Who signs your
nexus letter

Board-certified, fellowship-trained orthopedic surgeon with more than a decade of orthopedic training and clinical experience. Advanced subspecialty training includes adult reconstruction and orthopedic trauma. 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 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 more than 7 years of advanced-practice experience. Clinical work spans primary care, telehealth and complex healthcare settings, including 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 with 7 years of experience serving veterans through the VA. Reports 3 years in advanced practice and 17 years as a registered nurse; these periods may overlap. Specializes in geriatric care, with a background in orthopedics, trauma, medical-surgical nursing and long-term care.

Board-certified family nurse practitioner experienced in VA Compensation and Pension disability examinations and Disability Benefits Questionnaires. Clinical work includes primary care, sleep medicine, pulmonary health, pain management, trauma-related care and substance use treatment. Reviews clinical histories and evaluates 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 nearly 20 years of experience, including complex medical eye care. Clinical areas include 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 26 years of clinical experience, including 7 years performing veteran disability examinations. Clinical background includes emergency care, orthopedic surgery and urgent care. Experience includes 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.

Doctor of Chiropractic and military veteran with clinical experience in active rehabilitation, occupational health and biomechanical assessment. Evaluations combine objective soft-tissue assessment with spinal and extraspinal structural analysis. Clinical focus includes service-connected musculoskeletal disorders, chronic biomechanical dysfunction and secondary compensatory conditions. Draws on first-hand knowledge of the physical demands of military service, alongside evidence-based clinical evaluation, to prepare detailed, objective opinions on whether in-service events are linked to current impairments.

Internal medicine physician and military veteran who has practiced internal medicine since 2007. Has held clinical and leadership roles with the Department of Defense and the Department of Veterans Affairs, including work as an environmental health clinician. Has performed VA Compensation and Pension examinations since 2016.

Certified physician assistant with clinical experience in urgent care, walk-in care and primary care telemedicine. Currently performs disability examinations for veterans and reviews medical records related to disability claims. Clinical background includes evaluating acute and chronic conditions, reviewing clinical histories and analyzing medical documentation.

Board-certified physician assistant with more than 16 years of clinical experience in family medicine, primary care, urgent care and veterans’ healthcare. Holds a master’s degree in physician assistant studies and a background in ophthalmic medical technology. Experience includes comprehensive patient evaluation, chronic disease management, diagnostic interpretation and VA Compensation and Pension examinations, including independent medical evaluations and medical opinions.

Nurse practitioner with more than 10 years of healthcare experience, including 5 years of clinical practice as a nurse practitioner and 3 years conducting VA Compensation and Pension examinations. Brings a thorough, evidence-based approach to clinical assessment and to preparing independent medical opinions for veterans’ disability claims.

Doctor of Chiropractic with a master’s degree in exercise science and specialized training in advanced soft-tissue and corrective techniques. As a disabled veteran and former infantryman who deployed to Iraq, brings lived experience of military service and a detailed understanding of the musculoskeletal system to each evaluation.

Licensed clinical psychologist and military veteran who has conducted VA Compensation and Pension examinations since 2019. Practice focuses on psychological disability evaluations, mental health Disability Benefits Questionnaires, independent medical opinions and evidence-based nexus assessments. Opinions draw on clinical experience, military background and review of service and medical records, supported by clinical findings and relevant research.

Board-certified internal medicine physician who also holds a law degree. Maintains an active inpatient practice and serves as a medical director for hospice, clinical and rehabilitation facilities, managing complex medical conditions and functional impairments. Residency training included clinical experience in a VA health care system and a Level I trauma center. Has conducted VA Compensation and Pension examinations. Medical opinions draw on an objective review of the veteran’s medical records, service history, lay evidence, diagnostic findings and relevant literature, applying accepted medical principles.