Nexus Letter Exams

Nexus Letter Exams play a crucial role in your Veterans Affairs (VA) disability claim. As a service provider specializing in these exams, our dedicated team is committed to offering comprehensive support to veterans seeking to establish the connection between their military service and their current medical conditions.

In addition to medical opinion nexus letters, Sunnyside Veterans Consulting also provides access to nexus letter exams by licensed healthcare providers.

These in-depth individualized nexus letter exams combined with your medical and service records chart review assist our medical experts in properly completing DBQs hence maximizing veterans’ claim success.  Our experts understand the importance of each section of a DBQ and what is needed to increase your disability rating.

Whether you are already service-connected and looking to increase your rating or you are attempting to bolster an initial claim leading to upfront, non-appealed success, our medical experts can assist.

Interested in a nexus letter exam for your VA Disability Claim?
PLEASE call 858-547-9101 or email us at 

Why has the VA proposed a rate reduction in my disability benefits?

Unless you have been granted 100% Permanent and Total (100% P&T) for your service-connected conditions, more than likely, at some point in time the VA will schedule a C&P examination to determine if your conditions have improved.

Some conditions are dynamic and change with time. The VA schedules a re-evaluation to ensure a veteran is being compensated the rate that reflects the current severity of a veteran’s symptoms.

Quite often, the initial decision awarded to a veteran is noted that the rating is subject to future evaluations. In most cases, the VA will schedule a re-evaluation within 2-5 years of the initial award.

Some conditions are more reviewed for improvement than others based on the dynamic nature of the specific condition.

Do I need to attend the re-evaluation scheduled by the VA?

Yes, you MUST attend if you want to keep your current rating. If you do not attend, more than likely, the VA will propose a full reduction.

What should I do if I am proposed a reduction of my disability rating?

You have 30 days from the proposed reduction to request a hearing, appealing the reduction and you have 60 days to provide any new evidence to the VA. Most advocates can help file for a hearing, free of charge. If needed, we can help you find a free service near you to assist.

The best option is to request a hearing, and here is why:

    • The VA should not change your rating until after the requested hearing has been held. As many veterans can attest, getting a hearing scheduled with the VA can take a long time. In some circumstances, years. Requesting a hearing to appeal a proposed reduction will at least buy you more time at your current disability rating, than if you do not request a hearing.


  • The additional time at your current disability rate, while waiting for the hearing, allows you to build and provide evidence to the VA supporting your current, un-reduced rating. We can help you build this supporting evidence.

What kind of evidence can I provide the VA to support my current disability rating?

  • Support Statements-Statements from friends, family, co-workers, or anyone who witnesses the effects your service-connected conditions have on your day to day life. Veterans can also provide their own statements of support.
  • Independent Medical Examinations/DBQs-Done properly, this is some of the only evidence that a veteran can provide to the VA to support the severity of their symptoms and show their conditions have not improved. We can help you obtain the needed medical examinations and DBQs to support your current rating.


Results are not Guaranteed. Sunnyside Veterans Consulting provides medical opinions letters and consulting services for veterans filing disability claims with the Department of Veteran Affairs. Ours doctors and healthcare providers reserve the right to reject and/or refuse to complete a Veteran’s DBQ and/or Nexus Letter if he/she feels the Veteran is not being truthful. The Veteran’s Administration is the only agency that can make a determination regarding whether or not a Veteran will receive an increase in their service-connected disabilities or make a decision on whether or not a disability will be considered service connected.

Sunnyside Veterans Consulting does NOT file claims, appeals, or any documents on behalf of the veteran in their disability claim(s) with the Veterans’ Affairs. SVC encourages the use of free or paid services to file, or appeal, VA disability claims. National Service Organizations (e.g. DAV, American Legion, VFW), State Sponsored Veteran Service Officers, and Local Service Organizations can assist with your claim, generally, free of charge. By using our services or website, you acknowledge that there are other organizations that can assist for free and that the use of our services is not required.

The VA provides a tool to locate these veteran service organizations in your area. Please click here or visit for a list of organizations in your area.

Accredited Attorneys and Agents are also available to assist and charge a fee for their services. The VA provides a tool to locate these accredited attorneys and agents in your area. Click here for more information.

Utilization of Sunnyside Veterans Consulting is NOT required, and you can be successful with the use of these other free, or paid organizations. VA disability benefits and awards are determined solely by the Department of Veterans Affairs. Sunnyside Veterans Consulting cannot guarantee the results in your claim. This website and all statements, discussions, communications, written or verbal, with any Sunnyside Veterans Consulting’ employees, or medical experts, is for informational purposes only and is only the opinion of Sunnyside veterans Consulting, or medical expert, and does NOT constitute providing legal or medical advice.

SVC is not a law firm and does NOT practice law in any capacity. Sunnyside Veterans consulting works with a network of licensed practitioners and does not provide its own medical advice of any kind. SVC does not warrant or guarantee the opinions set forth by its medical experts. All users, of this website, or any of our services, are responsible for their own medical treatment, care, and oversight of all health conditions. Always seek the advice of your physician or other qualified health provider with questions or concerns regarding your health. Our medical experts make statements and opinions based on record review and/or evaluations for specific conditions and are NOT treating physicians. Any statement or opinion from any of our medical experts is simply the opinion of the medical expert and is NOT to be considered as treatment, care, advice, or oversight of any kind.

Location Information

If you are unsure whether or not we can help, please give us a call or email. We will be more than happy to point you in the right direction or refer you to our qualified and vetted Partners.
8910 University Center Lane suite 400
San Diego CA 92122
Phone: (858) 547-9101