Services Provided

We specialize in evidence-based medical nexus opinions that clearly explain the relationship between a Veteran’s service-connected condition and a claimed disability.

Nexus opinions are most effective when:

• Medical causation is missing or unclear
• Secondary service connection is claimed
• Aggravation beyond natural progression must be addressed
• Prior VA examinations lack adequate rationale

Each nexus opinion includes:

• Comprehensive medical record review
• Identification of the appropriate nexus theory
• Clear, rationalized medical reasoning
• VA-aligned language and standards
• Discussion of aggravation when applicable

A strong medical opinion begins with a strong factual foundation. This service is often used to identify viable secondary or aggravation theories before a nexus opinion is created.

We provide:

• Thorough review of service and post-service medical records
• Identification of relevant symptoms, timelines, and risk factors
• Clarification of inconsistencies or missing documentation
• Medical chronologies supporting nexus development

VA adjudication focuses not only on diagnosis, but functional impairment. We provide VA-aligned functional impact analysis addressing functional worsening due to untreated or aggravated conditions

With a background in behavioral health, we provide medical opinions addressing how psychiatric conditions disrupt sleep architecture, contribute to weight gain and fatigue, interfere with treatment compliance, and aggravate underlying medical conditions. These opinions are especially helpful in secondary and aggravation VA claims.