Nexus letters by condition
Nexus Letter: $500 flat
Each page says what a licensed clinician looks for in your records for that condition, the common routes to service connection, and whether VA has a public DBQ for it. Every nexus letter is a flat $500 with the records review included, and the clinician signs only if your records support it. Physical conditions only: Commander Health does not write PTSD or other mental health opinions, or secondary opinions that run through a mental health condition.
- A sleep apnea nexus letter, written from your sleep study and service recordsA nexus letter for a VA sleep apnea claim for a flat $500: a licensed clinician reviews your sleep study and service records and signs only if your records support it. Free records screen first. VA's Sleep Apnea DBQ is $200.
- A knee nexus letter for your VA claim, built from your imaging and service recordsA knee nexus letter for a VA claim for a flat $500. A licensed clinician reviews your imaging, range-of-motion findings and in-service injury notes and signs only if your records support it. VA's Knee and Lower Leg DBQ is $200.
- A back nexus letter for your VA claim: lumbar spine conditions, from your recordsA nexus letter for a VA back (lumbar spine) claim for a flat $500. A licensed clinician reviews your spine imaging, range of motion and in-service injury records and signs only if your records support it. VA's back DBQ is $200.
- A neck nexus letter for your VA claim: cervical spine conditions, from your recordsA nexus letter for a VA neck (cervical spine) claim for a flat $500. A licensed clinician reviews your neck imaging, range of motion and in-service records and signs only if your records support it. VA's Neck (Cervical Spine) DBQ is $200.
- A shoulder nexus letter for your VA claim, from your imaging and service recordsA shoulder nexus letter for a VA claim for a flat $500. A licensed clinician reviews your shoulder imaging, range of motion and in-service records and signs only if your records support it. VA's Shoulder and/or Arm DBQ is $200.
- A hypertension nexus letter for your VA claim, from your blood pressure historyA nexus letter for VA hypertension (high blood pressure) claims for a flat $500. A licensed clinician reviews your blood pressure readings, diagnosis and service records and signs only if your records support it. VA's Hypertension DBQ is $200.
- A migraine nexus letter for your VA claim, when a physical cause is in your recordsA migraine nexus letter for a VA claim for a flat $500, for headaches with a physical cause such as a head or neck injury. A licensed clinician reviews your records and signs only if they support it. The headache DBQ is $200 with a physical cause.
- A plantar fasciitis nexus letter for your VA claim, from your foot and service recordsA plantar fasciitis nexus letter for a VA claim for a flat $500. A licensed clinician reviews your heel pain diagnosis, treatment and in-service records and signs only if your records support it. VA's foot DBQ is $200.
- A radiculopathy (sciatica) nexus letter for your VA claim, from your nerve and spine recordsA nexus letter for VA radiculopathy and sciatica claims for a flat $500, usually secondary to a service-connected back or neck. A licensed clinician reviews your nerve testing, spine imaging and exam findings and signs only if your records support it.
- A tinnitus nexus letter for your VA claim, from your noise exposure recordsA tinnitus nexus letter for a VA claim for a flat $500. A licensed clinician reviews your noise exposure and onset records and signs only if they support it. Nexus letter only: VA completes the tinnitus DBQ itself.
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