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Proven Clinical Expertise. Evidence-Based Results.
Navigating the VA claims process requires more than just a diagnosis — it requires a clear, medically supported link (a "Nexus") between your current health and your military service.
As a Board-Certified Nurse Practitioner with over 15 years of clinical experience, Jackie Foraker provides comprehensive Independent Medical Opinions (IMOs) and Nexus Letters designed to withstand the rigors of VA review.
Why Choose Foraker Wellness?
- Proven Success: Over 20 Nexus Letters authored resulting in granted service connections. We understand the specific "standard of proof" language required by the VA.
- Sleep Medicine Expertise: Expert nexus strategies for Sleep Apnea and related disorders.
- Respiratory & Environmental Exposure: Detailed clinical analysis of conditions related to toxic exposures, burn pits, and particulate matter (PACT Act claims).
- Systemic Inflammation: Insight into how service-connected injuries trigger chronic inflammatory responses.
- Clinical Integrity: Every document is a custom forensic analysis — not a cookie-cutter letter.
Pricing & Service Breakdown
Writing a defensible Nexus Letter is a forensic medical task involving hours of record analysis and literature research. Our fees reflect the time required to build a robust case.
| Service | Description | Fee |
|---|
| Initial Case Screening | A preliminary review of your records to determine if a medical nexus is clinically supported. 100% of this fee is applied to your balance if you proceed. | $300 |
| Comprehensive Nexus Letter | Full record review, medical literature research, and a formal signed letter. Covers up to 2 DBQs. Remaining balance after screening credit. | $500
(Total package: $800) |
| Additional Condition Add-on | Each additional DBQ or condition beyond the first two (e.g., Sleep Apnea secondary to PTSD). | $100 each |
Proven Results: Case Highlights
A track record of connecting the dots for those who served.
Toxic Exposure & Respiratory Health
Established links for chronic rhinosinusitis and restrictive lung disease for veterans with documented environmental exposures.
Sleep Apnea Secondary to Mental Health
Successfully linked OSA to service-connected PTSD and Anxiety, focusing on physiological mechanisms like medication-induced weight gain.
Secondary Neurological Issues
Established a nexus for peripheral neuropathy secondary to existing service-connected metabolic disorders.
Aggravation Claims
Demonstrated how a service-connected disability has significantly worsened a non-service-connected condition.
How to Start Your Claim Review
Step 1: Schedule an Initial Screening — $300A high-level review of your diagnosis and service history to determine if a medical nexus is clinically supported. This fee is 100% applied to your balance if you proceed.
Step 2: Provide Your RecordsSubmit your C-File and medical records for forensic analysis. Please bring the following to your consultation:
- A complete list of all conditions you are currently claiming or intend to claim with the VA
- Service Medical Records (SMRs) from your time in service
- Private medical records from outside physicians regarding the conditions in question
- VA Medical Records and treatment notes from VA medical centers
- Supporting documentation: lay statements, buddy letters, or previous DBQs/Nexus letters
- VA Rating Decisions: copies of any previous denial letters or rating decisions
Step 3: Receive Your IMOReceive a defensible, signed Independent Medical Opinion within 7 to 14 business days to submit with your VA claim.
Frequently Asked Questions & Policies
How does the $300 consultation fee work? ▼
To get started, we require a $300 initial consultation fee. During this phase, we review your medical records and discuss your case. If you choose to move forward with the full evaluation, 100% of this fee is applied to your balance, leaving a remaining total of $500 for your Standard Evaluation package.
What is your cancellation or refund policy? ▼
Before the Consultation: If you cancel your appointment at least 24 hours in advance, your $300 fee is 100% refundable.
After the Consultation: Once we have reviewed your records and conducted the initial consultation, the $300 fee is non-refundable, as it covers the medical professional's time and expertise.
If We Cannot Assist You: If during the initial consultation our medical team determines that we cannot ethically support your claim or write a Nexus letter, you will not be charged the remaining $500 package fee.
How long does the process take? ▼
Our standard turnaround time is 7 to 14 business days from the date of your consultation, provided we have received all necessary medical records and documents from you.
What if I have more than two conditions to claim? ▼
Our Standard Evaluation covers up to 2 DBQs. For any additional conditions beyond the first two, there is a flat fee of $100 per additional DBQ or condition. We will identify and confirm the exact number needed during your initial consultation so there are never any surprise charges.
Our Commitment
Our primary goal is to provide an honest, evidence-based medical opinion. If we cannot find a valid clinical link during the screening process, we will tell you upfront — to ensure you don't invest in a letter that lacks a strong path to approval.