A Nexus Letter is a formal medical opinion from a licensed provider that links your current disability to your military service. It uses specific VA-compliant language (such as "at least as likely as not") to establish the service connection. These letters can help a VA disability claim by clarifying the connection, but they don’t guarantee approval—the VA looks at all the evidence together.
Nexus letters are never required. However, if you have to establish service connection or if your link to service is outdated, a Nexus letter could be the difference between a yes and a no to claim raters. For claims without an official diagnosis or secondary conditions that occurred years ago, a Nexus Letter is often the "missing link" that leads to an approval.
Yes. A thorough medical record review is required first. This ensures that Dr. Kane has sufficient evidence to support your claim and that the letter is clinically appropriate and credible. Dr. Kane is not in the business of taking your money if she knows she can not help your case.
Yes. A licensed psychologist is one of the most qualified doctors to complete your documentation if the disability is a mental‑health issue like PTSD, depression, or anxiety. The psychologist writing it should have treated or evaluated you (Dr. Kane does this through video) AND looked at your service and mental health records. Nexus letters explain how the condition started or got worse during service, and shows the link to service. This is done with empirically-based research and evidence, clear reasoning, and clinical links between service and the conditions.
While physicians and other licensed providers can also write mental health Nexus Letters, a psychologist offers a higher level of credibility in mental health claims:
A nexus letter is never required by the VA, but a nexus letter can be helpful. It’s most useful when the link between your military service and your current condition isn’t clear from other medical records. It is very helpful when applying for disability related to mental health conditions (like PTSD, depression, anxiety), conditions with late onset, or if your claim is has been denied or challenged due to "no Nexus" (link) to service. A Nexus doesn’t guarantee VA approval; the VA considers all evidence together.
No. PTSD can result from many service-related stressors, including training accidents, witnessing death or injury, or exposure to hostile environments. Combat experience or MST is not a requirement.
A successful claim generally requires three things:
If these criteria are not available and/or evident, your claim is likely to be denied without the help of a Nexus letter to draw those detailed lines for you.
Yes. "Delayed-onset" PTSD, and other delayed mental health symptoms are recognized by the VA. Many veterans do not experience or report symptoms until long after they have separated from the military.
We believe in transparent, flat-fee pricing so there are no surprises. All services require a video meeting. Standard rates are:
Nexus letters and/or DBQs will be released once payment in full has been received.
Yes. If you have a looming deadline, Dr. Kane offers an expedited service add-on. This starts at $200 to move your review and letter to the front of the line. Pricing is based on your deadline and the complexity of your case. Be sure to ask for a quote so you are not surprised by the cost.
No. Dr. Kane does not use "contingency" or "surprise fees." You pay a flat fee for the service provided.
A nexus letter and/or DBQ from a psychologist can help your VA claim, but it does not guarantee approval. A nexus letter and/or DBQ are valuable pieces of evidence, but the VA considers the entire record. It’s most impactful when paired with thorough documentation, consistent records, and a coherent narrative.
No. ValorNexus and Kane Psychological Services are private psychology practices owned and operated by Dr. Kane. Dr. Kane provides independent mental health evidence and consulting to help veterans navigate the VA system, but she does not make the final decision on your claim.
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