A strong Nexus letter is compelling, well-researched, and credible. Letters should be written on the doctor’s letterhead and signed by the doctor to boost credibility. To increase your chances of a successful claim, letters should include the following:
A statement confirming the author has carefully reviewed the veteran’s medical history – such as the patient’s VA medical records, military service treatment records, and DD214 forms.
Supporting evidence, such as private medical records and a statement from the veteran or a “buddy letter” from someone else providing additional information about the veteran’s disability.
References to relevant medical research such as scientific studies and medical journal articles that support the author’s key points
A strong conclusion that definitively states, at least, that the disability is “at least as likely as not” due to the veteran’s military service
In addition to the above elements, your letter should be concise. Some people think a longer letter will increase the chances their claim will be approved. This is not the case. VA raters review hundreds of letters per month, so a succinct, straightforward letter can help them make their decision quickly and with confidence.