Current estimate as of November/December 2022: Approximately 3 weeks* (the holidays may impact this some)
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).
As of November 2022 it has been taking around 3 weeks; this is an improvement from 4 to 5 weeks since Dr. Finnerty’s Executive Assistant started and took over administrative duties such as Dr. Finnerty’s e-mail and phone calls. While Dr. Finnerty is hoping to get nexus letters back even faster than 3 weeks, the holidays may impact this.
Need a nexus letter or DBQ? You can submit your information to Dr. Finnerty here: http://nexusletters.com/free-consultation/