When this helps
An independent medical opinion helps when connection or a secondary chain is disputed, or when a C&P opinion needs a reasoned rebuttal. It does not replace an initial PTSD examination that VA requires from a VA psychiatrist, psychologist, or VA-contracted equivalent.
What we do
We review the file and, when the record supports it, write an opinion on connection, aggravation, or a secondary condition. Mental-health opinions are written and signed by a physician, within their own scope of practice. We never take a history in chat or promise an approval.
What we do not do
We cannot complete an initial PTSD DBQ. VA keeps that examination inside its own system. We also do not represent the claim or file anything with VA.
The questionnaire
Only the Review PTSD questionnaire is public. If you need an initial PTSD exam, that has to go through VA or a VA-contracted examiner. Ask us for an opinion, not that form.
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 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.
- Is an independent medical opinion the same as a nexus letter?
- Yes, in VA practice the two terms describe the same work: a physician’s reasoned opinion on service connection. “Nexus letter” is the common veteran phrase. “Independent medical opinion” or IMO is the formal name. We use both. The document is not a form letter. It cites your records and the medical literature that supports the connection.