How it works
From service record to signed opinion.
A clear, six-step process. Same path whether you come to us directly or through your attorney — built so you always know exactly where your case stands.
If you have an attorney
Work through your attorney
Your attorney refers the case and sends us your records. Our fee is billed to you directly, starting with the records review, and your attorney tells you what to expect before anything is sent. The balance can be scheduled after your assessment.
If you're on your own
We guide you directly
Submit a request directly. We'll review viability first, explain pricing up front, and — if you qualify — point you to the LOD Access program for reduced or pro bono help.
01
Submit a review request
Choose a service and submit your request. We contact you to arrange next steps. Veterans and attorneys use the same secure intake. No payment is required to submit your request.
Bring: claimed condition(s), branch and dates of service, and whatever records you have on hand.
02
Record review & case assessment
We read your STRs, C-file, and treatment records in full — no page ceiling, a flat $350 whatever the file size. You get a written assessment of which conditions the record supports before any paid medical evidence is drafted. If you proceed, the whole $350 is credited toward your opinion or DBQ.
You get an honest answer. If we conclude an IMO won’t help your claim, we tell you — in writing — and stop there.
03
Gap analysis & questionnaire
The full-file review flags what’s missing — the undocumented years, the diagnosis nobody wrote down. A focused questionnaire helps clarify the history with input from you or your attorney before drafting.
Further records or an examination may be needed. We explain what is missing.
04
Drafting the opinion
The physician drafts the Independent Medical Opinion (and DBQ if included), structured for the VA’s “at least as likely as not” evidentiary standard with citations to your record.
Written for adjudicators — clear nexus reasoning, not boilerplate.
05
Personal review & signature
The reviewing physician evaluates the reasoning and supporting evidence, resolves questions, and determines whether the opinion can be signed.
Clinical approval and signature remain physician responsibilities.
06
Delivery
Your signed opinion is delivered for your claims packet or BVA appeal — to you or directly to your attorney.
Expedited work is available by agreement.