SOLO PRACTICE · PERSONALLY SIGNED · NO MIDDLEMEN

Nexus Letters and DBQs From a Former VA C&P Examiner

Filing your first claim, asking for an increase, or fighting a denial? Send me your records for a free case review. I reply within 24 hours.

I was a VA C&P examiner for 3 years, so I know what raters look for.
I personally review your records, write the opinion, and sign it myself.
Flat prices: nexus letter $549, DBQ $249. Never a cut of your back pay.
The VA trusts nurse practitioners to run its exams and takes an NP’s letter seriously.

★ 100+ verified 5-star Google reviews • Personally signed • HIPAA-safe record handling

David Protaziuk, MSN, APRN, FNP-C

Solo provider · you reach me directly

Email me at dprotaziuk@veteranmedicalopinions.com

Former VA C&P Examiner

the VA trusts nurse practitioners to run its exams

24-Hour Turnaround

after records are received

HIPAA-Conscious

record handling via Stripe Secure

Transparent Flat Rate

no consultation fees, no hidden costs

START HERE · 100% FREE · 24 HOUR RESPONSE

Get a Free Case Review, Reply in 24 Hours or Less

Free, with no payment and no obligation, and I reply in 24 hours or less. Submit as many case reviews as you need, there is no limit and no charge for any of them. You’ll get an honest, record-based assessment from David Protaziuk, MSN, APRN, FNP-C of whether a strong medical opinion can strengthen your claim, or if your records likely won’t support one. Zero pressure to purchase.

Or email your records straight to dprotaziuk@veteranmedicalopinions.com No file limits, no form, same free review, same 24 hour response. Prefer to fax? Send to 434-265-5284 with your name and phone number on the first page.

Email me first. I review your records for free and reply within 24 hours with my honest assessment. If you still want to talk after that, ask in your email and I’ll set up a call.

Or fill in the form below and I will come back to you within 24 hours. Four short fields, nothing to upload.

What to email me after you submit
Send to dprotaziuk@veteranmedicalopinions.com

Your VA decision letter if you were denied. On VA.gov: Check your claim or appeal status, open the claim, then Get your claim letters.
Your VA medical records (Blue Button report). Sign in to VA.gov, go to Medical records, and download your Blue Button report as a PDF with all dates selected.
Any private doctor records for the condition, if you have them.

Don’t have everything yet? Send what you have and I’ll tell you what’s missing.

YOUR RECORDS ARE SAFE

Prefer email? Send your records directly.

Email your records and claim details to dprotaziuk@veteranmedicalopinions.com. No form required, no file limits, send as many emails as you need. Same free review, same 24 hour response.

Note: Higher Level Reviews do not accept new evidence, so a nexus letter cannot be used at that stage.

By submitting, you consent to a confidential review of your records. No opinion is created until you order.

VERIFIED WINS FROM VETERANS

Real Outcomes from Real Veterans

Direct quotes from verified Google reviews. My work has helped veterans win 100% ratings, secure rating increases, get Aid & Attendance approvals, and support Automobile Grant claims.

        Posted on Google  
   
   Irene Nelson 
 0 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I cannot say enough wonderful things about David and the incredible support he has given my husband and me throughout this difficult journey.

My husband is a Navy veteran who is struggling with several serious, debilitating medical conditions. Watching someone you love suffer and slowly lose the ability to do the things they once enjoyed is heartbreaking. Trying to navigate the complicated VA disability process on top of everything else can feel overwhelming.

Then we found David.

From the beginning, David has shown us genuine compassion, patience, understanding, and an extraordinary amount of knowledge. He takes the time to listen, answer every question, and guide us through a process that we could never have fully understood on our own.

What makes David so special is that he doesn’t treat veterans like just another case or number. He treats them with the dignity, respect, and compassion they deserve. He understands that behind every disability claim is a veteran who has served our country and a family whose life has been forever changed.

