VA C&P Exams Are Often Rushed. Your Claim File Deserves More Than That.
A compensation exam is frequently brief, and often conducted by an examiner who has never treated you — that's how thin evidence turns into a denial or an underrated claim. An independent chart review looks at your full record instead of a single short exam, then produces the DBQ and Nexus Letter your claim actually needs. Flat $1,500, paid once for the review itself — never a percentage of your back pay, and never contingent on the outcome.
Free, confidential, no card required. We'll tell you honestly whether this is likely to help your specific claim — even if the answer is no.
Free Eligibility Check
Find out if an independent chart review, DBQ, or Nexus Letter could support your case.
Conditions We Review
From PTSD and TBI to unemployability and toxic-exposure conditions, we review your records and produce the DBQ and Nexus Letter documentation the VA looks for — for you or your own accredited representative to submit.
PTSD & Mental Health
Independent evaluation and Nexus Letter addressing service connection for PTSD, depression, anxiety, and MST-related conditions.
Learn more →Unemployability (TDIU)
Medical documentation addressing how service-connected conditions affect your ability to sustain gainful employment.
Learn more →Sleep Apnea
Direct and secondary sleep apnea evaluations — often connected to PTSD, sinusitis, or medication side effects.
Learn more →Traumatic Brain Injury
Document the cognitive, physical, and behavioral residuals of TBI for an accurate DBQ.
Learn more →Toxic Exposure & PACT Act
Independent evaluations for burn pit, Agent Orange, and Gulf War illness conditions.
Learn more →Denied & Underrated Claims
VA PTSD Firm does not file or handle Higher-Level Reviews, Supplemental Claims, or Board appeals. We can review your records and provide a DBQ or Nexus Letter to support whichever of those you or your accredited representative pursue.
Learn more →From Records to Documentation in 3 Steps
1. Talk to Us, Anytime
Call, chat, or message us 24/7. Our intake assistant answers immediately, and a live team member follows up personally to confirm you're a fit.
2. Order Your Review
Pay the flat $1,500 fee online — one price, no contingency, no surprise costs later.
3. Get Your Documentation
Your evaluation, DBQ, and Nexus Letter are completed and delivered directly to you — ready to submit yourself or hand to your own representative.
One Flat Price. Everything Included.
Flat fee. Paid once, upfront, for the independent review itself — never a percentage of your back pay or rating, and never contingent on the outcome.
- Full military & medical records review
- Independent medical evaluation
- Completed DBQ for your condition
- Nexus Letter, where supported by the evidence
- Delivered directly to you — use it however you choose
Secure card payment. If your reviewer's independent medical judgment doesn't support a Nexus Letter, the fee still stands — that's deliberate. It means your reviewer has no financial reason to tell you what you want to hear instead of what's medically true. Full terms.
You Served. Now Let Us Serve You.
A Clear Path to Independent Medical Evidence
Independent medical documentation is all we coordinate. We don't file claims or appeals — we connect you with a licensed provider who reviews your records and produces documentation you or your own representative can use anywhere in the process.
- Free eligibility check. We listen to your situation and confirm a chart review fits at no cost.
- Schedule your review. Pay the flat $1,500 fee and an independent Network Provider reviews your records.
- Receive your documentation. We complete a DBQ and, where supported, a Nexus Letter.
- You decide what happens next. Submit it yourself, or hand it to your own accredited attorney, VSO, or claims agent — including for a Higher-Level Review, Supplemental Claim, or Board appeal.
Estimate Your VA Benefits
Not sure what your combined rating or monthly payment should be? Use our free tools built on the VA's official 2026 rates and combined-ratings math.
VA Disability, Answered
Do I need a lawyer to appeal a VA disability decision?
You are not required to hire a lawyer, and VA PTSD Firm does not offer legal representation or file appeals. What often matters most is the strength of the medical evidence in your file. VA PTSD Firm can review your records and prepare a DBQ or Nexus Letter for you to submit yourself or hand to your own accredited attorney, VSO, or claims agent.
How much does a VA disability lawyer cost?
Reputable VA disability attorneys work on contingency, regulated by federal law. VA PTSD Firm is not a law firm and does not charge that way — our independent medical chart review, DBQ, and Nexus Letter service is a flat $1,500 fee, paid upfront, regardless of outcome.
What can I do if the VA denied my claim?
Under the current appeals system you generally have one year to challenge a decision through a Higher-Level Review or Supplemental Claim, or a Board appeal. The right lane depends on why you were denied. See what to do after a denial.
How does the VA calculate my combined rating?
The VA uses "VA math" — ratings are combined, not added, using a whole-person efficiency table and then rounded to the nearest 10%. Our VA disability calculator does this for you and estimates your monthly payment at 2026 rates.
Can I get 100% benefits without a 100% rating?
Yes. Through Total Disability based on Individual Unemployability (TDIU), veterans who cannot maintain substantially gainful employment because of service-connected conditions can be paid at the 100% rate even with a lower combined rating.
Schedule Your Independent Medical Chart Review
Your eligibility check is free and confidential. The chart review itself is a flat $1,500 fee, paid upfront — never a percentage of your back pay, never contingent on your claim's outcome.