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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.
Total for all phases: $2850
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.
Ready to book your service?
We're ready to help! Sign up for your Fieldstone Service Plan below.


