Veteran Mental Health DBQ & Nexus Letter Evaluations
Expert Mental Health DBQ Evaluations, PTSD Review DBQ Evaluations, and Nexus Letter Evaluations addressing a connection to military service or an existing service-connected condition. Our providers bring cumulative experience from hundreds of Veteran evaluations.
Book Free Veteran Evaluation ConsultationIndependent evaluations · Florida & eligible PSYPACT states
Clear documentation for the questions your claim needs to address
Mental Health DBQ Evaluations
Evaluation of mental health symptoms, diagnosis, and occupational and social impairment, documented in the appropriate Mental Health DBQ. This may include updated evidence when an already service-connected condition has worsened.
PTSD Review DBQ Evaluations
Assessment of current PTSD symptoms and their effects on work, relationships, and daily life for Veterans seeking updated documentation of an already service-connected PTSD condition.
Nexus Letter Evaluations
Independent opinions addressing whether a mental health condition is related directly to military service, or was caused or aggravated by an existing service-connected condition, when clinically supported.
We offer Mental Health DBQs and PTSD Review DBQs. We do not complete initial PTSD DBQs. A DBQ evaluation and a Nexus Letter Evaluation can be requested individually or through the combined package.
Additional expertise in mental health secondary to medical conditions
A service-connected physical condition can change sleep, mobility, independence, relationships, and the ability to work. A meaningful psychological evaluation examines how those changes fit with the onset, course, or worsening of a mental health condition.
For secondary service connection, the clinical questions include whether an established service-connected condition caused another condition or aggravated it. We review the timeline, relevant records, treatment response, and other contributing factors before forming an opinion. See the VA reference below.
Anxiety secondary to tinnitus
Persistent ringing may disrupt sleep, increase distress in quiet settings, or lead someone to monitor the sound throughout the day. We examine whether the evidence supports a diagnosable anxiety condition and how tinnitus contributed to its development or worsening.
What we look at: the onset of tinnitus and anxiety, sleep changes, treatment records, everyday limitations, and other possible explanations.
Depression secondary to a knee injury
Persistent pain and reduced mobility may affect work, exercise, family roles, and independence. We examine whether the resulting changes contributed to depression or aggravated an existing depressive condition.
What we look at: the course of pain and functional loss, mood changes, treatment history, withdrawal, concentration, and daily responsibilities.
These are two examples among many possible relationships between physical and mental health. Having both conditions does not, by itself, establish a nexus.
Choose the documentation you need
Nexus Letter Evaluations
Independent assessment of whether the available evidence supports a relationship to military service or an established service-connected condition.
Relevant records review and a Nexus Letter when clinically supported. We discuss any additional assessment needed.
Mental Health DBQ Evaluations
Focused assessment of symptoms, diagnosis, and occupational and social functioning.
Clinical interview, records review, and a Mental Health DBQ or PTSD Review DBQ, as appropriate.
DBQ + Nexus Letter Package
A coordinated evaluation addressing current functioning and a clinical nexus question.
DBQ evaluation and a Nexus Letter when clinically supported. Final scope depends on the evidence and referral question.
Save $200 with the combined package
If you need both a DBQ evaluation and a Nexus Letter Evaluation, the combined package offers one coordinated process at a lower starting price.
$1,450 $1,250 Save $200
Individual starting prices: $850 for a DBQ evaluation + $600 for a Nexus Letter Evaluation.
Savings compare advertised starting prices. Final pricing depends on records and evaluation scope. A Nexus Letter is provided when clinically supported; a favorable opinion cannot be guaranteed.
Private-pay services. Insurance is not billed. We do not complete initial PTSD DBQs.
Federal experience. An independent clinical perspective.
Our providers conducting Veteran evaluations are former federal employees with experience evaluating Veterans. Their work combines a careful review of the clinical evidence with an understanding of the people and systems behind the records.
Our providers bring cumulative experience from federal service, work within the VA, and hundreds of Veteran evaluations. Our clinical health psychology expertise helps us understand the mental health nuances of medical conditions: how pain, fatigue, disrupted sleep, and changes in independence or identity may shape psychological symptoms and everyday functioning.
We examine how physical and psychological symptoms overlap, distinguish emotional responses to illness from a diagnosable mental health condition, and consider how a medical condition may contribute to or worsen existing psychological symptoms. We then explain the clinical relationships and functional limitations supported by the evidence.
Telehealth in Florida and eligible PSYPACT-participating states, as appropriate to the evaluation.
Learn about our practice →A clear, considered process
Clarify your question
Discuss whether you need current functional documentation, a nexus opinion, or both.
Review the evidence
We examine relevant records and complete the clinical assessment appropriate to your service.
Explain the findings
Documentation describes what the evidence supports, with reasoning grounded in your individual history.
Turnaround time
For evaluations that do not require a full psychological report, documentation is typically completed within 3–5 business days after the evaluation is complete and all necessary records and materials have been received. We confirm the scope and expected timeline before you book.
Common questions
Do I need both a DBQ and a Nexus Letter?
A DBQ describes the condition and functional effects. A Nexus Letter addresses a clinical relationship. Your existing evidence and the question that remains unresolved help determine the service you need.
Can I request a Nexus Letter Evaluation without booking the combined package?
Yes. Nexus Letter Evaluations are available. Existing records may provide sufficient clinical information; additional assessment is discussed when needed.
Is this a VA-scheduled C&P exam?
This is a privately retained, independent evaluation. VA determines service connection and disability ratings and may request its own examination.
Related reading: Mental Health DBQ vs. Nexus Letter: What Is the Difference?
Discuss your Veteran evaluation
A complimentary consultation helps clarify your documentation needs and the appropriate scope of service.
Book Free Veteran Evaluation ConsultationClinical findings are independent. A particular diagnosis, opinion, or benefits outcome cannot be guaranteed.
Sources & further reading
- VA: Public Disability Benefits Questionnaires. Public forms and instructions for private providers.
- 38 C.F.R. § 3.310. The regulation addressing secondary service connection, including aggravation.
Reference links checked October 21, 2026. Program administrators determine eligibility and benefits outcomes.