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Independent medical evidence for veterans
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Knee and shoulder

Knee and Shoulder Nexus Letter

Joint claims need an in-service event or a documented aggravation, then a current diagnosis that matches. The opinion is the chain. The DBQ is the measurement.

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When this helps

Buy the opinion when connection or aggravation is denied. Buy the DBQ when the rating ignores instability, meniscal signs, or true range of motion. Some veterans need both.

What we do

A physician reads the STR, imaging, orthopedic notes, and the last exam. We write the opinion the record supports and complete the joint DBQ from records or in Evans when an exam is required.

What we do not do

We do not write a connection from “I carried a pack” unless the file shows the injury or the chronicity. The review is where that decision happens.

The questionnaire

Knee and shoulder DBQs are public. $500 from records. $900 with an in-person exam in Evans, Georgia.

All-in for one connection is $1,250 after the review credit. Each additional connection is $400. See pricing and FAQ.

Questions we get first

What is a DBQ, and when do I need one?
A Disability Benefits Questionnaire is the VA’s own exam form. It is used to rate severity after service connection is already established, or to counter a weak C&P exam. We complete DBQs at $500 from your records, or $900 with an in-person examination in Evans, Georgia.
How much does a nexus letter cost?
All-in, a single-connection nexus at Line of Duty Medical is $1,250. Each additional connection is $400. That is a $350 records review, a $1,250 opinion, and $350 of the review credited if you proceed. National prices in 2026 typically run $500 to $2,000 depending on credentials and whether the review is credited.

Have a question about the practice?

Read our frequently asked questions or use the general information assistant below.