What services do Dr. Miller and her team provide?
Dr. Miller and her team provide independent psychological evaluations, Disability Benefits Questionnaires (DBQs), nexus letters, and TDIU (Total Disability based on Individual Unemployability) letters to support veterans with their VA disability claims. Their focus is on mental health conditions such as PTSD, depression, and anxiety, as well as documenting how these conditions affect daily functioning and employability.

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Can Dr. Miller and her team give advice on what claims to file?
No. The team cannot provide legal advice or tell a veteran which claims to file. Their role is to review the records and conditions provided and prepare medical opinions and documentation that support the claims the veteran decides to pursue. Dr. Miller highly recommends that you consult with a Veteran Service Officer or volunteer organization if you are not sure what kind of claim you should file, or what documents/evidence you may need to support your claim. 

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What is a nexus letter?
A nexus letter is a medical opinion written by a licensed professional that explains the connection between a veteran’s current medical or mental health condition and their military service. It helps provide the “nexus,” or link, that the VA requires to approve disability claims. For a nexus letter, the conditions you are claiming should be well-documented in your medical records, otherwise you will likely need to add an exam/DBQ to your services.

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What is a DBQ and why is it important?
A DBQ (Disability Benefits Questionnaire) is a standardized VA form that a medical/mental health professional completes following an exam for your claimed condition. It documents your official diagnosis and severity of your symptoms. DBQs can be completed by your own provider, an independent examiner, or a VA examiner during a C&P exam. Dr. Miller and Dr. Frank can complete DBQs for PTSD, mental health disorders (like anxiety, depression, insomnia), and eating disorders.

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What is a TDIU letter and how can it help my claim?
A TDIU (Total Disability based on Individual Unemployability) letter is a medical opinion that explains how a veteran’s service-connected conditions prevent them from maintaining gainful employment. Dr. Miller and her team review medical records and conduct an evaluation to provide a clear, evidence-based opinion about employability. This type of letter can be critical in supporting a veteran’s TDIU claim.

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What types of claims need a nexus letter vs. a DBQ/exam?
If a veteran is filing a new claim for a condition that has not yet been service-connected, a nexus letter is usually needed to show the link between the condition and military service. You'll also need a nexus letter to establish secondary conditions (e.g. depression secondary to chronic pain; or migraines secondary to PTSD). If you already have a service-connected mental health rating and are requesting an increase, a DBQ or exam documenting the severity of symptoms is often most helpful. In cases where you are claiming a mental health condition but have never received mental health treatment or diagnosis, both a nexus letter and a DBQ are beneficial.

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Can Dr. Miller and her team complete exams/DBQs for physical conditions like migraines or sleep apnea?

Our team of psychologists specialize in mental health conditions. They may provide a nexus opinion when a physical condition is related to mental health (for example, migraines that worsen PTSD symptoms). For full physical DBQs, veterans should work with a medical doctor who specializes in that condition. In some cases, Dr. Miller may be able to refer you to a colleague who works on your type of physical claim.

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I am service-connected for PTSD and I was recently diagnosed with insomnia and depression. Can I claim these additional diagnoses? 

Typically no. The VA generally combines all mental health disorders like PTSD, anxiety, depression, and insomnia into one overarching mental health rating, since symptoms of these disorders tend to overlap. Dr. Miller and her team could provide an independent exam to document and update your mental health diagnoses with the VA, and if there has been an increase in the overall severity and impairment caused by your mental health symptoms, you may qualify for an increase in your mental health rating.

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​Do you accept insurance?
No. These services are not billed through insurance. Payment is made directly for the evaluation and report.

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How much do services cost?

• Exam/DBQ: $650

• Nexus Letter: $650

• DBQ with Nexus Letter: $975

• TDIU Letter: $650

All fees are provided up front so veterans know exactly what to expect—no hidden costs.

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How long does it take to receive completed documents?
Turnaround time varies, but most reports are completed within 2 weeks after the evaluation, and sometimes sooner if needed.

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What documents are needed for the evaluation?
Typically, veterans provide their DD214, VA rating decision letters, service treatment records if applicable, and any private or VA medical records related to the condition along with personal statements and lay statements from friends/family. A checklist is provided to make the process simple. A full claim-file is not required.

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Do you meet with clients in person or virtually?
Evaluations are conducted virtually through secure video calls (Zoom), allowing the team to serve veterans across many states. In-person services are not available.

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Can you guarantee a VA disability rating increase?
No. No medical provider can guarantee a VA outcome. The team’s role is to provide thorough, evidence-based evaluations and documentation that give the VA the information it needs to make a fair decision. Before requesting an exam for an increase, you should review Dr. Miller's guidance on the VA rating percentages for mental health. 

What makes these services different from a standard C&P exam?
A Compensation & Pension (C&P) exam is ordered by the VA and performed by VA-contracted providers. Dr. Miller and her team offer independent evaluations, ensuring that veterans have their conditions fully documented by professionals working for them —not for the VA.