Jump to content
  • 0

Sample Nexus letters from my VSO


Sgt. Wilky

Question

Hello All,

I am attaching sample nexus letters I received from my VSO. This information may have been posted before, but if it helps someone out, then so be it!

Sgt. Wilky

NEXUS SAMPLE.PDF NEXUS SAMPLE #2.pdf

  • Like 1
Link to comment
Share on other sites

2 answers to this question

Recommended Posts

  • 0
  • Moderator

I like it.  We just recently had a question on this, and, while Berta pretty much said the same thing, this letter is short and succint, containing what you need, assuming the doctor enclosed his CV.  

Link to comment
Share on other sites

  • 0

Good letter, it touches all of the necessary information except where it says the doctor read the pertinent parts of your service record.  I have always been advised to say the doctor has read all of your STR's. 

Link to comment
Share on other sites

Join the conversation

You can post now and register later. If you have an account, sign in now to post with your account.
Note: Your post will require moderator approval before it will be visible.

Guest
Answer this question...

×   Pasted as rich text.   Paste as plain text instead

  Only 75 emoji are allowed.

×   Your link has been automatically embedded.   Display as a link instead

×   Your previous content has been restored.   Clear editor

×   You cannot paste images directly. Upload or insert images from URL.

  • Ads

  • Ads

  • Similar Content

    • By Johhny_Drama
      Happy Friday Eve
      Question about nexus letter. I had 2 doctors provide nexus letters to support my claim. I made sure to read the help guides and have a better understanding of what is required as in the verbiage and what nots. I read some articles and wanted to include to support my claim. My VSO said if it comes back as denied he can supply case file to support my claim. You can review past cases etc. Can I also add medical references from Pubmed or medical journals on your own to support the claim? I have 2 nexus letters and I included a reference page with medical journal information. The doctor didn’t quote medical journal but mentioned my specific issues. Will providing this help? 
    • By MostDaysIhavenoidea
      So I have always just assumed that you find an Independent medical examiner to perform an Independent Medical Exam that renders his Independent Medical Opinion to provider a NEXUS letter; the Nexus letter being the 1.) inciting event on active duty, 2.) official diagnosis of condition and 3.) the Medical Rational/pathology linking 1 to 2 "more likely than not" . 
      The Caluza elements is a brand new term completely but upon my very basic understanding of these elements....are they not the same 3 elements of a nexus letter?
      Also while reading through some of the post it kinda seems like maybe IMEs, IMOs, and Nexus reports are not all the same and so now am pretty sure I'm confused. What are the differences and what holds more value in obtaining for a successful claim?
      Also, is there any value in having both a Nexus letter and a DBQ performed by independent medical examiners? If a nexus letter cost $500 and a DBQ cost $500 and you only have $500..... which one would you buy or would you borrow anther $500 from a friend to get both?
    • By Bunbowsky
      Can you look at this please and let me know what you think. My neurologist wrote this for me 
      To Whom It May Concern,   Mr. ________ has come to my office as a patient for his neurological and sleep condition. I am a board certified Neurologist. I am also certified and specialize in sleep medicine. Mr. ______has been diagnosed with obstructive sleep apnea (OSA). I am currently treating him for this diagnosis.   Mr. _______ with confirmed OSA diagnosis treated with positive airway pressure therapy (CPAP). It is possible,or at least than not (50% or greater probability) that OSA is associated with or due to service-connected PTSD diagnosis. However, a direct casual relationship cannot be definitely ascertained.   If there is any questions or concerns, please feel free to contact me in my office.     Sincerely,       My question is? Is this a valid nexus letter?
    • By Johhny_Drama
      Hello everybody 
      I hope everyone is having a Good Friday. 
      Almost 18 months ago I submitted through the vfw a appeal and this went to the board. After reviewing they remanded the decision back to my local VA office. There was evidence that was not included and I guess errors. 
      In the meantime I am working with a provider that’s working a nexus letter. Should be done in the next week. 
      with that in mind I expected the appeal to get denied and it took a while. I figured if I can get a nexus letter and send it then it could be added to the claim. Now that the appeal is back with the local va can I just send this to the intake center or upload ? I would ask my local vfw but their offices are closed up. 
      also about my provider. He is not a doctor but I believe a MSW or CSW with 35 years of working with the dept of VA treating PTSD. I am rated with ptsd. I’m trying to get my sleep apnea rated secondary. I know this is talked about a lot however my question is will the va toss the nexus because the person is not a doctor ? I’d think 30 plus years working with the VA and working primarily with ptsd patients should count for something. He was licensed and just couldn’t prescribe meds. I like to avoid meds altogether and get to the square root of my issues. 
      I appreciate any feedback. I’m glad the board didn’t Just deny me. I think I have a good argument and this nexus will help. 
    • By Wise Guy
      I have a C&P Exam on Wednesday and I'm afraid I'll get denied. Flat feet was denied before along with Plantar Fasciitis because it's not service connected. I went back to my physician outside the VA and he typed my nexus as follows:
      "Bilateral flatfoot acquired possibly during time in military. When not congenital as a cause, pes planus (flatfoot) is caused due to ill fitting shoe-gear without subtalar range of motion support, which could have been a result to time in service, 51% probability.Patient presents today with bilateral heel pain, worse right foot. Patient states that the pain is 2 out of 10. Patient denies any injury. Patient states he is having pain to the plantar aspect of his right heel that has been going on for several months. Patient denies being diabetic. Patient states he received custom orthotics as a week ago and has notes slight improvement. Patient denies taking any anti-inflammatories. Patient states that he has noticed his achilles feeling tight during athletic activity. *****Physical exam: Decreased ankle dorsiflexion noted bilateral. Mild tenderness to palpation to the plantar medial aspect of the right calcaneus. No pain with lateral compression of bilateral calcaneus. No pain along posterior tibial tendon bilateral. Increased pronation to patient's mis and rear foot bilateral. (The X-rays show as normal)"
      It got denied due to not being service connected, so I went back and got the below nexus typed and signed. 
      "After reviewing ******** service record at my medical opinion is his pronounced bilateral pes planus or flat feet are connected to his time in service with the Marine Corps. Plus, his flat feet are due to high impact physical activity for military training such as marching drills, drills at Corporals Course, Sergeant course, Intermediate Administration Specialist Course, and the wearing of combat boots. These have caused strain on his posterior tibial tendon resulting in painful flat feet. The diagnosis of pronounced bilateral flat feet is severe with fitted soles. He still has symptoms with a pain level ranging to 8 out of 10. Recall treatment options have been discussed but will be deferred at this time."
       
