Nexus Letter Addendum / Update

What This Service Includes

• Review of newly submitted medical records or documentation

• Evaluation of whether the new evidence materially impacts the original medical opinion

• Preparation of an addendum or updated Nexus Letter, when medically supported

• Updated medical rationale incorporating relevant new information

• Secure electronic delivery of the revised Nexus Letter

What This Service Does Not Include

• Creation of a Nexus Letter for a new or unrelated condition

• Expansion of scope beyond the condition(s) addressed in the original letter

• Guarantee of VA claim approval, service connection, or rating outcome

• Legal advice, legal representation, or claim filing services

• Updates based solely on VA denials without new medical evidence

New conditions require a separate Nexus Letter service.

Important Eligibility Notice

This service is available only to veterans who have previously received a Nexus Letter from Veteran Nexus Advisors for the same condition.

An addendum or update will be provided only if the newly submitted evidence supports a medically appropriate revision to the original opinion.

Record Upload Requirement (Required)

Please upload all new or updated VA and/or private medical records relevant to the condition addressed in your original Nexus Letter.

Examples of relevant documentation may include:

• New diagnostic testing or imaging

• Updated treatment records

• Specialist evaluations

• Relevant personal or lay statements describing changes in symptoms or functional impact

All documents must be legible, complete, and accurate.

By purchasing this service, you acknowledge, understand, and agree to the following:

• You are solely responsible for preparing, managing, and submitting your own VA disability claim.

• Veteran Nexus Advisors and its affiliated licensed medical providers do not file claims, represent veterans before the Department of Veterans Affairs, or guarantee any claim outcome, rating decision, or benefit award.

• All medical opinions and guidance provided are based exclusively on the medical records and information you submit at the time of review.

• This service provides an independent medical review and does not constitute legal advice, legal representation, or advocacy services.

• All services are delivered in accordance with applicable state licensing requirements, scope of practice standards, and telehealth regulations.

Veteran Nexus Advisors provides professional, evidence-based medical consulting services in support of VA disability claims. To ensure fairness and to compensate licensed medical providers for their time, expertise, and professional review, all payments are final and non-refundable.

This policy applies to all services, including but not limited to:

• Intake and Medical Record Reviews

• Nexus Letter base fees (single condition)

• Additional condition fees

• Expedited or priority service fees

Due to the individualized nature of each case and the professional time involved, refunds are not available once records are submitted, review has begun, or services are scheduled, regardless of whether:

• The client elects not to proceed, or

• The reviewing provider determines that a Nexus Letter is not clinically appropriate

No Guarantees

Veteran Nexus Advisors is committed to delivering medically credible, professional opinions. However, we do not guarantee:

• Approval of any VA disability claim

• Service connection determinations

• VA rating percentages

• Processing timelines or outcomes

All claim decisions are made solely by the U.S. Department of Veterans Affairs (VA). Veteran Nexus Advisors has no control over VA determinations and is not responsible for claim outcomes.

Responsibility for Accurate Information

Clients are solely responsible for providing complete, truthful, and accurate medical documentation.

Failure to submit adequate, relevant, or accurate records may:

• Affect eligibility for further services

• Limit the ability to provide a medical opinion or Nexus Letter

Such circumstances do not constitute grounds for a refund.