When this helps
An opinion helps when MOS noise, documented threshold shift, or a denied secondary theory is in the file and the rater did not have a reasoned medical explanation. It does not replace an audiogram.
What we do
We read the service treatment record, the audiograms you already have, and the decision. If a connection can be supported, we write the opinion. If the file needs an audiologist, we say that in the review.
What we do not do
We do not complete a hearing-loss or tinnitus DBQ. That examination is not a public form and cannot be done from this office.
The questionnaire
No public hearing-loss or tinnitus DBQ exists. Budget for an audiologist if the open question is the exam, not the nexus.
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
- Can you complete a tinnitus or hearing-loss DBQ?
- No. VA publishes no public hearing-loss or tinnitus DBQ. That examination must be performed by a state-licensed audiologist. An independent medical opinion on connection may still be possible when the record supports it.
- 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.