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November 13, 2023

Example of a Nexus Letter

Last updated on February 22, 2024

I hope you enjoy reading this blog post.

If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free.

In this post, we’ll show you an example of a nexus letter for a VA disability claim.

We’ll also explain the four things every good nexus letter needs.

Let’s take a look.



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Example of a Nexus Letter

Here is an example of a VA nexus letter. As you can see, it discusses:

  • The supporting evidence
  • Makes an evidence-based rationale
  • Provides a nexus opinion
  • And provides a space for the provider’s credentials
Example of a Nexus Letter

Figure 3. Example of a Nexus Letter | Source:

The 4 Things Every Nexus Letter Needs

When working with your physician to develop a nexus letter for your VA claim, double-check and make sure they include at least these four critical components:

A discussion of supporting evidence. Your provider should reference any medical or personal record they’ve reviewed that supports your claim.

An evidence-based rationale. Your provider must explain why they believe an in-service event, injury, or disease caused your disability. 

A nexus opinion. Your provider’s opinion that your disability was caused or made worse by your service should be expressed in terms of likelihood. Typically, nexus letters include language like:

  • “Is due to” = 100% certain
  • “More likely than not” = greater than 50% certain
  • “At least as likely as not” = equal to 50% certain
  • “Not likely due to” = less than 50% certain
  • “Is not due to” = 0% chance

List of the doctor’s credentials. Your provider must sign and date the letter. They should also list their title, specialty, and any other credential that shows their expertise.


What Does a Nexus Letter Look Like?

Keep in mind that what your nexus letter actually looks like and contains will depend on who writes it.

One doctor might provide a more thorough explanation of how your condition is connected to your service than another.

That’s okay as long as they include the four things a good VA nexus letter needs to include (listed below the example of a Nexus Letter above).


If you’re wondering how to get a nexus letter to strengthen your VA claim, we recommend using a service with access to a network of qualified medical providers.

Medical evidence experts can review your records and see if your VA claim could benefit from a VA nexus letter.



Most veterans are underrated for their disabilities and, therefore, not getting the compensation they’re due. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the TDIU rating and compensation you’re owed by law.

Our process takes the guesswork out of filing a VA disability claim and supports you every step of the way in building a fully developed claim (FDC)—so you can increase your rating fast!

If you’ve filed your VA disability claim and have been denied or have received a low rating—or you’re unsure how to get started—reach out to us! Take advantage of a FREE VA Claim Discovery Call. Learn what you’ve been missing—so you can FINALLY get the disability rating and compensation you deserve!

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