During some of our most difficult moments, David has given us something incredibly valuable: hope and the reassurance that we are not facing this journey alone.

There are people who simply do their jobs, and then there are people like David who truly make a difference in the lives of others.

From the bottom of our hearts, thank you, David, for everything you have done and continue to do for our family. We are beyond grateful and would wholeheartedly recommend you to any veteran or family needing guidance and support. You are truly a blessing!
  
 
     Posted on Google  
   
   Shane 
 2 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I want to take a moment to personally thank David at Veterans Medical Opinions for all his hard work, dedication, and consistency throughout my VA claims process.

From day one, David has been professional, knowledgeable, and committed to helping me navigate the process. What I appreciate most is his consistency, communication, and willingness to go the extra mile to make sure everything is handled properly.

Anyone who has dealt with the VA knows how frustrating and overwhelming the process can be. Having someone like David in your corner who genuinely puts in the work makes a huge difference.

I recently received a favorable decision on my claim, and I truly appreciate the time and effort David put into helping me along the way.

David, thank you again for everything you've done. Your hard work has not gone unnoticed, and I would absolutely recommend Veterans Medical Opinions to other veterans seeking professional assistance with their medical evidence.
  
 
     Posted on Google  
   
   Corey Duplantis 
 10 days ago
 
 
 Trustindex verifies that the original source of the review is Google. Got a 50% rating from the VA within 30 days, that put me over 100%! David Protaziuk was extremely helpful throughout the entire process. My initial review was completely free, and he explained exactly what was needed to prepare a strong nexus letter. The letter itself was not generic or cookie-cutter, it was detailed, factual, and based on the actual evidence in my records. The entire process was professional, straightforward, and the turnaround time was less than 24 hours. I highly recommend David to any veteran looking for help with a well-supported nexus letter.
  
 
     Posted on Google  
   
   William 
 14 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I highly recommend David Protaziuk of Veteran Medical Opinions LLC for veterans seeking VA Nexus Letters, Independent Medical Opinions (IMO), Disability Benefits Questionnaires (DBQs).

David thoroughly reviewed my extensive VA medical records and prepared a comprehensive Nexus Letter.

His attention to detail, evidence-based medical rationale, professionalism, responsiveness, and fast turnaround were outstanding. He made a complex VA disability claim much easier to navigate.

Highly recommended for veterans needing quality VA disability medical evidence, nexus opinions, and dbq's.
  
 
     Posted on Google  
   
   Matt Rhoades 
 16 days ago
 
 
 Trustindex verifies that the original source of the review is Google. This is my second time using David's service and I had a grant back quickly with no questions asked from the VA. This is the way to go.
  
 
     Posted on Google  
   
   Geoffrey Glowalla 
 17 days ago
 
 
 Trustindex verifies that the original source of the review is Google. I cannot recommend Dr. David highly enough! From start to finish, my experience was exceptional. He is incredibly knowledgeable, professional, thorough, and genuinely dedicated to helping veterans navigate the complexities of the VA disability claims process.

What impressed me most was his attention to detail and his ability to review complex medical information, identify the most important issues, and develop a comprehensive, well-supported medical opinion. He clearly understands both the medical and VA disability aspects of these claims, which makes an enormous difference.

His communication was outstanding, his turnaround time was excellent, and he took the time to ensure everything was addressed thoughtfully and accurately. It is refreshing to work with someone who combines this level of expertise with genuine professionalism and responsiveness.

For any veteran seeking a thorough, credible, and professionally prepared independent medical opinion or nexus letter, I would highly recommend Dr. David. Five stars without hesitation!
  
 
 
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HOW IT WORKS

A Simple, 3-Step Process

01

Submit Your Case

Start with a Free Case Review or go directly to checkout. Complete the form with your details, and I’ll follow up by email with next steps for securely providing your records, including VA decisions, STRs, medical records, and prior C&P exams.

