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VA Nexus Letters & Independent Medical Opinions for Veterans Nationwide for VA Disability Claims

Defensible, records-based medical opinions for denied, secondary, and complex VA disability cases.
 
Independent Medical Nexus provides evidence-driven Independent Medical Opinions (IMOs) and medical nexus evaluations for Veterans and VA-focused attorneys when claims involve prior denials, secondary service connection, aggravation, or medically complex conditions.
 
We specialize in records-only medical reviews using VA-recognized medical probability standards — not templated letters or advocacy language.


Trusted by Veterans & VA Attorneys | 30+ Years Clinical Experience

Doctor Writing Notes

Records-Based VA Nexus Evaluation -  Is This Right for You?

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This review is a good fit if you:

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✅ Need a VA nexus letter or Independent Medical Opinion for service connection
✅ Have a denied VA claim citing “no nexus” or an unfavorable C&P examination
✅ Are pursuing secondary service connection or aggravation claims
✅ Want a records-only medical review (no in-person exam required)
✅ Need an opinion prepared by licensed medical providers using VA-recognized medical probability language

If this sounds like your situation, 


👉 Choose your VA Nexus Evaluation Service below

Who We Serve?

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We serve Veterans across the United States through secure, remote medical records review.

 

All services are delivered electronically; no travel, clinic visits, or phone calls required unless specifically arranged.

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Conditions Commonly Reviewed 

  • Gulf War–related conditions and environmental exposures

  • Burn pit and airborne hazard exposure (OIF, OEF, OIR)

  • Musculoskeletal conditions from training, deployment, or repetitive strain

  • Tinnitus related to military noise exposure

  • Chronic pain conditions with documented service linkage

  • Headache and sleep-related conditions

  • Hypertension

  • Type 2 diabetes mellitus

  • Sleep apnea

  • Gastrointestinal conditions (e.g., GERD, IBS)

  • Respiratory conditions with documented exposure history

  • Conditions that developed or permanently worsened after discharge

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Some conditions may require coordination with or referral to an appropriate specialist opinion based on the medical evidence.

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👉  For VA Attorneys & Accredited Representatives

Records-based Independent Medical Opinion for VA disability claims involving denials, secondary service connection, or complex medical histories.

VA Nexus Evaluation Services

Complex Independent Medical Opinions for VA claims, Multi‑condition nexus evaluations, and One‑condition nexus letters.

 

Choose the option that best matches the number and complexity of conditions you want reviewed.

Independent Medical Nexus review

Independent Nexus Evaluation – Complex / Independent Medical Opinion

For denied, secondary, aggravation, and medically complex VA disability claims

This comprehensive, records-based Independent Medical Opinion (IMO) is designed for high-complexity VA disability cases requiring detailed medical reasoning and adjudication-ready analysis.

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This service is appropriate for claims involving:

  • Prior VA denials, negative nexus findings, or unfavorable C&P examinations

  • Secondary service connection and aggravation beyond natural progression

  • Conflicting medical evidence or incomplete prior opinions

  • Four (4) -6  claimed conditions or medically intertwined conditions

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Each IMO includes a thorough review of submitted records and a written medical opinion using VA-recognized medical probability standards.

Independent Medical Nexus review

Independent Nexus Evaluation  – Multiple

For related conditions requiring structured medical reasoning

This records-based nexus evaluation addresses two to three claimed conditions that involve related medical pathways, secondary relationships, or aggravation analysis.

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This service is best suited for:

  • Claims involving secondary causation chains

  • Early appeals or supplemental claims

  • Cases requiring clear medical explanation but not full IMO complexity

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Opinions are prepared by licensed medical providers and written using VA-appropriate medical probability language.

Independent Medical Nexus

Independent Nexus Evaluation   – One Condition

For clearly documented service connection claims

This records-only nexus evaluation addresses one claimed condition with a well-documented in-service event and supporting medical evidence.

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This service is appropriate when:

  • Service connection is clearly documented

  • There is no conflicting medical evidence

  • The claim does not involve secondary or aggravation analysis

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Single-condition evaluations are not recommended for denied or medically complex claims.

HAVE MORE CLAIMED CONDITIONS? Choose option here:

👉  For VA Attorneys & Accredited Representatives

Records-based Independent Medical Opinion for VA disability claims involving denials, secondary service connection, or complex medical histories.

Reviews begin once payment and required records are received. Each evaluation is conducted independently and written using VA-appropriate medical rationale based on the evidence provided.  Reviews are conducted without appointments or examinations.

For VA Attorneys & Accredited Representatives
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Independent Medical Nexus supports VA disability law practices and accredited representatives by providing independent, records-based Independent Medical Opinions (IMOs) and medical nexus evaluations aligned with VA disability examination and adjudicative standards.

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Our opinions are designed to support appeals, hearings, and briefing and emphasize:

  • Clear, evidence-based medical reasoning tied to specific service and post-service medical records

  • Explicit analysis of causation, aggravation beyond natural progression, and secondary service connection when medically supported

  • Professional formatting and VA-appropriate medical probability language suitable for citation in legal and adjudicative contexts

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Engagement Options for Attorneys
Attorneys and accredited representatives may either request a case-specific review or quote for complex or atypical matters, or proceed directly by selecting the appropriate service tier through the standard intake process.
Service fees are based on case complexity and scope and are consistent regardless of referral source.

m with “Attorney Inquiry” in the subject line.

To discuss firm procedures, referral workflows, or appropriate case selection, please contact


Nexus@IndependentMedicalNexus.com with “Attorney Inquiry” in the subject line.

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HOW THE PROCESS WORKS​

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Independent Medical Nexus Evaluation

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A Simple, Professional Process

 

1. Choose Your Service & Complete Payment
Select the appropriate service based on your situation and complete secure payment.

