PACT Act / toxic exposure

Presumptiveis not automatic.

Independent medical opinion

The PACT Act moved many exposure claims onto presumptive lists. It did not end the need for an independent medical opinion. Conditions off the list, timing fights, and denials still need a physician who read the file.

Physician signed·Complete file·No rating promise

When this helps

An opinion helps when the claimed condition is not presumptive, when VA says the exposure window does not fit, or when a C&P dismissed the toxic-exposure theory without grappling with the record.

What we do

We review service locations, the exposure map in the file, the post-service diagnoses, and the decision. If a connection can be supported under current medical knowledge, we write it. If it cannot, we decline.

What we do not do

We do not treat “PACT Act” as a magic word. Presumptive conditions are filed as presumptive. We do not charge an opinion fee to repeat a list the rater already has.

The questionnaire

Exposure claims often need the condition DBQ, not an “exposure DBQ.” We complete the form that matches the diagnosed disease, from records or with an exam.

All-in for one connection is $1,250 after the review credit. Two or three connections is $1,500. See pricing and FAQ.

Questions we get first

What is a VA nexus letter?
A nexus letter is a written medical opinion that answers whether a veteran’s current condition is connected to military service. The VA standard is “at least as likely as not,” meaning 50 percent or greater. Line of Duty Medical writes these as independent medical opinions after a physician reviews the complete claims file.
Do you only serve Georgia veterans?
No. Record review and nexus opinions are written for veterans nationwide. The practice is based in Evans, Georgia, near Augusta and Fort Eisenhower. In-person DBQ examinations are performed locally. Veterans outside the CSRA use the records-based path.