Who signs your
nexus letter

Board-certified, fellowship-trained orthopedic surgeon with advanced subspecialty training in adult reconstruction and orthopedic trauma. Has more than a decade of orthopedic training and clinical experience evaluating and treating musculoskeletal injuries and disorders. Clinical work includes traumatic injuries, sports-related conditions, arthritis, hip and knee reconstruction, and chronic orthopedic conditions and their functional consequences. Regularly performs independent medical examinations, comprehensive medical record reviews and impairment evaluations. Experience includes assessing medical causation, aggravation, permanent impairment and functional limitations. Medical opinions draw on clinical and surgical experience, medical records, diagnostic imaging, the reported history and mechanism of injury, and peer-reviewed literature.

Board-certified emergency medicine physician with experience in high-volume, high-acuity emergency care. Clinical experience spans musculoskeletal injuries, traumatic brain injury and concussion, cardiac and pulmonary conditions, psychiatric presentations, toxic exposures, and other acute and chronic medical conditions. This broad clinical background informs medical opinions on a range of conditions relevant to veterans’ disability claims.

Doctor of Chiropractic whose practice centers on musculoskeletal and spinal conditions, including degenerative disc disease, cervical and lumbar strain, and joint dysfunction. Emphasizes biomechanics, functional evaluation, and the relationship between primary injuries and secondary compensatory conditions. Provides independent medical opinions for veterans’ musculoskeletal disability claims, grounding each opinion in the clinical record and current literature.

Doctor of Audiology with experience providing services in hospital, medical and private-practice settings. Combines clinical audiology experience with knowledge of hearing-device technology to assess and support individual hearing needs.

Doctor of Chiropractic with experience in patient evaluation, individualized treatment planning, clinical documentation and musculoskeletal rehabilitation. Uses chiropractic adjustments, soft-tissue techniques and rehabilitation approaches to address pain and mobility. Clinical work emphasizes injury prevention, restoring function and supporting active individuals.

Doctor of Chiropractic focused on patient-centered care that supports mobility, function and quality of life. Holds training in physical therapy modalities and dry needling, with experience tailoring chiropractic care to individual needs. Clinical interests include serving veterans and their families.

Doctoral-prepared, board-certified advanced practice registered nurse specializing in pulmonology, sleep disorders and internal medicine. Combines active clinical practice with a background in nursing education. Experience in respiratory and sleep conditions informs clinical record synthesis, diagnostic analysis and independent medical evaluations.

Podiatric surgeon with board certifications in foot surgery, reconstructive rearfoot and ankle surgery, and podiatric medicine. Specializes in foot surgery, podiatric medicine, and reconstructive procedures involving the rearfoot and ankle.

Board-certified family nurse practitioner whose clinical practice includes veteran disability evaluations, medical-legal documentation and comprehensive wellness care.

Board-certified family nurse practitioner with more than 20 years of healthcare experience across emergency medicine, family practice, occupational health and disability evaluations. Has completed VA Medical Disability Examination training and has experience reviewing veterans’ medical records. Medical opinions consider service treatment records, VA and private records, imaging, laboratory findings, relevant lay statements and peer-reviewed literature.

Certified adult-gerontology primary care nurse practitioner with experience across primary care, telehealth and complex healthcare settings. Clinical work includes chronic disease management, preventive care and care coordination. Also provides medical consultation for patients in psychiatric long-term care, supporting their physical healthcare needs alongside behavioral health teams.

Certified adult-gerontology nurse practitioner specializing in geriatric care, with a background in orthopedics, trauma, medical-surgical nursing and long-term care. Brings extensive registered-nursing experience and experience serving veterans through the VA to a patient-centered approach to care.

Doctoral-prepared family nurse practitioner with more than 30 years of nursing experience. Background includes primary care, internal medicine, chronic disease management, preventive care and wellness management. Has experience serving veterans and helping them address healthcare and disability-related concerns.

Board-certified family nurse practitioner with clinical experience in primary care, sleep medicine, pulmonary health, pain management, trauma-related care and substance use treatment. Conducts VA Compensation and Pension disability examinations, including clinical history review and Disability Benefits Questionnaires. Experience includes evaluating functional effects of musculoskeletal injuries, chronic pain, respiratory disease and exposure-related illness.

Board-certified adult-gerontology acute care nurse practitioner whose work includes nexus medical-record reviews for veterans pursuing disability claims. Reviews the available medical record and current medical literature to develop clear, documented medical opinions. The clinical approach emphasizes careful evidence review and an understanding of the VA claims process.

Optometrist with extensive experience in complex medical eye care, including corneal and ocular-surface disease, neuro-optometric conditions, uveitis, glaucoma and retinal disease. Works with ophthalmologists in the medical and surgical co-management of eye disease. Clinical experience and detailed documentation support objective medical-record reviews and opinions.

Physician assistant with more than two decades of experience in emergency care, orthopedic surgery and urgent care. Has substantial experience performing veteran disability examinations and preparing medical opinions.

Board-certified psychiatric mental health nurse practitioner with experience evaluating and treating PTSD, anxiety, depression, bipolar disorder, ADHD and substance use disorders. Reviews medical records and conducts detailed psychiatric assessments, considering related medical conditions, medications, and effects on work and social functioning. Prepares objective medical opinions grounded in available evidence, clinical guidelines and current literature.