If you’re filing a VA claim and wondering whether you really need a nexus letter… you’re not alone.
I get this question a lot, especially from people who’ve already served, suffered, and feel like the VA should “just know” their condition is connected to their time in the military.

And honestly?
You’re right to be skeptical.
The system isn’t fair. It isn’t always clear. And yes, it often feels like a fight just to be believed.

But here’s the truth:
A nexus letter isn’t about proving your pain — it’s about connecting the dots in a way the VA system can’t ignore.

🔎 What Is a Nexus Letter?

A nexus letter is a document written by a medical professional — usually your doctor — that clearly states that your current condition is “at least as likely as not” related to your military service.

That phrase — “at least as likely as not” — is VA language. It’s not emotional. It’s not a plea. It’s legal.

🧠 Why It Matters (Especially to a Skeptic)

Here’s what most veterans don’t realize:

  • The VA doesn’t connect the dots for you. You could have every diagnosis and every piece of medical history — but if no one officially links your condition to your service? Denied.
  • They need that link in writing. A nexus letter is like a bridge. Without it, the VA may say your injury, illness, or mental health issue is “real” — but not their responsibility.
  • You’re not begging. You’re backing it up. Think of the nexus letter as strategy, not desperation. It’s documentation that protects you and pushes your claim forward.

🛑 Can You Win Without One?

Yes — in some cases.
If your condition is on a VA presumptive list, or it’s extremely well-documented in your service treatment records, you may not need one.

But for secondary conditions, increases, or anything the VA could argue happened “after service” — the nexus letter often makes the difference between approval and denial.

📥 What Should Be in a Nexus Letter?

A strong letter should include:

  • Your full name and condition
  • That magic phrase: “It is at least as likely as not…”
  • A short explanation of why the provider believes your condition is service-connected (even if it’s a secondary issue)
  • The provider’s signature, credentials, and contact info

💬 Final Thoughts

You’ve already done the hard part — you served, you dealt with the pain, and you’re still here fighting.

So no, a nexus letter shouldn’t be necessary. But in a system built on evidence, it’s your proof of connection — the missing puzzle piece that helps the VA say yes.

If you’re preparing your claim now, start by getting your symptoms documented daily (you can use this free symptom tracker) — and then talk to your doctor about writing a clear nexus statement.

FREE VA Symptom Tracker (Printable Log for 30 Days)

Need help figuring out what to say or give your doctor?
Email me at marie@transcendid.com — I’ve got tools that can help you prep for that conversation with confidence.