Many veterans find it meaningful to have their experiences understood and put into clear words. I hope this process feels respectful, clarifying, and supportive.

At the same time, it is important to be clear about my role. When you book a Fieldstone service, my role is to provide an objective evaluation, records review, or medical opinion for your VA claim.

I am not becoming your treating therapist. This service does not include ongoing counseling, treatment planning, or crisis support.

• I can provide objective documentation, clinical analysis, and medical opinions based on the records and information available.
• I can make sure that my work is clear, clinically sound, evidence-based, and written in a way that meets the VA's standards.
• I can give you an honest professional opinion, even when that answer is not the one you were hoping for.
• I cannot guarantee what diagnosis I will make, what level of impairment I will find, whether I will be able to support a positive opinion, or how the VA will decide your claim.

That is because this is an objective forensic service, not a purchased conclusion. That objectivity is what makes the work credible — for the VA reviewing it, and for you as the veteran relying on it.

Some Fieldstone service plans happen in phases.

This is intentional. In more complex claims, I may need to review records or complete an evaluation before I can know whether the next step is clinically supportable.

For example, a Nexus Letter or IMO may only make sense if the evidence supports a medical connection, aggravation, diagnosis issue, or other opinion the VA can reasonably consider.

If your plan is phased, you pay for one phase at a time. If the first phase does not support moving forward, the process stops there. If it does support moving forward, you can decide whether to continue.

The goal is to protect you from paying for a later step when my earlier work shows that the next step is not likely to be helpful or clinically supportable.

Every Fieldstone service plan includes a Records Review.

50-page base

The base Records Review covers up to 50 pages. If your records packet is longer than 50 pages, additional review is billed in 50-page increments.

This does not mean you should leave out important records. It means you should be thoughtful about what you upload. A smaller, more relevant packet is often more useful than hundreds of pages that do not address the question I need to answer.

Your Navigator result and the Records Guide can help you focus on the records most likely to matter for your situation.

Certification of Readiness

After you upload your records, you will be asked to certify that your records are ready for review. That is simply confirming that this is the complete packet you want me to review. Once you certify readiness, I begin reviewing the records you submitted. Any records added after that point will require an additional Records Review fee.

This step helps keep the review process clear, organized, and fair. It also gives you a chance to pause before review begins and make sure you have uploaded the records you want included.

All Fieldstone evaluations are completed by secure telehealth.

You will need to be in a private location where you can speak openly. You should also use a secure internet connection whenever possible.

The evaluation is not recorded. If we are disconnected, I will try to reconnect through the same platform and then by phone if needed.

Telehealth can make this process easier because you do not have to travel, sit in a waiting room, or complete the evaluation in an unfamiliar office. Choose a place where you can focus, speak freely, and take a break if you need one.

Fieldstone Mental Health does not provide crisis or emergency services.

If you are in immediate danger, feel at risk of harming yourself or someone else, or need urgent support, call 911 or go to the nearest emergency room.

You can also contact the Veterans Crisis Line by calling or texting 988, then pressing 1.

After payment, you will be directed to the secure intake process.

You will complete intake forms, review and sign the service agreement, and upload the records for your service plan. If your plan includes an evaluation, you will also complete clinical assessments before scheduling your telehealth exam.

For phased service plans, payment only starts the phase you are entering. If a later phase is clinically supportable, you will be given the option to continue and pay for that next phase. If it is not supportable, the process stops there.

You will receive your completed documentation by secure email according to the timeline listed in your service plan.