      This is good but I don't know if it will connect come to think about it. From my recollection, I only went to medical once for plantar fasciitis and it's not shown as chronic. My flat feet was marked as normal upon entry of the Marine Corps and wasn't marked at all for my final physical. There's no check in any of the boxes indicating if my feet were normal or not. The ball was lazily dropped. I did just get a service connection for my hip injury. Should I go back to this doctor again and have him add a sentence that says, "Also, it is more likely than not that his pronounced bilateral flat feet worsened following the injury to his right hip with compensating for the pain"?
       
      Or does the VA Compensation even contact the doctor to check to see if they generated it or edited it? I have 1 full day to figure this out ands submit to add to my claim for Wednesday.
  • Ads

  • Our picks

    • I already get compensation for bladder cancer for Camp Lejeune Water issue, now that it is added to Agent Orange does it mean that the VA should pay me the difference between Camp Lejeune and 1992 when I retired from the Marine Corps or do I have to re-apply for it for Agent Orange, or will the VA look at at current cases already receiving bladder cancer compensation. I’m considered 100% Disabled Permanently 
      • 20 replies
    • 5,10, 20 Rule
      The 5, 10, 20 year rules...



      Five Year Rule) If you have had the same rating for five or more years, the VA cannot reduce your rating unless your condition has improved on a sustained basis. All the medical evidence, not just the reexamination report, must support the conclusion that your improvement is more than temporary.



      Ten Year Rule) The 10 year rule is after 10 years, the service connection is protected from being dropped.



