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My Honest Recommendation?
Start with the free VA option. You'll need to file your disability claim with the VA either way.
If you receive a denial or an inaccurate rating through the free route, that's when my services become most valuable. We can complete an IME and/or Nexus Letter at that point - when you know you need it.
However, some veterans choose to include an IME and/or Nexus Letter with their original claim for these reasons:
- The VA might approve your claim without requiring an additional C&P exam
- If they still require a C&P exam, your documentation helps ensure all your symptoms are properly identified
- Your documentation can help streamline the exam process
What makes my evaluations different is my ability to identify symptoms you might not recognize or that other examiners often miss. I understand both military culture and how mental health symptoms can be misinterpreted or downplayed.
You can get service-connection for a mental disorder secondary to a Service Connected disability, if:
You have a diagnosable mental disorder AND evidence indicates that it was caused or aggravated by your existing service-connected disability (like Tinnitus, Chronic Pain, or Sleep Apnea).
My Process:
Phase 1: We start with a Records Review and an Independent Medical Examination (IME). The goal is to determine if you meet the clinical criteria for a diagnosis. If you don't have a mental disorder, we would stop here.
Phase 2: If a diagnosis is confirmed, I would conduct a Medical Literature Review to find if there is scientific evidence linking your two conditions. If there is no indication of a nexus, we would stop here.
Phase 3: If both a diagnosis and a medical link are supported, I write a formal Nexus Letter.
Standard VA Disability Claim Process
The VA will provide:
- Free medical examination
- Free records review
Your Fieldstone Service Plan:
Estimated Total Cost:
$2,850
Phase 1: $1450 (due at booking)
- Records Review: $350
- Forensic analysis of up to 50 pages* of records.
- Telehealth IME: $1,100
- 1-hour telehealth examination
If no diagnosis is found, the process concludes here.
Phase 2: $350 (billed only if diagnosis found)
- Medical Literature Review: $350
- A detailed examination of medical and scientific literature to determine if there is scientific evidence supporting a connection between a veteran's service-connected primary condition and their claimed secondary condition.
If no nexus is supported, the process concludes here.
Phase 3: $1050 (billed only if diagnosis and nexus are found)
- Nexus Letter: $1050
- A formal independent medical opinion (IMO) supporting a secondary service connection.
Timeline:
Phase One
- Sign-up & Pay: Secure Phase One of your plan and access intake packet.
- Intake & Upload: Complete intake forms and upload medical/service records.
- Confirmation & Assessment: When you confirm you have completed your records submission, you will be directed to complete clinical assessments.
- Scheduling: Upon completing assessments, you will schedule your telehealth exam.
- Deliverables: You will receive your completed Disability Benefits Questionnaire (DBQ) within 1 week of your exam. It will indicate any diagnosed mental disorder. If no mental disorder was diagnosed, this will conclude the process. If a mental disorder was diagnosed, you can choose to move on to the next phase.
Phase Two
- Pay: Secure Phase Two of your plan.
- Deliverables: Within 1 week of payment, you will be informed if the evidence supports a positive nexus letter. If it doesn't, this will conclude the process. If it does, you can choose to move on to the final phase.
Phase Three
- Pay: Secure Phase Three of your plan.
- Lock-in Delivery Date: Upon paying, you will be redirected to a scheduling calendar where you will "lock in" the date by which your Nexus Letter will be emailed to you.
- Deliverables: You will receive your Nexus Letter by secure email by End of Business on the date you reserved.
*Files exceeding 50 pages will incur a fee of $100 per 50-page increment.
Ready to book your service?
We're ready to help! Sign up for your Fieldstone Service Plan below.


