3 steps
Medical Records Review
A contracted M.D. or D.O. reviews your evidence and tells you what may be medically supportable before you buy a full nexus letter.
View this service
Michigan
Independent medical opinions from licensed providers, for veterans in Michigan. We offer records reviews, nexus letters, and independent psychological evaluations - all secure, remote, and flat fee, with a free phone discussion before you choose.
Local service options
Michigan is home to more than 500,000 veterans, with military communities anchored by Selfridge Air National Guard Base near Detroit, Camp Grayling in the northern lower peninsula and Fort Custer near Battle Creek. VA disability claims for Michigan veterans are served by the Detroit VA Regional Benefit Office, and VA health care is provided through systems based in Detroit, Ann Arbor, Battle Creek, Saginaw and Iron Mountain.
Wherever you live in Michigan, you can work with Patriot NEXUS Letters from home. Our office is in Colorado, not Michigan. A free phone discussion, secure record upload and telehealth when an evaluation is involved let us serve veterans across the state without a trip to our office. Call (844) 368-2757 to discuss your medical evidence.

The Detroit VA Regional Benefit Office serves veterans across Michigan with benefits information and in-person help.
See the Detroit Regional Benefit OfficeThe Michigan Veterans Affairs Agency connects veterans with benefits, employment services, state veterans homes and other programs.
Visit Michigan Veterans Affairs AgencyVA disability compensation is a federal benefit. Claims from Michigan veterans are decided under the same federal rules as claims everywhere else - Title 38 of the U.S. Code and the regulations in 38 C.F.R. Part 3 - not under state law.
Under 38 C.F.R. § 3.159, competent medical evidence is evidence from a person qualified through education, training or experience to offer a medical opinion. VA weighs each opinion on the provider's qualifications and the reasoning given, not on whether the provider lives in Michigan.
That is why our licensed physicians (M.D. and D.O.) and clinical psychologists (Psy.D.) can review records and, when an evaluation is involved, meet by secure telehealth with veterans anywhere in Michigan. No medical opinion can guarantee a VA decision, and VA makes the final determination on every claim.
Serving veterans in Michigan
The VA rarely denies a claim because a veteran is not credible. It denies claims because the file does not contain a medical opinion connecting a current diagnosis to service. That is the gap we close for veterans in Michigan.


How it works
Every service is remote for veterans in Michigan. Compare each process before deciding which path fits your needs.
3 steps
A contracted M.D. or D.O. reviews your evidence and tells you what may be medically supportable before you buy a full nexus letter.
View this service3 steps
A licensed M.D. or D.O. reviews your evidence and, when it is medically supportable, writes an individualized Independent Medical Opinion with a detailed rationale.
View this service4 steps
A telehealth evaluation with a psychologist licensed in your state, starting with a free screening before you pay the full fee.
View this serviceNeed to spread out the cost? Payment plans are available through Affirm.
Have questions about your case?
Call us and a live team member will go over your situation with you for free - no cost, no obligation.
Conditions
Every opinion is written only where the records support it - physical and mental health conditions alike.
Post-traumatic stress disorder tied to a documented or corroborated in-service stressor.
PTSD nexus letters in MI →Direct and secondary service connection for obstructive sleep apnea.
Sleep Apnea nexus letters in MI →Noise-exposure claims for tinnitus and sensorineural hearing loss.
Tinnitus & Hearing Loss nexus letters in MI →Musculoskeletal claims for the spine, knees, hips, shoulders, and ankles.
Back, Knee & Joint Conditions nexus letters in MI →Direct and secondary migraine claims, including post-TBI and cervicogenic headache.
Migraines & Headaches nexus letters in MI →Mood and anxiety disorders, including those secondary to chronic physical conditions.
Depression & Anxiety nexus letters in MI →Local veteran resources
Use these independent, official resources for benefits help, health care, or confidential counseling.
The state agency serving Michigan veterans with benefits help, employment services and veterans homes.
VA regional office providing benefits information for veterans across Michigan.
VA medical center and clinics serving metro Detroit and southeast Michigan.
VA medical center and clinics serving the Ann Arbor area and southeast Michigan.
VA medical center and clinics serving southwest Michigan.
VA medical center and clinics serving mid-Michigan and the Thumb.
VA medical center and clinics serving Michigan's Upper Peninsula.
Detroit-based nonprofit helping veterans and families with support services and referrals.
Confidential readjustment counseling for veterans and families, with locations across Michigan.
Free, confidential support 24/7 - dial 988 and press 1, or chat online.
These independent resources are provided for convenience. Patriot NEXUS Letters is not affiliated with or endorsed by these agencies.
Free claim guides
Read plain-language information about common conditions and VA service connection.
Nearby
Do not see your town? We serve every county in Michigan. See full coverage.
Questions
Call now - our team is happy to help.