Menu Close

Nexus Letters and/or DBQ’s for VA Disability Claims

At Veterans can get a nexus letter from a psychologist for $600 for secondary conditions and $740 for primary conditions. Read more below to find out if working with (Dr. Finnerty) is right for you.

Dr. Todd Finnerty is a psychologist and disability claim expert motivated to ensure that people get the help they qualify for and don’t fall through the cracks in the system. One way Dr. Finnerty helps others is by writing nexus letters. Dr. Finnerty is available to write Nexus Letters and/or Independent Medical Opinions for Veterans who need them. is a website operated exclusively by psychologist Todd Finnerty, Psy.D.; the only person who writes nexus letters at is Dr. Finnerty. As a service to help you find a nexus letter there are also links to other professionals on this website (including to physicians). These are to assist you in case you need to find someone other than Dr. Finnerty (ex: for an issue that Dr. Finnerty doesn’t specialize in). does not contract to have outside professionals do any of the work; the only person writing nexus letters at is Dr. Finnerty. If you are looking for a nexus letter for a medical condition that you need a physician for you should click on the provided links on this site for a nexus letter from a physician.

Typical nexus letter topics Dr. Finnerty will address:

Do you need an initial service connection/ rating or VA disability increase for a psychological condition? Dr. Finnerty may be able to help with an independent examination and DBQ.

DBQ exams for mental health conditions (telehealth or in-person- $1,500)

Dr. Finnerty does schedule a limited number of exams for DBQ’s on mental health disability claims (exams cost $1,500 total with the records review and DBQ included in that price). Learn more in this blog post: Exam Scheduling Update: 12/14/2021 – Nexus Letters from a Psychologist Please do not schedule an exam without first receiving permission from Dr. Finnerty to schedule. Also note that Dr. Finnerty often does not have immediate availability for examinations so please plan ahead if you feel like you’ll need to schedule an exam.

Do you believe you qualify for an increase in your service connected PTSD, depression, anxiety or other mental health condition? Dr. Finnerty is a former C&P examiner who can provide an examination and records review in order to offer his independent opinion on whether or not that is the case.

Do you believe your mental health condition such as PTSD, depression, anxiety, etc. should be directly service connected? Dr. Finnerty can provide an examination and records review to offer an independent opinion on whether or not that is the case.

Add on Sleep Apnea DBQ (an additional $160)

Dr. Finnerty writes nexus letters for sleep apnea secondary to psychological conditions like PTSD; this service costs $600. A sleep apnea DBQ is not necessary for this, and C&P examiners will complete the sleep apnea DBQ at no charge to you, but sometimes Veterans want Dr. Finnerty to also complete the sleep apnea DBQ. Due to the additional time involved, Dr. Finnerty now charges his brief form completion fee for this service if you want a sleep apnea DBQ in addition to your nexus letter. So therefore, you’d pay the $600 fee then also pay the $160 fee in addition if you wanted the DBQ (again, the DBQ is not necessary for the nexus letter and there should be no expectation that the VA would not also order a C&P examination to have their examiner also complete a DBQ). Dr. Finnerty will complete the DBQ via a records review– not an exam– and the form completion will be limited by what is available in your records. Having a copy of your sleep study is necessary for this service.

Note: Dr. Finnerty does not complete DBQ’s for other physical conditions.

Which states can Dr. Finnerty provide telehealth visits to?

Dr. Finnerty can perform records reviews for anyone anywhere, however there are some states where he is not able to do telehealth exams. Dr. Finnerty resides in Ohio where Dr. Finnerty is licensed as a psychologist (#5979) and can see anyone located in Ohio with this license. Dr. Finnerty offers a telehealth option to Ohio and a large number of other states where Dr. Finnerty can legally examine someone via telehealth. He can do this as he is a PSYPACT provider (the PSYPACT link has a map of states where Dr. Finnerty can offer telehealth exams under PSYPACT). In some states he can also apply for temporary permission to practice with the psychology board in that state. Dr. Finnerty also is a registered telehealth provider in Florida and can provide psychological services to individuals in Florida via telehealth. Dr. Finnerty’s Florida telehealth provider registration number is #752. Learn more here:

How do you get a nexus letter from Dr. Finnerty? Follow this link for a quick overview of How it works:

The Value of working with Dr. Finnerty:

