Have you thought about a nexus letter?

Denied because the VA says your condition isn’t connected to your service?

A nexus letter is the medical opinion that supports the link — one of the strongest pieces of evidence in a VA claim. We draft it around your records and service history, then connect you with a licensed provider who reviews and signs it.

HIPAA compliantLicensed medical providersTypically 3–5 business days

What is a nexus letter?

A nexus letter is a medical opinion from a qualified provider linking a current condition to your military service — one of the strongest pieces of evidence in a VA claim. The word “nexus” just means link: the letter provides the medical connection the VA needs to grant service connection. When the VA agrees you have a condition and agrees something happened in service but says nothing ties the two together, a nexus letter is what closes that gap.

How it works

Three steps — you don’t have to find your own doctor.

Step 1

AI reviews your records

Our AI reviews your service and medical records and drafts a nexus request tailored to your condition, service history, and any prior denial — citing your actual records, not generic boilerplate. It’s the time-intensive review providers normally bill a premium for.

Step 2

A licensed provider reviews & signs

An accredited medical provider in our network reviews your records and signs the final letter — so you don’t have to track down a doctor who understands VA standards.

Step 3

You get a signed PDF

Receive a signed PDF you can submit to the VA with a new claim, supplemental claim, or appeal — ready to add to your evidence.

Why it costs a fraction of the usual price

A private nexus letter is expensive because a doctor reads every page of your records by hand. Our AI does that heavy records review first — building the medical picture and drafting the opinion — so a licensed provider can review and sign it for a fraction of what independent nexus letters typically cost.

Simple, flat pricing

One provider-signed letter, one condition. The provider’s medical review is included in the price — no separate review fee, no contingency fees, no cut of your back pay.

Standard
$250
Provider-signed nexus letter
Valor members
$199
Discounted rate on every letter

Prefer to use your own physician? Every account also includes one free AI-drafted nexus letter you can download and take to any provider to sign instead.

Request my nexus letter

Common questions

What is a nexus letter?

A nexus letter is a medical opinion from a qualified provider linking a current condition to your military service — one of the strongest pieces of evidence in a VA claim. The word “nexus” just means link: the letter provides the medical connection the VA needs to grant service connection.

How does it work?

We help you draft a nexus letter request tailored to your condition and service history, connect you with an accredited medical provider who reviews your records and signs the final letter, and deliver a signed PDF you can submit to the VA — so you don't have to find your own doctor.

How many conditions does one nexus letter cover?

Each provider-signed nexus letter covers a single condition. A nexus letter is an individualized medical opinion linking one specific condition to your service, so bundling several conditions into one letter would weaken the opinion for every condition on it. If you need letters for multiple conditions, each is requested as its own separate letter.

Do you guarantee my claim will be approved?

No. A nexus letter is medical evidence — one of the strongest kinds — but no one can guarantee a VA outcome. Valor Rating is an independent, veteran-owned tool and is not affiliated with the U.S. Department of Veterans Affairs.

Support the connection. Strengthen your claim.

Drafted around your records · signed by a licensed provider
Request my nexus letter

A nexus letter is medical evidence, not a guarantee — no one can promise a VA outcome. Valor Rating is an independent, veteran-owned tool. It is not affiliated with the U.S. Department of Veterans Affairs and does not submit claims on your behalf.