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.
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Virginia
VA Nexus Letters in Virginia
Independent medical opinions from licensed providers, for veterans in Virginia. 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
Serving veterans across Virginia, start to finish from home
Virginia has one of the highest concentrations of veterans in the country, from Hampton Roads and Naval Station Norfolk to Fort Belvoir, Quantico, Fort Gregg-Adams and Joint Base Langley-Eustis. VA disability claims for Virginia veterans are served by the Roanoke VA Regional Benefit Office, and VA health care is provided through systems based in Hampton, Richmond, Salem and the Washington, D.C. area.
Wherever you live in Virginia, you can work with Patriot NEXUS Letters from home. Our office is in Colorado, not Virginia. 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.
VA regional benefit office in Virginia
The Roanoke VA Regional Benefit Office serves veterans across Virginia with benefits information and in-person help.
See the Roanoke Regional Benefit OfficeState help for Virginia veterans
The Virginia Department of Veterans Services offers free benefits help, state veterans care centers and veterans cemeteries.
Visit Virginia Veterans ServicesHow remote medical opinions work for Virginia veterans
VA disability compensation is a federal benefit. Claims from Virginia 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 Virginia.
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 Virginia. No medical opinion can guarantee a VA decision, and VA makes the final determination on every claim.
Serving veterans in Virginia
Missing medical evidence is why most Virginia claims stall.
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 Virginia.
What we review
- Service treatment and personnel records
- VA and private treatment history
- Your denial or rating decision letter
- C&P exam results and DBQs
What you receive
- A written independent medical opinion
- Clear “at least as likely as not” language
- Clinical rationale with medical citations
- A draft you review before it is final
How it works
The steps depend on the service you choose.
Every service is remote for veterans in Virginia. Compare each process before deciding which path fits your needs.
3 steps
Nexus Letter / Independent Medical Opinion
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
Individual Psychological Evaluation Package
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
Common claims we support in Virginia
Every opinion is written only where the records support it - physical and mental health conditions alike.
PTSD
Post-traumatic stress disorder tied to a documented or corroborated in-service stressor.
PTSD nexus letters in VA →Sleep Apnea
Direct and secondary service connection for obstructive sleep apnea.
Sleep Apnea nexus letters in VA →Tinnitus & Hearing Loss
Noise-exposure claims for tinnitus and sensorineural hearing loss.
Tinnitus & Hearing Loss nexus letters in VA →Back, Knee & Joint Conditions
Musculoskeletal claims for the spine, knees, hips, shoulders, and ankles.
Back, Knee & Joint Conditions nexus letters in VA →Migraines & Headaches
Direct and secondary migraine claims, including post-TBI and cervicogenic headache.
Migraines & Headaches nexus letters in VA →Depression & Anxiety
Mood and anxiety disorders, including those secondary to chronic physical conditions.
Depression & Anxiety nexus letters in VA →Local veteran resources
Find the right local help
Use these independent, official resources for benefits help, health care, or confidential counseling.
Claims and benefits help
- Virginia Department of Veterans Services
The state agency offering free benefits help, state veterans care centers and cemeteries for Virginia veterans.
- Roanoke VA Regional Benefit Office
VA regional office providing benefits information for veterans across Virginia.
- VFW Department of Virginia
Veterans of Foreign Wars posts and service officers across the Commonwealth.
Health care
- VA Hampton Health Care
The Hampton VA Medical Center and clinics serving Hampton Roads and the Virginia Peninsula.
- VA Richmond Health Care
The Central Virginia VA Health Care System and McGuire VA Medical Center in Richmond.
- VA Salem Health Care
The Salem VA Medical Center and clinics serving Southwest Virginia.
- VA Washington DC Health Care
VA medical center and clinics serving Northern Virginia veterans.
- VA Martinsburg Health Care
VA care for veterans in Virginia's Shenandoah Valley and northern counties.
Counseling and support
- VA Vet Centers
Confidential readjustment counseling for veterans and families, with locations across Virginia.
- Veterans Crisis Line
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
Information for Virginia veterans
Read plain-language information about common conditions and VA service connection.
Nearby
Cities we serve across Virginia
Questions
Nexus letter FAQs for Virginia
Talk with a real person about your case.
Call now - our team is happy to help.