Q: Do you offer refunds for negative findings or not being able to write a positive letter?
A: We do not offer refunds of the record review payment or the letter payment. The purpose of the consult is to make sure that we believe we can write a positive letter for your VA claim. This will depend on  your condition being documented in your medical record and clearly connected to your military service. If you have a more unique condition and you make a deposit of half of your record review payment while we research your claim you may be partially refunded if it is found that we cannot proceed with your claim.

We do not offer full refunds if your medical record does not represent what we were told during your consult. IF we find that your record does not allow us to write a positive Nexus Letter for your condition(s) then we will not write a letter and you will only be charged for the consult/record review.

We also offer NO guarantee that the VA will find in your favor.

Q: How long will it take to receive my letter?
A: We will make evert effort to try to produce your letter in a timely fashion, but there are many factors that will decide how long your letter will take.

Factors that can affect the amount of time it takes to receive your letter: the number of conditions you’re claiming, the complexity of your conditions, the size of your medical records, how well you have organized your records before sending the records for review, and the number of people ahead of you.

Record review and letters are first come first serve, but we will try to accommodate reasonable requests for your letter to be expedited. (This may result in a fee.)

Q: Who can write a veteran’s nexus letter?
A: I think VA Claims Insider said it best… “A VA Nexus Letter is an evidence-based document prepared by a qualified medical professional, such as a PA-C or an MD, that helps to establish a connection between the claimed in-service disease or injury and the veteran’s current disability…Even though veterans can technically use a Nurse Practitioner (NP) to do a VA Nexus letter, you need to be thinking about which qualified medical professional will give you the most weight before the C&P examiner and the VA Rater, keeping in-mind the importance of competency and credibility of the evidence-based written medical documentation.

For example, a NP attends nursing school while a PA attends medical school or other center of medicine.

Thus, a PA will generally have more education and training, in which they focus on the biologic and pathologic components of health, and practice assessment, diagnosis, and treatment.

Of course, a veteran may also choose to hire a Medical Doctor (MD) or other specialty physician, although this usually comes at a premium price.

In our experience working over 5,000 VA disability claims to date, we have yet to see a single instance where an MD’s nexus letter trumped a PA’s nexus letter.


Because the best VA Nexus Letters are LESS about the doctor’s credentials, and MORE about the quality of the content, mainly, the records reviewed, medical research studies cited, case law precedent examples, and the nexus statement for service connection.”

Q: Do you accept records via email? 
A: Yes, we are able to accept emailed records! Our HIPAA compliant email is Records@JGardnerAndAssociates.com. If you would like to learn more about our email’s HIPAA compliance CLICK HERE.

Q: Do you write letters for tinnitus or other hearing conditions?
A: YES! We are so excited to welcome Dr. Christine Erickson PhD to our team. Her expertise and and background allow us to write nexus letters for hearing claims.

Q: Do you write letters for PTSD or other psych conditions?
A: YES! We are so excited to welcome Dr. Amy Connell MD to our team. Her expertise and and background allow us to write nexus letters for psychiatric claims.

Q: Do you perform C&P exams or complete DBQs?
A: No. We do not provide these services at this time.  

Have more questions? Please email us: Info@MyVeteranNexusLetter.com or JGardnerAndAssociates@gmail.com

Veteran Benefits ClaimVeteran VA Nexus Letter