VA Nexus Letter Services and Pricing for Veterans & Attorneys
Patriot Path provides physician-written VA nexus letters for veterans and their attorneys. A licensed medical professional reviews your records, evaluates your claim, and writes an independent medical opinion connecting your condition to your service. Pricing is a flat $1,500, the consultation is free. New to this? Start with our step-by-step guide.
- BBB Accredited
- HIPAA-Compliant Portal
- Veteran Founded
- 5-10 Day Turnaround
30-Second Match
Which letter does your claim need?
Three quick taps. No email required, no strings - just a straight answer.
Who is this claim for?
What We Do
Services We Offer for Veterans
VA Nexus Letters
A nexus letter is the medical opinion that connects your condition to your military service. A licensed physician writes that opinion to the standard the VA looks for: "at least as likely as not." For many denied claims, this is the piece of evidence that was missing.
Full Records Review
We read everything - service records, treatment history, prior decisions - before a clinician writes a word. Backed by a decade of expertise in disability claims.
DBQs & Medical Opinions
Disability Benefits Questionnaires and independent medical opinions for veterans and their attorneys, prepared to VA evidence requirements.
Simple Process
How It Works
- 1
Free Consultation
Tell us about your claim. We will give you a straight answer on whether a nexus letter can help - and if it can't, we will say so.
- 2
Records Review
Upload your records through our secure client portal - it is HIPAA compliant, and nothing moves over email. A licensed clinician reviews your full file.
- 3
Your Letter
You receive a physician-signed nexus letter written to VA evidentiary standards, with a DBQ where applicable, within 5 to 10 business days of records receipt.
Want the full walkthrough? See our complete process.
Who Writes Your Letter
Your letter is written by a licensed MD, PsyD, or PhD on our medical team. We do not publish our physicians' names on the website - it protects them from pressure and protects the independence of their opinions.
- Licensed physicians, PsyDs, and PhDs
- Credentials verifiable by your attorney and by the VA upon request
- For mental health claims, you speak with a PsyD before you pay
Transparent Pricing
Pricing for Nexus Letters
Toxic Exposures
PACT Act / TERA and MOS exposures
- PACT Act, TERA, and MOS exposure coverage
- Burn pits, Camp Lejeune, Agent Orange
- Full records and exposure history review
- Combine with general medicine
Mental Health
Service connection or increase
- Expert nexus letter preparation
- Detailed DBQ included
- Comprehensive records review
- In-depth evaluation and analysis
- Speak with a PsyD
General Medicine
Initial service connection
- Authored by licensed MDs and PhDs
- Written to the VA's "at least as likely as not" standard
- Cites peer-reviewed medical literature
- 5-10 business day turnaround
- Combine with toxic exposures
For Veterans Law Attorneys
Your case is only as strong as its medical evidence. Patriot Path provides independent medical opinions, nexus letters, and DBQs for BVA appeals, supplemental claims, and CAVC remands - written by licensed clinicians whose credentials hold up to scrutiny.
We pre-screen every file before engagement. If the opinion can't be substantiated, we tell you before you spend a dime - not after.
- Free case pre-screening before any engagement
- Physician credentials verifiable on request
- HIPAA-compliant records transfer - nothing over email
- Court-ready documentation to VA evidentiary standards
- 5-10 business day turnaround from records receipt
"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."
- BBB Accredited Business
- Google Reviews ★★★★★
- Working with veteran law firms nationwide
Straight Answers
Frequently Asked Questions
How much does a nexus letter cost?
A mental health nexus letter is $1,500 for a service connection or an increase. General medical and toxic exposure letters are $1,500 and cover up to five conditions in one letter. The consultation is free, and for mental health claims you speak with a PsyD before you pay.
Who writes the nexus letters?
Licensed physicians, PsyDs, and PhDs on the Patriot Path medical team. Their credentials are verifiable by attorneys and the VA upon request.
What is included with a nexus letter?
A complete review of your medical and service records, an independent evaluation, a nexus letter written to VA evidentiary standards citing the medical literature, and a Disability Benefits Questionnaire where applicable.
Do you guarantee my claim will be approved?
No, and you should be cautious of anyone who does. The VA makes the rating decision. What we control is the quality of the medical opinion: a licensed clinician reviewing your records and writing an honest, well-supported letter.
How long does it take to get my letter?
Most letters are delivered within 5-10 business days of records receipt.
Do you work with attorneys?
Yes. Veteran law attorneys use Patriot Path for independent medical opinions, nexus letters, and DBQs on behalf of their clients, with secure, HIPAA-compliant records transfer.
Not Sure Which Service Fits Your Claim?
Start with the free consultation. Worst case, you leave with a straight answer.
Or call us at (833) 234-0200