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Ask a VSO
This month, we are discussing the value and importance of submitting a medical nexus letter to support your VA disability claims.
What is a nexus letter and why do I need one?
If you’ve ever filed a VA disability claim and walked away frustrated, you’re not alone. Many veterans are surprised to learn that even with a diagnosis and proof of something that happened in service, the VA can still deny a claim. The missing piece is often one simple but powerful document: a nexus letter.
A nexus letter is a written medical opinion from a qualified doctor that explains how your current disability is connected to your military service. In other words, it provides the “service connection” the VA will not establish for you on its own. Without it, the VA often defaults to denying the claim — not because your condition isn’t real, but because the evidence isn’t complete.
So why do I need one?
The VA requires a medical professional to state — using the correct legal language — that your condition is “at least as likely as not” (a 50% likelihood) related to your service. When that phrase appears in a well‑supported letter, it carries significant weight and can turn a weak claim into a strong one.
A solid nexus letter can help you by:
- Clearly connecting your condition to your service.
- Strengthening your case beyond what a Compensation & Pension exam typically provides.
- Supporting direct, secondary or aggravated service connection.
- Giving the VA the medical justification it needs to approve your claim.
Bottom line: If you believe your disability is tied to your service, a nexus letter is one of the most important tools you have. It fills the gap between what you know happened and what the VA needs to recognize it.
The best way to get started is to work with your Veteran Service Officer (VSO). A VSO can help you gather your records, prepare a complete packet for your doctor, and make sure the letter addresses exactly what the VA needs to see.
The quickest way to reach your VSO is by email, and they also have direct phone numbers. If you’d like to schedule an appointment, you can contact your VSO directly or call Disability, Aging and Veteran Services at 503‑846‑3060.
If you have a question for our Veteran Service Officers, we invite you to “Ask a VSO.” We will answer your question.
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