Current estimate as of June 1, 2023: At this time it has been taking between one and two weeks to get a nexus letter back. This could change if many people all sign up for a letter at once. Historically the time frame of around 1 to 2 weeks is typical, but during the pandemic demand spiked and at times it took as long as one month to get letters back to people. This could potentially happen again.
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).
Need a nexus letter or DBQ? You can submit your information to Dr. Finnerty here: http://nexusletters.com/free-consultation/