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2. Submit Records & Intake Information

Once payment is completed, a confirmation email will be sent with a secure link to complete a brief questionnaire and upload your records.  Medical review begins only after both are submitted.

 

3. Independent Medical Review
Medical opinions are prepared by a licensed medical provider experienced in reviewing VA disability-related medical records. 

 

4. Nexus Letter Delivered
A written medical nexus letter is prepared and delivered electronically.

The process is designed to be efficient, confidential, and straightforward.

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Ready to move forward?

If your claim was denied, delayed, or you’re preparing to establish service connection, the next step is medical review.

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No appointments or examinations are required. All services are records-only and conducted remotely.

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Why Independent Medical Nexus?

Independent Medical Nexus is built for VA disability claims that require defensible medical reasoning, not templated letters or automated reports.

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  • Independent, records-based medical opinions grounded in objective review of service and post-service medical evidence

  • VA-appropriate medical probability language, including “at least as likely as not,” applied only when supported by the medical record

  • No templates or automated reports — every opinion is individualized based on the records submitted

  • Confidential, HIPAA-conscious document handling with secure, remote service for Veterans nationwide

  • Licensed medical providers experienced in VA disability-related medical record review and adjudicative standards

Frequently Asked Questions

 

What is a VA medical nexus evaluation letter?

A VA medical nexus evaluation letter provides an independent medical opinion addressing whether it is at least as likely as not that a Veteran’s condition is connected to military service. Opinions are based on existing medical and service records and apply clinical reasoning consistent with VA adjudicative standards.

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Do I need an appointment or in-person examination?

No. All services are provided through secure, records-only medical review with electronic delivery of written opinions. No in-person appointment or examination is required. Services are available to Veterans nationwide.

 

Are Independent Medical Opinions for VA disability claims legal?

Yes. Veterans may obtain independent, paid medical opinions to submit as medical evidence in support of VA disability claims reviewed by the Department of Veterans Affairs.

 

Can you access my VA medical records?

No. You remain fully in control of your records. Independent Medical Nexus does not access VA systems. You upload the records you wish to have reviewed.

 

Is a favorable opinion or VA approval guaranteed?

No. All medical opinions are evidence-based and may be favorable, neutral, or unfavorable depending on the records reviewed. Final claim decisions remain solely at the discretion of the Department of Veterans Affairs.

 

Do you provide VA advocacy or legal representation?

No. Independent Medical Nexus provides medical record review and written medical opinions only. We do not offer legal advice, advocacy, or representation before the VA.

 

Who do you serve?

Independent Medical Nexus provides remote, records-only VA nexus evaluations and Independent Medical Opinions for Veterans anywhere in the United States through secure medical records review.

 

Can I request expedited review?

Yes. An optional expedited review service may be purchased to prioritize internal processing timelines. Expedited review does not guarantee a specific outcome or VA decision.

 

Important Notice

All services are provided as independent, records-based medical reviews and written opinions only. No diagnosis, treatment, or legal representation is provided. Payment is required before review and is non-refundable once records are accessed. Full terms are presented in the Service Agreement at the end of the intake form.

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Trusted by Veterans & VA Professionals Nationwide
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​"Thorough, evidence-based opinion that clarified medical issues for our client's appeal."

- VA Disability Attorney

 

"The nexus letter cited specific records with VA-appropriate language."

- Veterans Service Officer

 

"The intake was secure and straightforward. Records handled professionally."

- Veteran, Texas

 

"Quick quote response. Tiered pricing matched my case complexity."

- Veteran, California

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Results vary based on individual medical evidence. VA determines all benefit decisions.

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By checking this box, I confirm that: By submitting this form, I request an independent, records-based medical review for the purpose of obtaining a written medical opinion (nexus letter / Independent Medical Opinion) related to my VA disability claim. I understand and agree to the following: **Scope of Services** – The service is limited to a review of medical and service records that I voluntarily submit at time of payment/checkout. – The service provided is an independent medical opinion only. – No in-person or virtual examination is provided. – No diagnosis, treatment, prescription, or ongoing medical care is rendered. – No provider–patient relationship is established. – Independent Medical Nexus does not access VA systems, retrieve records on my behalf, or submit documents to the VA. – Independent Medical Nexus does not provide legal advice, advocacy, or representation before the VA. – The medical opinion is based solely on the records and information I submit. – A medical opinion may be favorable, neutral, unfavorable, or declined depending on whether the evidence supports a medically reasonable conclusion. **Records Policy** I confirm **all records submitted represent everything I want reviewed**. **The medical review and opinion will be based solely on records received at time of payment/checkout.** **Review begins immediately upon receipt of records.** Additional records later require new service purchase (full fee applies). **Client Responsibilities** – I am responsible for submitting the completed nexus letter or IMO to the VA or to any representative or attorney assisting with my claim. – This review is limited to the condition(s) identified in my intake. Additional conditions, revisions, or addendums may require an additional fee. **Payment & Refund Policy** – Full payment is required before review begins. – Payments are **non-refundable once records are accessed OR review has begun**. – A refund may be issued **only if** written cancellation request received **before records are accessed OR before review has begun**, less a **$300 administrative fee**. Chargebacks will be contested and do not relieve you of your financial responsibilities. **No Outcome Guarantees** – Independent Medical Nexus does not guarantee VA claim approval, disability ratings, or acceptance of any opinion. – VA decisions remain solely at the discretion of the Department of Veterans Affairs. I have read and agree to the terms above.

 

© 2026 by Independent Medical Nexus. 

 

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We Service:  United States (Remote Medical Records Review)

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