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Nexus Letter.

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had a visit with my MD concerning my Nexus Letter for SC PTSD/ MDD as a cause for my Sleep Apnea. My Provider is fine with my own edits towards his/her approval for my SC PTSD/ MDD as a cause for my Sleep Apnea. I asked my provider if she/he would agree that my Sleep Apnea is "due to" PTSD/MDD and He/she said YES.

So, How can I word this letter so that it will benefit me as a end result?

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you need cases to back up your nexus as evidence....I would suggest the nexus be from a doctor in the sleep apnea field as a doctor just in generalized medicine will more than likley be ignored as they won't be considered an expert. You need to cite examples in your service medical records as well. Just saying it is because of PTSD, won't get it done in my opinion. I have PTSD and OSA and have been denied, but I didnt try a ptsd nexus. I get a CPAP, so I am just happy for that. I'm just giving an opinion. I hope you do get the service connection.

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Go to USVA101.ORG

This is a great site for claim information from James Cripps ( United States Veterans Alliance Home Page)

when you get to the site go to claim links and click on ''Nexus Letter'' they show how to prepare a good one!

Edited by Buck52
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As a claimed secondary physical condition,caused by a SC MH disability, that IMO nexus letter will need a very strong medical rationale and, as USMC_HVEQ said,
".I would suggest the nexus be from a doctor in the sleep apnea field as a doctor just in generalized medicine will more than likley be ignored as they won't be considered an expert."


Service connection for sleep apnea, secondary to PTSD, is granted."


The veteran had an IMO and other evidence that supported his claim.

This is a claim for sleep apnea secondary to PTSD and/or other SC disabilities, on remand and might provide some help as to what the VA needs.


After I read it I was surprised to see that there were lay statements regarding his snoring, in service. the remand mentioned that to be considered.

These claims however are unique to the above veterans in each case.

But nothing is impossible!

And James Cripps mentioned above by Buck, has proved that.

(First AO CONUS veteran awarded SC )

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thank you all for the feedback. I will work on the Nexus letter and see where is takes me

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I was received a service connected disability rating for bilateral ankle instability back in 2007. Over the years I developed problems with both my knee and my hips. I seen an ortho specialist and he did x-rays and MRI’s to document the condition of my knees and hips. He also evaluated my knees and hips using VA Form 21-0960M-8 and 21-0960M-9. I submitted both VA forms, a “Statement in Support of Claim” with my x-ray and MRI results to my nearest VA regional center. The Ortho specialist mentioned during his evaluation that my knees were likely a result of my ankle instability but for my hips he mentioned the injury resulted from military service. I sent the ortho specialist a basic Nexus letter but he does know how to proceed and I have no experience with creating the letter. The doctor usually cites studies that support the veteran’s disability claim??? I have no idea where to start..

I am a first time user of this site I apologize if my post is off topic.

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