What Is a VA Nexus Letter? A nexus letter provides links between medical conditions and disabilities, allowing the VA to connect the dots and understand that certain medical conditions are related or linked. This letter is usually written by a doctor or licensed medical professional who treats you and knows your history; however this type of letter can be written by anyone as long as it is submitted with proper evidence (medical records) to back up the claim of nexus.
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If you are looking for medical evidence to prove your VA claim to include a diagnosis, documenting the severity of your symptoms or Nexus Letters, send an email to [email protected] (Please Include Your Phone #)
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VA nexus letter example template
Doctor’s Letter Head
Date:
Subject: Medical history of Mr. Veteran
Reference: C-File # and/or Social Security Number
To the Department of Veterans Affairs:
I am the primary care provider for Mr. Veteran. In my capacity as a primary care provider, I have cared for Mr. Veteran since 01/07/20xx.
While I’ve provided care for Mr. Veteran, I’ve become familiar with his active duty medical history from 07/24/19xx to 08/07/19xx and from VA medical records from 19xx to present, past and present ailments and I’ve reviewed pertinent parts of his military record that document his injury, disease and clinical conditions related to the events that occurred.
I am aware that Mr. Veteran was injured during his active duty military service on or about 1981 in Fort Army while (events description, time and place). A primary condition the veteran suffers is Lumbar Paravertebral Myositis (an Inflammatory Myopathy) and an L4-L5, disc desiccation and disc narrowing. MRI reports note sacralization of the L 5 representing a developmental abnormality and also that paraspinal muscle spasm is suggested.
Further noted are mild thoracolumbar dextroscoliosis as well as mild spondylosis and degenerative endplate changes. Schmorl’s nodes in the superior endplate of L3. L3-L4 and L4-5 degenerative disc disease are seen. There is an L4-5 small posterior disc bulge and small posterocentral disc herniation and L2-3 vertebral hemangiomas.
Mr. Veteran has chronic pain due to his injuries. The veteran suffers radiculopathy with pain, muscle control difficulty, tingling, numbness and weakness in the legs, likely due the sacralization of L4-L5. Mr. Veteran suffers increased fatigability because of his chronic back pain. Standing for more than 15 minutes will make him become weak and exhausted.
There are multiple other clinical conditions diagnosed that are more likely than not secondary to or aggravated by the primary back condition(s).
The veteran takes numerous medications for both the primary condition as well as secondary conditions that are aggravated by said primary back condition. (Medicines and secondary conditions are listed separately.) The veteran is not a likely candidate to be rehabilitated.
After examining Mr. Veteran, his chart and medical records it is my opinion that Mr. Veteran is totally and permanently disabled due to the above discussed back condition. The veteran can not hold gainful employment as a result of the injury he sustained while in the military. It is also my opinion that it is more likely than not the that the physical traumas suffered during the veteran’s military service as noted in his record (description of events and dates) caused, contributed to and aggravated the totally disabling back condition(s).
Respectfully,
Dr. VA Physician, MD
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