At ANM Health LLC, we understand how important accurate documentation is for your VA disability claim. Our goal is to ensure that your experiences are heard, your symptoms are validated, and your evidence is presented clearly and professionally.

 

Our Nexus Letter and Disability Benefits Questionnaire (DBQ) services are designed to support your case with the clinical clarity and objective documentation the VA looks for.

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This service is currently only offered at ANM Health LLC by Ashleigh McDonnell, MSN, PMHNP-BC- service available in AZ, WA, KS, and NV.   For clients wanting to utilize this service, please outreach our Veteran Liaison, Marc at officemanager@anmhealthllc.com

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What is a Nexus Letter?

A nexus letter is a professional medical opinion that links your current condition to your military service. It explains—using clinical evidence—how your symptoms are at least as likely as not connected to your service history.

 

We use a structured, evidence-based approach to ensure accuracy and credibility in every letter.

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What is a DBQ?

A Disability Benefits Questionnaire (DBQ) is a standardized VA form used to document your symptoms, diagnoses, and level of impairment.

When completed by a licensed clinician, a DBQ provides the VA with clear, objective data to support your disability rating.

 

DBQs can be completed alone or in combination with a nexus letter to strengthen your claim.

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Our Process

 

1. Intake & Record Review: Outreach our Veteran Liaison, Marc to begin the intake process.  We will provide you with requirements and schedule your appointments.  Following the intake process, we review your service records, prior evaluations, and VA decision letters.

2. Clinical Evaluation: A comprehensive visit with Ashleigh to document your condition and service connection. (billable to insurance if applicable)

3. Letter & DBQ Preparation: Ashleigh completes the medical opinion and supporting documentation using VA standards.

4. Review & Delivery: You receive a signed, finalized document ready for submission to the VA or your representative.

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​Transparent Pricing

Initial Clinical Evaluation: $300 cash pay or billable to insurance if applicable

Comprehensive review to establish diagnosis and service connection

Nexus Letter: $750 cash pay; billed at time of scheduling

1–2 conditions; detailed record review, diagnostic summary, and clinical rationale

Add-On Condition: +$200 each; cash pay; billed at time of scheduling

Additional diagnosis or condition addressed in the same letter.

DBQ Completion (alone): $400 cash pay; billed at time of scheduling

Completed from your clinical evaluation or provided documentation.

Nexus Letter + DBQ Combo: $1000 cash pay; billed at time of scheduling

Combined service with streamlined evaluation and documentation.

Rush Service (7-day turnaround): +$150 cash pay; billed at time of scheduling

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All documentation services are non-billable to insurance and payment is required at the time of booking.

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Timeline

Standard turnaround time is 2–3 weeks from the date of your evaluation and receipt of all required records.

Rush service may be available depending on case complexity and provider capacity.

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Why Choose ANM Health

 

• Veteran-owned and veteran-focused practice

• Clinically grounded, evidence-based documentation

• Transparent pricing and process

• Compassionate care from a provider who understands both service and sacrifice

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