      Twenty Year Rule) If your disability has been continuously rated at or above a certain rating level for 20 or more years, the VA cannot reduce your rating unless it finds the rating was based on fraud. This is a very high standard and it's unlikely the rating would get reduced.



      If you are 100% for 20 years (Either 100% schedular or 100% TDIU - Total Disability based on Individual Unemployability or IU), you are automatically Permanent & Total (P&T). And, that after 20 years the total disability (100% or IU) is protected from reduction for the remainder of the person's life. "M-21-1-IX.ii.2.1.j. When a P&T Disability Exists"



      At 55, P&T (Permanent & Total) or a few other reasons the VBA will not initiate a review. Here is the graphic below for that. However if the Veteran files a new compensation claim or files for an increase, then it is YOU that initiated to possible review.



      NOTE: Until a percentage is in place for 10 years, the service connection can be removed. After that, the service connection is protected.



      ------



      Example for 2020 using the same disability rating



      1998 - Initially Service Connected @ 10%



      RESULT: Service Connection Protected in 2008



      RESULT: 10% Protected from reduction in 2018 (20 years)



      2020 - Service Connection Increased @ 30%



      RESULT: 30% is Protected from reduction in 2040 (20 years)
        • Thanks
        • Like
      • 58 replies
    • Post in New BVA Grants
      While the BVA has some discretion here, often they "chop up claims".  For example, BVA will order SERVICE CONNECTION, and leave it up to the VARO the disability percent and effective date.  

      I hate that its that way.  The board should "render a decision", to include service connection, disability percentage AND effective date, so we dont have to appeal "each" of those issues over then next 15 years on a hamster wheel.  
        • Like
    • Finally heard back that I received my 100% Overall rating and a 100% PTSD rating Following my long appeal process!

      My question is this, given the fact that my appeal was on the advanced docket and is an “Expedited” appeal, what happens now and how long(ish) is the process from here on out with retro and so forth? I’ve read a million things but nothing with an expedited appeal status.

      Anyone deal with this situation before? My jump is from 50 to 100 over the course of 2 years if that helps some. I only am asking because as happy as I am, I would be much happier to pay some of these bills off!
        • Like
      • 18 replies
    • I told reviewer that I had a bad C&P, and that all I wanted was a fair shake, and she even said, that was what she was all ready viewed for herself. The first C&P don't even  reflect my Treatment in the VA PTSD clinic. In my new C&P I was only asked about symptoms, seeing shit, rituals, nightmares, paying bills and about childhood, but didn't ask about details of it. Just about twenty question, and  nothing about stressor,
  • Ads

  • Popular Contributors

  • Ad

  • Latest News


  • veteranscrisisline-badge-chat-1.gif

  • Fund HadIt.com

    406%
    $6,103.00 of $1,500.00 Donate Now
  • Advertisemnt

  • 14 Questions about VA Disability Compensation Benefits Claims

    questions-001@3x.png

    When a Veteran starts considering whether or not to file a VA Disability Claim, there are a lot of questions that he or she tends to ask. Over the last 10 years, the following are the 14 most common basic questions I am asked about ...
    Continue Reading
     
  • Most Common VA Disabilities Claimed for Compensation:   

    tinnitus-005.pngptsd-005.pnglumbosacral-005.pngscars-005.pnglimitation-flexion-knee-005.pngdiabetes-005.pnglimitation-motion-ankle-005.pngparalysis-005.pngdegenerative-arthitis-spine-005.pngtbi-traumatic-brain-injury-005.png

  • Advertisemnt

  • VA Watchdog

  • Advertisemnt

  • Ads

  • Can a 100 percent Disabled Veteran Work and Earn an Income?

    employment 2.jpeg

    You’ve just been rated 100% disabled by the Veterans Affairs. After the excitement of finally having the rating you deserve wears off, you start asking questions. One of the first questions that you might ask is this: It’s a legitimate question – rare is the Veteran that finds themselves sitting on the couch eating bon-bons … Continue reading

×
×
  • Create New...

Important Information

{terms] and Guidelines