Info Form | Vet Nexus Letter

First name

Last name

Email

State of Residence

Phone

Which services are you interested in? (Check all that apply.)

Disability Benefits Questionnaire (DBQ) with Independent Mental Health Exam

Nexus Letter

TDIU Letter

What is the disability you are claiming? (e.g. depression, anxiety, PTSD, sleep apnea...)

Is this condition:

Started during or was directly caused by service

Secondary - caused by a different service connected condition

Aggravation - made worse by a different service connected condition

Rating Increase

Other

Let us know a little bit about your claim (please do not include any confidential or sensitive information):

How did you find us?

Do you have a preference for working with...

Dr. Deborah Miller

Dr. Frank Bevacqua

Whoever has the earliest availability

No preference

Consultation Form