A Nexus Letter is a medical opinion document written by a licensed medical provider in support of your VA disability claim. It explains how your current medical condition is connected to your military service or to another service-connected condition.

This opinion can be written by your treating provider or an independent medical professional like our team at MRPY. A well-written Nexus Letter helps clarify the medical evidence the VA uses to evaluate your claim.

No. A Nexus Letter is not required to file or receive service connection for a disability. However, it can be one of the most effective tools to strengthen your claim, particularly when:

• The VA examiner overlooked key details in your medical history.

• Your claim has been denied or lacks a clear medical rationale.

• You are submitting a secondary or aggravated condition.

A Nexus Letter provides an evidence-based explanation that can make your claim clearer and more credible to VA reviewers.

The MRPY Medical Evidence Assessment is the first step in our process. During this step, one of our licensed medical providers reviews your DD214, Benefits summary-previously e-benefits (to verify current service-connected conditions), and your medical records.

This assessment helps confirm eligibility and determine whether a Nexus Letter, DBQ, or both are appropriate for your claim. It ensures your case is supported by accurate, defensible medical evidence before any document is written.

Yes. You must already have a formal diagnosis from a licensed medical provider.

One of the VA requirements for consideration of service connection is having a current diagnosis. A C&P examiner can elect to provide that for you at the time of the exam, but they are not required. It is not recommended to rely on them for your diagnosis.

Our role is to review your existing records and provide medical opinion documentation that connects that diagnosis to your military service or service-connected condition.

Sometimes. Even with strong private medical documentation, the VA may decide to schedule a Compensation & Pension (C&P) exam for a second opinion.

In some cases, the evidence you submit may be sufficient for the VA to make a decision without another exam (Fully Developed Claim).

While we cannot control whether a C&P exam is ordered, our goal is to provide documentation that is so thorough and clear the VA already has everything it needs to evaluate your claim.

A DBQ is an official VA form that allows a licensed medical provider to document the symptoms, severity, and functional impact of your diagnosed condition. It does not contain a medical opinion and is primarily used for the VA to determine rating percentage level.

It’s designed around VA rating criteria and can be submitted as part of a Fully Developed Claim (FDC) to help streamline the decision process.

When completed accurately, a DBQ ensures that your medical condition is represented clearly and completely in your claim file.

No. We provide medical documentation for veterans in all 50 states and internationally.

Our process is secure, fully remote, and designed to accommodate veterans wherever they are located.

We’ll need 3 key items:

1. Your DD214 (proof of service).

2. A screenshot or PDF of your VA eBenefits or VA.gov disability summary (showing current service-connected conditions and percentages).

3. Copies of your medical records related to the condition(s) being reviewed — including VA and private treatment notes.

Additionally, you may include:

1. Lay statements and personal statements

2. Any other evidence you may have that helps prove the connection to service or severity of your condition.

If you’re unsure what to submit, our team will guide you step-by-step after scheduling your assessment.

No. We specialize exclusively in VA disability documentation — including Nexus Letters, DBQs, and related evidence reviews.

We do not complete Social Security, workers’ compensation, or other federal disability forms.

Yes, we have two options for this.

Our virtual service is ideal for veterans who need additional clarification, updated assessments, or symptom documentation — all from the comfort of home.

Our comprehensive in-clinic examination is for conditions requiring physical examination, range-of-motion testing, or diagnostic confirmation, we offer these at our Florida clinic.

All Nexus Letters and medical opinions are written by licensed medical professionals — physician assistants and nurse practitioners — with clinical experience in multiple specialties.

Many of our providers are also veterans or military family members, giving them firsthand insight into the health challenges associated with military service and the VA system.

The assessment ensures that your case is evaluated ethically, accurately, and in line with VA standards.

It protects both you and our providers by confirming that there is sufficient medical and factual evidence to support the opinion being written.

This step also helps you avoid unnecessary costs by identifying which documents (if any) are appropriate before moving forward.

Timelines vary based on your service package and the complexity of your claim.

• Standard Package: 7 business days.

• Enhanced Package: 5 business days (priority).

• Comprehensive Package: top priority; turnaround within 2 days.

We provide clear timelines at the start and maintain communication throughout the process.

We believe quality and integrity matter most.

Every document we produce is written by a licensed medical provider, based on a full review of your records, and crafted with clinical precision.

We don’t use templates or outsource work. Our focus is on accuracy, transparency, and ethical medical documentation — not volume or sales quotas.

You’ll receive honest recommendations, and if we can’t support your case medically, we’ll tell you upfront.

Yes. Many veterans come to us after a denial.

A Nexus Letter can often address the gaps or missing rationale that led to the initial decision.

Our providers analyze the denial reasons, review your records again, and create rebuttal or clarification letters that respond directly to VA concerns — at no additional cost if your original letter was written by MRPY.

Yes. We proudly support U.S. veterans worldwide.

Our services are fully digital, allowing veterans stationed overseas or living abroad to receive the same level of support as those stateside.

We accept major credit and debit cards through our secure online portal.

You can also use flexible payment options when available through our checkout system.

Full pricing and package details are displayed clearly before purchase — no hidden fees or surprise costs.

If, after reviewing your records, our providers determine that there is not enough medical evidence to support a defensible opinion, we will explain our findings and may suggest ways to strengthen your evidence before proceeding.

You’ll never be charged for a letter we cannot ethically write.

Absolutely. Many veterans return to us when new conditions arise or existing ones worsen.

Your Medical Evidence Assessment helps create a baseline that can make future claims faster and easier to support.

Prices for all of our services can be found on our pricing page.