Nexus Letter
The single document that can determine whether your claim gets approved.
What is a nexus letter?
A nexus letter is a written medical opinion from a licensed healthcare professional that links your current diagnosed condition to an event, injury, illness, or exposure during your military service. Without this documented link, the VA has no medical basis to grant service connection, no matter how clear the connection may seem to you.
Under 38 CFR 3.159, the VA requires competent medical evidence to establish that a condition is related to service. A nexus letter is that evidence.
Why it matters
~4 months
A $699 nexus letter that results in even a single 10% rating increase pays for itself in under 4 months, based on 2026 VA compensation rates, and the benefit continues, tax-free, for life.
Often the deciding factor
For non-presumptive conditions, it can be the difference between approval and denial.
Covers secondary conditions
Conditions caused or worsened by an already service-connected condition.
Strengthens a prior denial
Can directly address what a past C&P exam or rating decision found lacking.