • Mental health

    Coming soon.

    For now, a VSO or an accredited claims agent can help with these claims.

Services and pricing

One flat price. You know before you pay.

Transparent flat pricing. No percentages of your benefits — ever.

  • Free screen first
  • Records review included
  • The clinician can say no
  • Money back if we cannot complete your case

Nexus Letter

$500

Drafted from your records. Verified PubMed citations. Spicer but-for causation language. 38 CFR grounded. A licensed clinician reviews — and signs when the evidence supports it.

  • Full clinical review of your medical records
  • Nexus letter signed by a licensed clinician when their review supports it
  • One free rebuttal letter if the VA denies your claim
Check my eligibility →

DBQ Completion

$200

Pre-filled from your scan results. Clinical fields completed from your existing records. A licensed clinician reviews, completes, and signs when the evidence supports it.

  • Full clinical review of your medical records
  • VA DBQ completed and signed when the clinician's review supports it
Check my eligibility →
Best value — saves $150

Nexus + DBQ Bundle

$550

Everything above. One package. One provider. The complete private evidence package most veterans need.

  • Everything in both services in one engagement
  • One records review covers the nexus letter and the DBQ
  • One free rebuttal letter if the VA denies your claim
Check my eligibility →

Published prices for a private nexus letter ran from about $500 to over $3,000 in September 2026, and many add a separate $195–$395 records-review fee before the letter. Commander Health's flat $500 includes the clinical review of your records.

Free rebuttal letter policy

If the VA denies your claim, we write one targeted rebuttal letter at no additional charge. No outcome or rating is ever promised — your decision is made by the VA based on the evidence.

Your records are protected

Built on trust.

Commander Health stores and processes veteran health information exclusively on infrastructure covered by signed HIPAA Business Associate Agreements. Your data is encrypted at rest and in transit. We never share your records with third parties and we never use your data to train AI.

  • Protected by signed HIPAA Business Associate Agreements
  • Encrypted at rest & in transit
  • Never used for AI training

What this is — and isn’t

Commander Health is a clinical review service — not a VSO, law firm, or VA-accredited representative. We do not file your claim. We provide clinician-signed medical opinions that strengthen your evidence package.

  • Founded by a 100% P&T veteran
  • Licensed clinician review on every case
  • Records handled under signed HIPAA Business Associate Agreements
  • Money back if we cannot complete your case
  • Powered by VA Claim Commander
Veteran-Owned · TVC VEP-099193

Guides

Questions before you buy an opinion.

Ready when you are.

Start with a free eligibility screen — no account, no payment. Clinical review of accepted cases begins within 2 business days.

Built your claim in VA Claim Commander? Head back and tap “Get it signed” — your case comes with you.

Screen My Eligibility — Free Back to my claim

If you're in crisis or thinking about suicide, you're not alone. The Veterans Crisis Line is free, confidential, and available 24/7 — you don't need to be enrolled in VA care.

Dial 988, then press 1Text 838255Chat online