How It Works
6-Step Nexus Letter Process for VA Claims
Our simple, clear approach to nexus letters helps veterans with their VA claims efficiently. Contact Patriot Path today for a free consultation.
- Licensed PhDs & MDs
- Board-certified physicians & psychologists
- BBB Accredited Business
A simple 6-step process
Navigating the VA claim process can be complex, but obtaining a nexus letter doesn’t have to be. Our simplified 6-step process ensures you get the support you need for your VA claim efficiently and effectively. Whether you’re seeking a General Medicine or Mental Health nexus letter, we’re here to guide you every step of the way.
- 1
Sign Up
Book a brief 30-minute consultation, or if you don’t need one, sign up directly.
- 2
Upload
Upload your documents, add lay statements, and provide your medical information.
- 3
Choose
Select the type of nexus letter that best fits your claim.
- 4
Pay
Once everything’s uploaded, pay securely. Your information stays protected.
- 5
Review
Review your draft nexus letter, confirm there are no errors, and approve it.
- 6
Receive
Any corrections are made, then your finalized nexus letter is delivered.
Most letters delivered in 5–10 business days
Most nexus letters are delivered within 5–10 business days, and often sooner. Working against a deadline? Rush options are available.
Patriot Path means value
What you get with every Patriot Path nexus letter.
No record review fees
Patriot Path does not charge record review fees: the price you see is the price you pay.
MDs & PhDs only
Every nexus letter is written by a board-certified physician or doctoral-level clinician.
Veteran & attorney support
We support both the veteran and their attorney throughout the claim.
Custom nexus letters
Each letter is custom-written to the evidence in your individual claim.
Our pricing for nexus letters & DBQs
Flat, transparent pricing: no record review fees, ever.
General Nexus Letter
$1,500
Up to 5 conditions (used for service connections) per doctor.
Get StartedFlexible financing available through Klarna and AfterPay at checkout.
Explore each step
Click any step to see exactly what happens and what to prepare.
Step 1 of 6
Sign Up
Start by setting up an appointment through the initial consultation link. After you share a few details, you’re invited into our portal to sign HIPAA-compliant disclosures, so your privacy and data are protected from the very first step.
Related condition guides
Related guides
New to nexus letters? Start with our complete guide to how a nexus letter works.
Trusted by veterans
Real reviews from veterans we've helped.
“On initial conversation Colleen scoured my records to pull out specific supporting language for my claim. She was up front about the process and expectations. I received the supporting documentation in a timely manner to use to further my VA claim. Very happy with Patriot Path after nearly 8 years of battling the VA.”
“Patriot Path provided the most technically and medically complete Nexus Letter for my VA Claim.”
“Patriot path was great and easy to work with. They answered every question expediently, they made my life much easier.”
Frequently asked questions
How long does it take to get my nexus letter?
Most nexus letters are delivered within 5–10 business days, and often sooner. If you’re working against a deadline, rush options are available, just let us know during your consultation.
Who writes my nexus letter?
Every nexus letter is written by a licensed MD or PhD. Patriot Path only uses board-certified physicians and doctoral-level clinicians.
How much does a nexus letter cost?
A General Nexus Letter is $1,500 (up to 5 conditions per doctor) and a DBQ is $1,000. We never charge record review fees, and flexible financing is available through Klarna and AfterPay.
Can I request changes to my letter?
Yes. You’ll review a draft and can request modifications. Please note that the medical opinions our doctors make regarding service connection are final.
What happens if the VA denies my claim?
A denial does not mean your nexus letter was weak. VA claims are denied for many different reasons. That’s exactly why we recommend having an attorney on your case to advocate for you and argue the claim on your behalf. Patriot Path supports both the veteran and their attorney throughout the process.
Do you work with attorneys?
Yes. Patriot Path supports both the veteran and their attorney, and we’re glad to coordinate with your legal team to help strengthen the claim.