Sworn Medical PLLC
Independent, physician-authored nexus letters for veterans pursuing VA disability claims. Every opinion reviewed, written, and signed by a disabled veteran and board-certified emergency medicine physician.
Request a ConsultationThree steps from intake to signed opinion.
Upload your service treatment records, post-service medical records, DD-214, and any prior VA decisions through our secure, HIPAA-compliant portal.
Dr. Mayeux personally reviews your complete medical history, analyzes the medical evidence, and assesses the strength of your nexus claim.
You receive a detailed, physician-signed nexus opinion with cited medical literature, case law references, and documented clinical reasoning.
Broad emergency medicine credentials supporting nexus opinions across most non-psychiatric conditions.
Not in scope: Primary psychiatric opinions (PTSD, MDD, anxiety, MST). We refer psychiatric nexus cases to qualified mental health professionals. If you're unsure whether your condition is in scope, the initial consultation will clarify.
The physician behind the opinion.
Dr. Doug Mayeux is a board-certified emergency medicine physician and a disabled veteran of the United States Air Force, where he served as an enlisted weather forecaster before pursuing medicine. He founded Sworn Medical because he understands both sides of the VA disability process — as a physician who evaluates medical evidence, and as a veteran who has navigated the system himself.
Every nexus letter from Sworn Medical is personally reviewed, edited, and signed by Dr. Mayeux. There are no mid-level providers, no physician contractors, and no form-letter templates. Each opinion reflects independent clinical judgment applied to your specific medical records and service history.
The name "Sworn" reflects a simple truth: physicians swear an oath when they enter medicine, and veterans swear an oath when they enter service. Your medical opinion should come from someone who understands both.
Flat fees. No contingency. Every dollar credits forward — you never pay more than $895.
Are you a VA-accredited attorney or claims agent? View attorney referral services →
Your consultation and the process from start to signed letter.
Fill out a brief form with your name, branch of service, and the condition you need help with. No medical records needed at this stage. Dr. Mayeux will review your request and reach out to schedule a call.
Dr. Mayeux will walk through your service history, the in-service event or exposure connected to your condition, your current diagnosis, and any prior VA claims or denials. This is an honest conversation — if the evidence supports a nexus opinion, he’ll tell you. If it doesn’t, he’ll tell you that too.
If you decide to move forward, you’ll receive a secure, HIPAA-compliant link to upload your records: DD-214, service treatment records, post-service medical records, any prior VA decisions, and C&P exam reports if available.
Dr. Mayeux reviews your complete medical record, analyzes the medical evidence, researches the relevant peer-reviewed literature, and drafts a detailed nexus opinion. Every letter is written in his own clinical judgment — no templates, no mid-level providers.
You receive a physician-signed nexus letter as a PDF, ready to submit to the VA with your claim. The letter includes cited medical literature, applicable case law, and the standard “at least as likely as not” opinion language that VA adjudicators look for. Standard turnaround is two to three weeks.
Don’t worry if you don’t have everything — send what you have, and Dr. Mayeux will let you know if anything else is needed.
Tell us about your situation. Dr. Mayeux will review your request and reach out to schedule a call.
This form does not collect medical records or protected health information.
Records submission is handled separately through our HIPAA-compliant portal after your consultation.
Dr. Mayeux reviews every case personally.