02

I Personally Review Your File

I read every page of your records against VA evaluation standards. For joint, back and neck DBQs, I also examine you myself on a live video call. If your records don’t support a favorable opinion, I tell you before any document is prepared. No pressure to purchase.

03

Receive Signed Medical Opinion

Your provider-signed nexus letter, DBQ, or medical opinion is delivered, typically within 24 hours of receiving complete records. Free revisions if anything needs adjustment. If the VA denies, send me the decision letter. I read it personally at no charge and tell you honestly whether a rebuttal would change the outcome. When one would, rebuttal letters are $199.

MOST VETERANS START HERE

Not Sure Yet?

Submit your conditions and records. I’ll personally assess what your claim actually needs.

DIRECT ORDER

I Know What I Need

Know exactly which service you need? Go straight to the Services page to browse all eight options and check out.

TRANSPARENT PRICING · NO HIDDEN FEES

Eight Services. Flat Rate. No Consultation Fees.

Same simple pricing whether you’re claiming one condition or ten. No upsells, no surprises. All opinions personally signed by David Protaziuk, MSN, APRN, FNP-C.

Service

Price

What It Covers

VA Nexus Letter

$549

Medical opinion linking condition to military service

VA DBQ

$249

Disability Benefits Questionnaire — severity documentation

Nexus + DBQ Bundle

$699

Both above — saves $99 vs buying separately

Aggravation Opinion

$599

A service-connected condition aggravated by (or aggravating) another

TDIU Medical Opinion

$649

Supports a Total Disability Individual Unemployability claim

Aid & Attendance

$649

VA Form 21-2680 for SMC-L and A&A claims

DIC Cause of Death Opinion

$649

Independent Medical Opinion: Cause of Death

Rebuttal Letter

$199

Answers the VA's stated reasons for denying an opinion I wrote for you

Free revisions included on every opinion. Reviewing your decision letter after a VA denial is free as well. Rebuttal letters, where the evidence supports one, are $199. Personally signed by David Protaziuk, MSN, APRN, FNP-C.

KNOW WHAT YOUR RATING IS WORTH

2026 VA Disability Compensation Rates

These are the current monthly payments for veterans with a single disability rating, no dependents. Source: VA.gov. Rates are adjusted annually for cost of living.

Rating

Monthly

Annually

10%

$180.42

$2,165.04

20%

$356.66

$4,279.92

30%

$552.47

$6,629.64

40%

$795.84

$9,550.08

50%

$1,132.90

$13,594.80

60%

$1,435.02

$17,220.24

70%

$1,808.45

$21,701.40

80%

$2,102.15

$25,225.80

90%

$2,362.30

$28,347.60

100%

$3,938.58

$47,262.96

A single rating increase can be worth $6,900 to $25,000+ per year, tax-free, for the rest of your life. See the full math on the 2026 Compensation Rates page →

Rates shown are for a single veteran with no dependents. Veterans with a spouse, children, or dependent parents receive higher amounts. TDIU is paid at the 100% rate. Rates effective December 1, 2025, per VA.gov.

LEGAL & CLINICAL AUTHORITY

The VA Trusts Nurse Practitioners to Run Its Exams.

Many VA C&P exams are done by nurse practitioners, and I was one of those examiners for 3 years.

The VA takes a nurse practitioner’s letter seriously. A veterans court ruled that a nurse practitioner’s medical opinion counts.

What makes a letter win is the reasoning and the records behind it. That’s what I put in every one.

Start My Free Case Review

Federal Law Definition

The VA defines competent medical evidence as evidence from a person qualified by education, training, or experience to give medical opinions. 38 CFR 3.159(a)(1).

Courts Say NP Opinions Count

The Court of Appeals for Veterans Claims ruled that a nurse practitioner is qualified to give medical opinions in VA claims. (Cox v. Nicholson, 2007)

Reasoning Over Title

The Court of Appeals for Veterans Claims confirmed: the value of a medical opinion depends on its reasoning and evidence, not the provider’s title. (Nieves-Rodriguez v. Peake, 2008)

VA Uses NPs for Official C&P Exams

The VA relies on nurse practitioners to run official C&P exams, the same exams used to rate your claim.

