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The Process

Direct access to the physician, start to finish.

A free consultation, secure record upload, records review or video evaluation when needed — and every clinical question answered by Dr. Allen herself.

How does the nexus letter process work?

Four steps: a free consultation to see whether a letter fits your claim, a secure upload of your records, a physician review or video evaluation depending on your case, and delivery of a signed medical opinion you submit with your claim. Dr. Allen answers clinical questions directly throughout.

Step By Step

What working with Dr. Allen looks like

  1. 1

    Free consultation

    Tell us about your case. Dr. Allen or her team will explain whether a nexus letter is the right fit and what she'd need.

  2. 2

    HIPAA-compliant upload

    Upload your DD-214, service treatment records, VA decisions, prior nexus letters, and C&P results through the patient portal.

  3. 3

    Review or video evaluation

    Depending on your case, Dr. Allen completes a records-based review or a full diagnostic evaluation by secure video from your home.

  4. 4

    Your signed opinion

    You receive a signed PDF through the secure portal, formatted for submission with your VA claim. You or your representative submit it — Brightview does not file claims. Typical turnaround is 7–10 business days from the point all records and payment are received.

Physician-written, no ghostwriting

Dr. Allen personally writes every opinion. No template letters, no rubber-stamped signatures.

Portal-based questions

Clinical questions during the process are answered by Dr. Allen through the secure portal — not by a call center.

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What we don't do

  • We don't file VA claims or appeals. A VSO, VA-accredited agent, or attorney does that — VSOs at no cost.
  • We're not a law firm and don't provide legal representation.
  • We don't provide ongoing treatment, therapy, or prescriptions. An independent evaluation is a one-time assessment for your claim.

FAQ

Frequently Asked Questions

Will I actually work with the doctor, or a coordinator?

With the physician. Dr. Allen reviews your records personally and writes your opinion herself, and clinical questions during the process come back from her through the secure portal. Scheduling and intake are handled by her team.

How do I send my records?

Through the HIPAA-compliant patient portal. You'll get access after the consultation. Most veterans upload a DD-214, service treatment records, VA rating decisions and denial letters, C&P examination reports, and relevant treatment records.

Does every case need a video evaluation?

No. Many cases are records-based, particularly when a current diagnosis is already documented. A video evaluation is needed when the record lacks a current diagnosis, or when the clinical picture requires direct assessment. You'll be told which applies at the consultation.

How much does a nexus letter cost?

Fees depend on the volume of records to review and whether your case needs a video evaluation. You'll receive an exact quote during the free consultation, before any work begins — no obligation, and no charge for the consultation itself. Payment plans and certain discounts are available.

How long does it take?

Typical turnaround is 7–10 business days from the point all records are received. Cases with large record volumes take longer. If you're working against an appeal deadline, say so at the consultation. We also offer rush services (24–48 hours).

Can I ask questions during the process?

Yes, through the secure portal. Clinical questions are answered by the physician working on your case rather than by a call center.

Is this therapy or ongoing treatment?

No. An independent medical evaluation is a one-time assessment conducted for evidentiary purposes. It does not establish a treating relationship, and Brightview does not provide therapy or prescriptions. If you need treatment, contact the VA or your primary care provider.

This page is for U.S. veterans and service members pursuing a VA disability claim. Brightview Psychiatry Solutions PLLC provides independent medical opinions only — we do not diagnose for treatment purposes, prescribe, treat, file VA claims or appeals, or provide legal representation. VA determines service connection and assigns all disability evaluations. No outcome is guaranteed. If you are in crisis, the Veterans Crisis Line is available 24/7: dial 988 and press 1, or text 838255. More crisis resources.

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