A physician reviews your records and your history, then lays out your documented findings next to the VA’s rating criteria, with a medical explanation, so the rater has it in one place.
Not a DBQ. No exam. One service-connected condition per letter.
How It Works
Everything happens online. Set aside 30 minutes or more for the questions; you can stop and finish later.
Tell us which service-connected condition this is about and pay the refundable $149 deposit.
Upload your Blue Button report, your VA ratings page and your most recent rating decision, then answer a structured set of questions about how the condition affects your work, relationships and daily life right now.
If the physician can support an opinion from your records, you receive a preview and the invoice. The $400 balance is due before the full signed letter is released. If not, you are told why and your deposit is refunded.
What It Is, and What It Isn’t
The physician’s assessment is based only on your current records and the current history you describe, not on results you expect to get.
Your letter may identify which VA rating-schedule level your documented findings match, based on the regulation’s own criteria. It does not promise or predict a rating. VA decides your rating.
Anything that has to be measured, such as blood pressure, lab or imaging results, or range of motion, must already be documented in your records. The physician cannot supply it.
If your records don’t document more than your current rating already reflects, an opinion won’t change that. We’ll tell you so and refund your deposit.
An Honest FAQ
Most veterans who want a higher rating do not need a private opinion. Here is when one helps, when it doesn’t, and what it can’t do.
No. A private medical opinion is not required for a rating increase. When you file for an increase, the VA will usually schedule its own examination, at no cost to you. The VA must provide an exam or opinion when the evidence it has isn’t enough to decide the claim. Your VA and private treatment records, and your own written statement about how the condition affects your work and daily life, are evidence the VA must consider, and none of them cost anything.
Yes. A Veterans Service Officer (VSO) can help you file for an increase at no cost, and the VA exam is free. If you are unsure whether an opinion would add anything to your claim, a VSO is a good first conversation.
A VA exam is a single visit. It can miss what your records show over months: how often symptoms happen, how long they last, and what happens on bad days. Our opinion reviews your records, gathers your history in a structured way, and lays out the documented findings next to the VA’s rating criteria, with a medical explanation, so the rater has it in one place.
Conditions rated on how often symptoms happen and how they affect work, relationships and daily life (for example many mental health conditions, migraines, and conditions with flare-ups), where your treatment records document more than your current rating reflects. The opinion may identify which VA rating-schedule level your documented findings match, based on the regulation’s own criteria.
No. We never promise or predict a rating, and no one can promise a VA outcome. The VA decides your rating.
Neither. There is no examination. Anything that has to be measured or observed, such as blood pressure, lab or imaging results, hearing tests, or range of motion of a joint or the spine, must already be documented in your records. The physician cannot supply it.
The opinion is based only on your current records and the current history you describe. If your treatment records don’t document more than your current rating already reflects, or they contradict it, an opinion from us won’t change that. We’ll tell you so and refund your deposit. Recent treatment notes matter: without them there is often little for an opinion to stand on.
It can happen. A claim for an increase leads the VA to look at the condition again, and if the evidence shows it has improved, the VA can propose a lower rating. That is a filing decision, and we can’t advise on it; a VSO or accredited attorney can. If your records show improvement, we will tell you before any work on a letter begins.
No. We are not VA-accredited agents, attorneys, or a VSO, and we can’t advise you on how or when to file, which form to use, or your filing strategy. The opinion describes how the condition affects your work and daily life, which can be relevant evidence, but we do not file or decide anything.
We can’t take a rating-increase request for tinnitus. The VA rates recurrent tinnitus at a single level (10%), so there is no higher rating to request.
If your condition is already rated at the highest level the rating schedule allows for it, there is no higher rating for that condition to request. Check your rating decision before you start.
Some conditions are rated almost entirely on measured results, such as hearing tests, blood pressure readings or lab values. An opinion cannot change those numbers; only new test results in your records can. For these, an opinion rarely adds anything, and we will tell you if that is the case.
Each letter covers one service-connected condition. For more than one, start a separate request for each.
Three are needed before you submit: your Blue Button report, your VA ratings page (every condition with its percentage), and your most recent VA rating decision or code sheet. Your DD-214, earlier VA exams and treatment notes from the past year or two help too.
Set aside 30 minutes or more. Your answers save as you go, so you can stop and finish later on the same link.
$149 deposit when you start, and $400 when your letter is ready (you see a preview first). If the physician cannot support an opinion from your records, you are told and your deposit is refunded. Once work on your letter begins, the deposit covers that work.
A few questions, your records, and a structured history. A physician reviews everything.
Start My Request →$149 refundable deposit • $400 when your letter is ready • Not a DBQ, no exam