  • No one can guarantee the outcome of your claim. However, if Dr. Finnerty writes a nexus letter opinion or DBQ for your claim and your claim is denied, Dr. Finnerty will still stand with you. Dr. Finnerty stands by his opinions. If you get denied Dr. Finnerty wants you to send him the rating decision (and any other relevant evidence you can get such as the C&P exam the denial was likely based on) so that he can review it and write a response to the decision for free (Dr. Finnerty will add you back on to the list he works down in date order and write you a response to the decision for free, though this may take a few weeks from when you contact him based on how busy Dr. Finnerty is). Dr. Finnerty also wants to review denial decisions so that he can keep track of any arguments that C&P examiners/raters are using so that he can address those arguments in future nexus letters. Dr. Finnerty’s nexus letters evolve and develop over time and address many of the common denial-related arguments and mistakes that C&P examiners make.
  • If you’ve obtained a service from Dr. Finnerty before such as a nexus letter for a different issue or a DBQ, Dr. Finnerty will happily give you a discount on future services– just remind him you’ve used him before when reaching out again. Dr. Finnerty appreciates your loyalty to his services.
  • Dr. Finnerty has been a licensed psychologist since 2003 and has years of experience on multiple different types of disability claims. He also was once a contract examiner with VES and QTC doing C&P’s (DBQ’s) for the VA , however, now he does DBQ’s working directly with Veterans and/or their representatives. Dr. Finnerty will address what your burden of proof actually is on a VA disability case (i.e. whether something is “at least as likely as not”). While some websites suggest using alternative phrases like “more likely than not,” this isn’t your burden of proof on a VA claim. Dr. Finnerty will answer the question the rater needs the answer to– the same question that they ask C&P examiners to answer– “is it at least as likely as not?”
  • Dr. Finnerty offers reasonable prices. Working with a specialized psychologist isn’t cheap, but if you shop around you’ll find that Dr. Finnerty’s prices are competitive. The cost of working with Dr. Finnerty is also much less than the true lifetime value of the monthly cashflow from your claim if it is successful.
  • You get to work directly with Dr. Finnerty and not through an intermediary. Dr. Finnerty gives you his cell phone number and his email address [which incidentally, are (330)495-8809 and]. Though please be aware that it will take much longer for Dr. Finnerty to get back to you by phone than it would take him via e-mail due to the nature of his schedule.
  • There are no hidden or surprise fees, and you know exactly who the specfic professional is you’ll be working with and what their qualifications are in advance (because you’ll be working directly with Dr. Finnerty).

How long will it take to get your nexus letter?

If you need a nexus letter please plan ahead. For nexus letters based on records reviews, Dr. Finnerty completes them on a first-come-first-served basis in date order based on when you made the payment. When you make a payment you reserve your place in line on the list Dr. Finnerty will work down in date order (you can supply your records at any time after- your place in line will be held). At times, depending on how many people are scheduled before you and how busy he is, it may take a month or more to get your letter back from Dr. Finnerty. If you have a deadline coming up please let him know and he will do his best to meet it. However, Dr. Finnerty tries to keep the process fair and tries to stick to doing nexus letters in date order except in rare situations. You cannot pay more to get a faster time nor will Dr. Finnerty negotiate away his first-come-first-served policy (though again if you have an actual imminent VA deadline Dr. Finnerty will do what he can to meet it, and if Dr. Finnerty accepted your case indicating he will meet a specific date and have it to you by a specific date he will meet this deadline).

Free E-mail newsletter

Now and then Dr. Finnerty will send out an e-mail newsletter with information about his practice or an interesting news item relevant to Veterans’ disability claims. If you think that information would be relevant for you to receive you can sign up here:

Subscribe to the email newsletter

* indicates required

Contacting Dr. Finnerty

The best way to contact Dr. Finnerty for the first time about getting a nexus letter is through the referral form below. Depending on how busy Dr. Finnerty is it may take over a week for him to get back to you. Dr. Finnerty is also not able to accept all referrals, so it doesn’t hurt to shop around and see what other options are available to you. For example, here is a list of other providers:

The usual apologies: Dr. Finnerty is very busy and may sometimes miss an email from you, a form you completed or a voicemail you left- if Dr. Finnerty didn’t get back to you, sorry for this, and please do follow up with him.

Contacting Dr. Finnerty for the first time: The best way to contact Dr. Finnerty the first time in relation to a potential nexus letter is by completing the referral form below.

Phone calls: Dr. Finnerty’s time for making and returning phone calls is very limited, so contact form submissions (for the first contact) and emails for subsequent contacts are preferred if you are okay with them, and you’ll likely get a much faster response via email than if you call. Dr. Finnerty has very limited time for returning phone calls. Often Dr. Finnerty must turn the ringer off on his phone to dedicate time to getting reports written. During this time his voicemail box can become full, yet he may notice your email and return a quick email before ever even looking at his voicemails.

If you leave Dr. Finnerty a voicemail, and if you are okay with it, it is best to follow up that voicemail with an email message.

Texting: Please don’t text Dr. Finnerty. Texting isn’t an ideal or reliable way to contact Dr. Finnerty and there is a good chance he will miss your text. If you text Dr. Finnerty he does not guarantee he will respond to that text.

E-mail: The best way to reach out to Dr. Finnerty for the first time is by completing the free consultation/ contact form below. That way Dr. Finnerty can go through the contacts in the order in which they are submitted, and with the information he will likely need to see if he can help. He may also accidentally lose your email when he is deleting junk mail.

Dr. Finnerty has options for sending and receiving encrypted email if you are interested, please just let him know and he will provide you with details.

E-mail: Alternative email:

Advisory: Sometimes Dr. Finnerty’s emails have been ending up in the spam folder so if you’re expecting an email from him you might want to check the spam folder now and then; thanks.

The form below is the best and preferred way to contact Dr. Finnerty for the first time about a nexus letter or exam:

Referral form/ Consultation form for a nexus letter and/or DBQ:

Fill out the form below to see if Dr. Finnerty can help with a nexus letter and/or DBQ:

Sleep Apnea Secondary to PTSD

You can get a nexus letter from Dr. Finnerty for sleep apnea secondary to PTSD for just $600. Learn more about sleep apnea secondary to PTSD, including links to relevant research articles, by going here: