Records-based physician opinions built to the standard the VA actually weighs: clinical rationale, records citations, supporting literature, and proper standard-of-proof language. Designed to carry maximum probative value on contested and appealed claims.
Every opinion is individually reasoned by a board-certified emergency physician. No templates, no boilerplate, no mid-level sign-off. Flat fees, one number per tier, quoted at intake.
| Service | Fee |
|---|---|
| Standard Nexus Opinion Single condition · direct service connection · no prior denial on this condition | $995 |
| Complex / Contested / Appeal Opinion Any one of: prior denial of this condition · responding to an adverse C&P opinion · appeal posture (HLR / supplemental / BVA). A secondary claim on its own is standard tier. | $1,495 |
| Rebuttal Letter / Written Declaration Response to a specific adverse opinion or adverse medical evidence, without a new nexus analysis | $750 |
| Additional Related Condition Each additional condition on the same file and review | $500 |
| Expedited (Under 7 Days) When a filing or appeal deadline requires it | +$300 |
| Expert Testimony (HLR / Board) Sworn statement or live/virtual appearance, billed by the hour | $400/hr |
Same prices as the veteran page. The tier is determined by the three triggers above, not by page count or how hard the causation question turns out to be. If a trigger surfaces in the records that was not known at the quote, you hear about it before any further work.
Broad clinical exposure across nearly every condition seen in disability claims: musculoskeletal, cardiovascular, neurological, respiratory, GI, toxic exposure.
Understands the population, the system, and the culture from the inside. Knows how military medicine documents (and fails to document) injuries.
Written for probative value, the Nieves-Rodriguez standard. Individually reasoned, records-cited, literature-supported. Not template letters the VA discounts.
A structured review process that covers the full record without shortcutting clinical judgment. Every conclusion is reasoned, verified, and signed by the physician personally.
Secure, HIPAA-compliant transfer of service treatment records, post-service records, and any C&P results or prior decisions.
Review of the file, a flat quote by tier, and an honest read on whether the evidence supports an opinion. No charge if we can't help.
A signed, fully reasoned opinion ready to submit with your client's claim or appeal. Revisions included if the adjudicator raises new issues.
Expedited turnaround is available when a filing or appeal deadline requires it. A limited number of cases are accepted each month, because every opinion is researched, written, and signed personally by Dr. Mayeux.
Opinions across most non-psychiatric conditions commonly claimed in VA disability:
Sleep Apnea • Musculoskeletal (Back, Knees, Shoulders, Ankles) • Tinnitus & Hearing Loss • Migraines & TBI • Cardiovascular (Hypertension, IHD) • GERD & GI Conditions • Sinusitis & Respiratory • Dermatologic Conditions • PACT Act Presumptives • Toxic Exposure • Secondary Service Connections
Not in scope: Primary psychiatric opinions (PTSD, MDD, anxiety, MST). Referred to a named colleague, Dr. Ronald Lee, MD, VetNexusMD, a board-certified psychiatrist. Professional referral only; no financial arrangement in either direction.
Secure intake for records submission. HIPAA-compliant. BAA available on request.
Submit Records →Sworn Medical PLLC provides records-based independent medical opinions authored by a licensed physician. No physician-patient relationship, examination, or treatment is established. The VA determines all claim outcomes; no result is guaranteed.