Get Your PTSD Nexus Letter From a Licensed Clinician
Independent clinical evaluations for veterans. Conducted by a licensed mental health professional. Virtual appointments available in all 50 states.
🔒 Secure online booking. No payment collected on this site.
- Masters of Science, Counseling
- Licensed Professional Counselor
- Trauma-Informed Clinical Specialist
- 7+ Years Writing Nexus Letters
- VA Nexus Letter Evaluations
- Los Angeles, CA · Virtual Nationwide
An Independent Evaluation From a Licensed Professional
Denise Hooks is a Licensed Professional Counselor with over 7 years of experience writing nexus letters for veterans. She provides independent clinical evaluations specifically for veterans navigating the VA disability claims process.
These evaluations are conducted independently — not through the VA. That independence matters. It means the clinical opinion is based solely on the evidence, without the institutional constraints that may prevent VA-assigned providers from writing nexus letters.
Every evaluation includes a thorough clinical assessment, a review of relevant documentation, and a formal nexus letter written to meet VA evidentiary standards — when the clinical findings support one.
What Is a Nexus Letter?
Understanding why this document can make or break a VA disability claim.
A nexus letter is a clinical document that connects your PTSD diagnosis to a specific event or events during your military service.
The VA requires documentation linking your condition to your service. Without it, claims are frequently denied — even when your PTSD is real and your service record is documented.
An independent nexus letter from a licensed clinician provides that connection in writing — formatted to meet the “at least as likely as not” VA evidentiary standard.
Simple. Straightforward. Four Steps.
Submit a Request
Complete the contact form. No upfront payment. We'll follow up within 1 business day to confirm eligibility and schedule your appointment.
Virtual Clinical Evaluation
One phone appointment, 45–60 minutes. An independent clinical assessment by a licensed mental health professional. Not therapy. No ongoing relationship.
Documentation Review
Relevant behavioral health history and service records are reviewed as part of the clinical assessment to support the written evaluation.
Receive Your Letter
Your nexus letter is delivered within 7–10 business days, formatted for direct submission with your VA disability claim.
What's in the Nexus Letter
Every letter is written to VA evidentiary standards and includes the clinical components raters look for.
- Full clinical evaluation — 45 to 60 minutes
- Formal nexus letter document
- Delivered in 7–10 business days
- Virtual — available all 50 states
- No letter written if evaluation does not support PTSD diagnosis
Secure online booking. Select "PTSD Assessment" on the next page. Intake forms sent automatically.
Important: A nexus letter is issued only when the clinical evaluation supports a service-connected PTSD diagnosis. If the evaluation does not support that conclusion, no letter will be written. Assessment fee details will be discussed prior to the evaluation.
What Veterans Are Saying
Reported outcomes. Individual results will vary. No outcome is guaranteed.
"After two denials, I finally had the documentation I needed. The process was straightforward and professional. My claim is now moving forward."
"The evaluation was thorough and the clinician was easy to talk to. I received my letter in less than two weeks. Very professional service."
"My VSO recommended I get an independent nexus letter. This was exactly what I needed. Clear, clinical, and formatted correctly for my claim."
Frequently Asked Questions
Post-Traumatic Stress Disorder (PTSD) is a clinically recognized psychiatric condition that can develop after exposure to a traumatic or life-threatening event during military service. You do not have to have combat experience to qualify for a PTSD diagnosis. Trauma can occur in many forms during service, and a valid clinical diagnosis does not require deployment or direct combat exposure.
Common symptoms include intrusive memories or flashbacks, avoidance of triggers, hypervigilance, sleep disturbances, emotional numbness, and difficulty concentrating. PTSD is not a character flaw — it reflects documented changes in how the brain processes fear and stress.
For a VA disability claim, PTSD requires a confirmed diagnosis, an identified in-service stressor, and a clinical opinion connecting the two. An independent nexus letter provides that clinical opinion in writing, formatted to meet VA evidentiary standards.
Military Sexual Trauma (MST) refers to sexual assault or repeated, threatening sexual harassment that occurred during military service. It affects veterans of all genders across all branches. MST is one of the most underreported conditions in the veteran community — many survivors did not file a report at the time, and official records may not reflect what occurred.
For VA claims, MST is handled differently than other stressors. Veterans do not need an official incident report or military record to file. The VA accepts alternative forms of evidence, including clinical evaluation and personal statement.
Yes — an independent nexus letter can be issued for MST-related PTSD. The evaluation assesses your current diagnosis and its clinical connection to the documented or reported in-service event, formatted to the VA’s “at least as likely as not” evidentiary standard.
Ready to Move Your Claim Forward?
Book online in minutes. Select your time, complete intake forms, and schedule your evaluation.