• INDEPENDENT MEDICAL OPINIONS FOR VA DISABILITY CLAIMS | NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS
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Our Services

Medical Opinions for VA Disability Claims

Seven core services. Flat rate, no consultation fees. Every opinion personally reviewed and signed by David Protaziuk, MSN, APRN, FNP-C, an experienced VA C&P examiner

VA Nexus
Letter

VA Nexus Letter

$549

Links your condition to military service

VA
DBQ

VA DBQ

$249

Documents condition severity
Best Value

Nexus + DBQ Bundle

$699

Both, one condition. Save $99

Aggravation
Opinion

Aggravation Opinion

$599

One condition worsening another

TDIU Medical
Opinion

TDIU Medical Opinion

$649

Supports unemployability claims

Aid &
Attendance

Aid & Attendance

$649

VA Form 21-2680 for SMC-L / A&A

Rebuttal
Letter

Rebuttal Letter

$199

Answers a VA denial point by point

NEXUS (MOST REQUESTED)

VA Nexus Letter

$549

When You Need a Nexus Letter

  • You have a diagnosis but need a medical link to service
  • Your claim was denied for “no nexus”
  • Secondary condition caused by a service-connected one
  • Toxic exposure / PACT Act presumptive claim

What's Included

  • Full record review of STRs, C&P exams, and civilian records
  • “At least as likely as not” opinion with rationale
  • Peer-reviewed citations supporting the mechanism
  • Secondary opinions use the Spicer but-for standard (38 CFR 3.310)
  • Personally signed under my license and credentials
Start Nexus Letter, $549

SEVERITY DOCUMENTATION

VA DBQ

$249

When You Need This

  • You have a diagnosis and need severity documented for a rating
  • Your rating is lower than your symptoms warrant

What's Included

  • The official DBQ form for your specific condition
  • Severity, frequency, and functional impact documented
  • Completed and signed by a board-certified provider
  • Pairs with a Nexus Letter, see the Bundle
Order DBQ, $249

BEST VALUE

Nexus + DBQ Bundle

$699

SAVE $99

When You Need This

  • You need both a nexus opinion and severity documentation
  • One condition that needs the link AND the rating evidence
  • You want the strongest single-condition package

What's Included

  • A full Nexus Letter for your condition
  • A completed DBQ for the same condition
  • Both prepared and signed together
  • Saves $99 versus ordering separately
Order Nexus + DBQ Bundle

AGGRAVATION

Aggravation Opinion

$599

When You Need This

  • A service-connected condition made a non-service condition worse
  • A non-service condition is aggravating a service-connected one
  • You need a baseline-versus-current worsening analysis

What's Included

  • Baseline severity established from the records
  • Medical analysis of the degree of aggravation
  • Opinion framed to the 38 CFR 3.310(b) standard
  • Peer-reviewed citations and personal signature
Order Aggravation Opinion, $599

UNEMPLOYABILITY

TDIU Medical Opinion

$649

When You Need This

  • You cannot maintain substantially gainful employment
  • Your combined rating is below 100% but you cannot work
  • You need functional impact tied to service-connected conditions

What's Included

  • Functional limitation analysis across your conditions
  • Opinion on ability to sustain competitive employment
  • Tied specifically to service-connected disabilities
  • Personally signed medical source statement
Order TDIU, $649

SMC-L SUPPORT

Aid & Attendance

$649

When You Need This

  • You need help with activities of daily living
  • You are housebound or substantially confined
  • You are claiming SMC-L or Aid & Attendance

What's Included

  • Completed VA Form 21-2680
  • Documentation of ADL assistance needs
  • Clinical support for Aid & Attendance / housebound status
  • Personally signed by a board-certified provider
Order A&A, $649
Full Aid & Attendance details

AFTER A DENIAL

Rebuttal Letter

$199

When You Need This

  • The VA denied a claim after I prepared an opinion for you
  • The denial rests on a negative C&P exam or a rationale that does not hold up
  • The decision misread your records, your diagnosis, or your service history
  • You are filing a supplemental claim and need the VA's reasoning answered directly

What's Included

  • A point by point response to every reason the VA gave for the denial
  • Direct challenge to inadequate, inconsistent, or unsupported examiner reasoning
  • Additional peer-reviewed citations where the denial turned on the medical literature
  • Written to stand alongside the original opinion rather than repeat it
  • Personally signed under my license and credentials

A rebuttal answers a denial of an opinion I already wrote. If I have not prepared anything for you before, a Nexus Letter is the right place to start.

