Do I Need a Nexus Letter?

A free VA nexus letter checker. Answer a few questions for each condition. You'll see which of the three things VA needs you already have, whether a private nexus opinion is likely needed, what the VA examiner needs to see, and which DBQ applies. Then print a one-page summary for your VSO.

What this is and isn't. VetAid tells you whether a claim needs a nexus opinion. It never writes one: only a qualified medical professional can. This is general information, not legal advice and not representation. Nothing you enter is stored.

Runs on fixed rules: no AI, no account, and nothing you type is saved.

Frequently asked questions

Do I need a nexus letter for my VA claim?

Not always. If your condition is on a presumptive list (for example PACT Act burn pits or Agent Orange) and you had qualifying service, the law presumes the link and no nexus opinion is needed. For a direct or secondary claim VA needs medical evidence linking the condition to service, or to your service-connected condition. A VA exam can supply that opinion; a private one helps most when your records don't show the link clearly or a VA exam went against you.

Does VetAid write nexus letters?

No. A nexus opinion is a medical opinion, and only a qualified medical professional can write one. This checker tells you whether your claim likely needs one and what the examiner needs to see, so you can ask the right person.

Is this legal advice, and do you keep what I type?

No and no. This is general information, not legal advice and not representation. The check runs on fixed rules with no account, and nothing you enter is stored. An accredited representative (a VSO, attorney or claims agent) can represent you, and VSOs help for free.

What is a DBQ, and which one do I need?

A Disability Benefits Questionnaire (DBQ) is the form an examiner fills out to record the diagnosis and how severe it is. The checker shows the matching form from VA's public DBQ list, or tells you when VA examines the condition with its own exam instead. Try the DBQ finder.

Related

Sources: 38 CFR 3.303, 3.310, 3.307, 3.309, 3.159 and 3.326; VA's public DBQ list (retrieved 2026-07-24); Board of Veterans' Appeals decisions in VetAid's corpus. No login, no storage, no AI in this check.

VetAid is a free veterans claims tool, not a VA-accredited representative — it does not file anything with VA for you, and it works alongside your accredited VSO, claims agent or attorney. About VetAid