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Spine Nexus Group provides expert medical nexus letters for spinal conditions related to VA disability claims. The practice is selective and accepts a limited number of cases.

All inquiries undergo an initial review to determine whether a spine-related nexus opinion can be medically supported.
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Note: Before You Contact Us

Spine Nexus Group evaluates spinal conditions only, including cervical, thoracic, lumbar, and lumbosacral disorders. Nexus letters for non-spinal conditions are not offered.

All cases require a paid case screening prior to acceptance. Screening determines whether a nexus opinion can be medically defended and does not guarantee acceptance or outcome.

Spine Nexus Group does not provide medical treatment, VA claims assistance, advocacy, or guaranteed results.

How to Submit an Inquiry

To submit an inquiry, please complete the contact form below.

To assist with initial review, include the following information in your message:

• The spinal condition(s) you are seeking a nexus opinion for
• The spinal region involved (cervical, thoracic, lumbar, or lumbosacral)
• A brief description of the in-service event, injury, or exposure
• Any prior VA decisions related to the condition, if applicable

Incomplete inquiries may not receive a response.

Please complete the form to the left to get started. 

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Important Notice

Spine Nexus Group accepts a limited number of cases and prioritizes medical rigor, defensible reasoning, and ethical standards over volume. Outcomes are not guaranteed. Spine Nexus Group reserves the right to decline cases that cannot be medically defended.