Order Rebuttal Letter, $199

UNEMPLOYABILITY SUPPORT • $649

TDIU Medical Opinion

A medical opinion supporting Total Disability based on Individual Unemployability (TDIU) — for veterans whose service-connected conditions prevent substantially gainful employment, regardless of their schedular rating.

LIMITED TIME

Adding TDIU to other services? Save 50% on every additional item in a single checkout. Combine with nexus letters or DBQs for big savings.

When You Need a TDIU Opinion

  • Filing for TDIU — you can't maintain substantially gainful employment due to service-connected conditions
  • Below 100% schedular but can't work — TDIU pays at the 100% rate even if your schedular rating is lower (typically 60%+ single condition or 70%+ combined)
  • Documenting occupational limitations — connecting your conditions to specific work restrictions
  • Strengthening a TDIU appeal — VA denied TDIU citing insufficient medical evidence

What's Included

  • Functional impairment analysis across physical and cognitive domains
  • Occupational limitations review tied to your conditions
  • TDIU-specific rationale meeting VA's "unable to secure or follow substantially gainful occupation" standard
  • Provider-signed opinion with credentials
  • Typical 24-hour turnaround
  • If the VA denies, email me with the decision and I'll review it personally and tell you the best course of action

$649

flat rate

Multiple opinions in one cart? 50% off each additional in a single checkout.

  • Pays at 100% rate when granted
  • Functional impairment analysis
  • Occupational limitations review
  • 24-hour turnaround
Start TDIU — $499 →
Not sure? Get a Free Case Review first

DAILY LIVING SUPPORT •$649

Aid & Attendance (A&A)

Provider-completed VA Form 21-2680 supporting your need for assistance with daily activities. Used for Aid & Attendance benefits and Special Monthly Compensation (SMC-L) claims.

LIMITED TIME

Pairing A&A with other services? Save 50% on every additional item in a single checkout. Combine with nexus letters, DBQs, or TDIU.

When You Need an A&A Opinion

  • Aid & Attendance benefit claim — you need assistance with daily activities like bathing, dressing, eating, or medication management
  • SMC-L claim — Special Monthly Compensation for veterans needing regular aid and attendance
  • Housebound status — you're substantially confined to your home due to disability
  • Surviving spouse benefits — DIC with Aid & Attendance for qualifying survivors

What's Included

  • Completed VA Form 21-2680 with all required sections
  • Functional limitations review across all activities of daily living
  • Documentation supporting your need for regular assistance
  • Provider-signed with full credentials
  • Typical 24-hour turnaround
  • Free revisions if the VA requests additional detail

$649

flat rate

Pairing with other services? 50% off additional items in a single checkout.
  • Completed VA Form 21-2680
  • Functional limitations review
  • SMC-L support documentation
  • 24-hour turnaround
Start A&A — $499 →
Not sure? Get a Free Case Review first

TRANSPARENT PRICING

Priced Fairly, No Middlemen

Independent medical opinions for VA disability claims, priced fairly. Most providers charge $1,000 to $2,000 per nexus letter. I keep prices low because this is my solo practice, no sales team, no call center, no markup for middlemen.
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 for the same condition. Save $99.

Aggravation Opinion

$599
Service-connected condition aggravated by (or aggravating) another

TDIU Medical Opinion

$649
Supports Total Disability Individual Unemployability claim

Aid & Attendance

$649
VA Form 21-2680 for SMC-L and A&A claims

Rebuttal Letter

$199
Answers the VA's stated reasons for denying an opinion I wrote for you
LEGAL & CLINICAL AUTHORITY

Nurse Practitioner Opinions Carry the Same Evidentiary Weight as a Physician’s

Under 38 CFR 3.159(a)(1), an NP’s medical opinion carries the same weight as a physician’s in VA disability claims. The VA routinely uses NPs to conduct official C&P exams.
START YOUR CLAIM

Get Your Own Private Medical Opinion

Every opinion is personally reviewed and signed by David Protaziuk, MSN, APRN, FNP-C. Start with a free case review or order directly.
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Start Nexus Letter - $549
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