Licensed in Illinois, Working in All 50 States

My opinions are based on a review of your records, not on treating you. Nothing in 38 CFR 3.159(a)(1) requires the provider to be licensed in your state, and veterans in every state order from me. What matters is the reasoning and the evidence, not where the provider practices.

Every opinion prepared by David Protaziuk, MSN, APRN, FNP-C meets the VA’s legal standard for competent medical evidence. The same standard applied to physician opinions.

David Protaziuk, MSN, APRN, FNP-C · BOARD CERTIFIED

IL APRN License #277002570

ABOUT THE PROVIDER

Every Opinion Personally Prepared and Signed

Every nexus letter and DBQ is personally prepared by David Protaziuk, MSN, APRN, FNP-C — board-certified Family Nurse Practitioner with years of experience in VA nexus letters and C&P disability claims. Never templated. Never outsourced. Never written by a sales team.

THE REAL OFFICE

7501 Lemont Rd, Suite 345D, Woodridge, IL 60517

Real office, real address, real practice. You’re welcome to come by if you’re in the area.

Nexus Letters and DBQs in Under 2 Minutes

A quick walkthrough from me

Need more tips for your VA claim?

COMMON QUESTIONS

Everything You Need to Know

How do I know you’re not another VA claim scam?

Fair question, because these scams are everywhere. I’m a real solo practitioner with a real IL APRN license (#277002570) and NPI (#1275200149). My office is at 7501 Lemont Rd, Suite 345D, Woodridge, IL. I personally read every record, write every opinion, and sign every document. No sales team, no call center. I offer a free case review before you pay anything, and 100+ verified 5-star Google reviews to back it up.

Are my medical records safe?

Records you email me go directly to my HIPAA-safe Google Workspace, encrypted in transit (TLS 1.2) and at rest (AES-256), BAA-covered. I am the only person who accesses them, and they are never shared with third parties.

What if the VA denies my claim after your opinion?

No medical provider can guarantee VA outcomes, and you should be skeptical of anyone who claims otherwise. What I guarantee is the quality of my opinion. If the VA denies, send me the decision letter. I read it myself, free of charge, and tell you plainly where your claim stands. Sometimes the honest answer is that a rebuttal will not change anything, and I will say so. When a rebuttal is worth writing, it is $199 and it takes on the VA’s stated reasons directly.

Do you help with secondary conditions and PACT Act claims?

Yes. I write nexus letters for secondary conditions (like sleep apnea secondary to PTSD) using the Spicer v. McDonough but-for standard under 38 CFR 3.310(a)/(b). I also write opinions for PACT Act toxic exposure claims: burn pits, Camp Lejeune, Agent Orange, and other presumptive exposures.

How is a nurse practitioner qualified to write VA medical opinions?

The VA trusts nurse practitioners to run its exams, and the VA takes a nurse practitioner’s letter seriously. Many VA C&P exams are done by nurse practitioners, and I was one of those examiners for 3 years. A veterans court ruled that a nurse practitioner’s medical opinion counts.

Are you licensed in my state?

I am licensed in Illinois, and I work with veterans in all 50 states. My opinions are based on a review of your records rather than on treating you. Under 38 CFR 3.159(a)(1) the VA accepts competent medical evidence from any qualified medical professional, and nothing in that regulation requires the provider to be licensed in your state. What matters is the reasoning and the evidence behind the opinion, not where the provider practices.

START YOUR CLAIM

Most Veterans Begin With a Free Case Review

David Protaziuk, MSN, APRN, FNP-C is ready to review your file and provide the high-quality medical evidence your VA disability claim needs.

★ 100+ verified 5-star Google reviews • Personally signed • HIPAA-safe record handling