Records-based physician opinions built to the standard the VA actually weighs — clinical rationale, records citations, supporting literature, and proper standard-of-proof language. Designed to carry maximum probative value on contested and appealed claims.
Every opinion is individually reasoned by a board-certified emergency physician. No templates, no boilerplate, no mid-level sign-off. Flat-fee pricing — quoted at intake, no surprises.
| Service | Fee |
|---|---|
| Standard Nexus Opinion Single condition · direct service connection · clean records | $995–$1,200 |
| Complex / Contested / Appeal Opinion Secondary connection · prior denial · multi-condition · C&P rebuttal | $1,750–$2,500 |
| Rebuttal Letter / Written Declaration Responding to a negative C&P opinion or adverse medical evidence | from $750 |
| Expert Testimony — HLR / Board Sworn statement or live/virtual appearance | $300–$500/hr |
Broad clinical exposure across nearly every condition seen in disability claims — musculoskeletal, cardiovascular, neurological, respiratory, GI, toxic exposure.
Understands the population, the system, and the culture from the inside. Knows how military medicine documents (and fails to document) injuries.
Written for probative value — the Nieves-Rodriguez standard. Individually reasoned, records-cited, literature-supported. Not template letters the VA discounts.
AI-augmented analysis pipeline enables fast turnaround without sacrificing clinical depth. Every conclusion verified and signed by the physician.
Secure, HIPAA-compliant transfer of service treatment records, post-service records, and any C&P results or prior decisions.
Review of the file, a flat quote by tier, and an honest read on whether the evidence supports an opinion. No charge if we can't help.
A signed, fully reasoned opinion ready to submit with your client's claim or appeal. Revisions included if the adjudicator raises new issues.
Opinions across most non-psychiatric conditions commonly claimed in VA disability:
Sleep Apnea • Musculoskeletal (Back, Knees, Shoulders, Ankles) • Tinnitus & Hearing Loss • Migraines & TBI • Cardiovascular (Hypertension, IHD) • GERD & GI Conditions • Sinusitis & Respiratory • Dermatologic Conditions • PACT Act Presumptives • Toxic Exposure • Secondary Service Connections
Not in scope: Primary psychiatric opinions (PTSD, MDD, anxiety, MST) — referred to qualified mental health professionals.
Secure intake for records submission. HIPAA-compliant. BAA available on request.
Submit Records →Sworn Medical PLLC provides records-based independent medical opinions authored by a licensed physician. No physician-patient relationship, examination, or treatment is established. The VA determines all claim outcomes; no result is guaranteed.