YOUR CLAIM. DONE RIGHT.
Independent VA Disability Evaluations · Nexus Letters · Expert Documentation for Every Veteran
The standard VA exam is 15 minutes. Your service deserves more than that.
Veterans Precision Medical Evaluations provides independent clinical evaluations, evidence-based Nexus letters, and VA-compliant documentation — built to reflect the full weight of your service and withstand scrutiny at every level of review.
VPME Service Packages
A thorough, unhurried clinical evaluation for a single service-connected condition
What's included:
Comprehensive medical record review (STRs, private records, DD-214 service history)
60–90 minute clinical evaluation via telehealth or in-person
Completion of one VA-compliant Disability Benefits Questionnaire (DBQ)
Clinical summary letter documenting your findings and functional limitations
Secure document delivery via VPME client portal
30-day follow-up window for clarifying questions
Ideal for: Veterans with a single well-defined condition seeking independent documentation, or those who want to start with one condition before pursuing a broader evaluation.
Evidence-based documentation built to withstand scrutiny at every level of VA review
What's included:
Detailed review of all available medical records, service treatment records, and private provider documentation
60–90 minute clinical evaluation via telehealth or in-person
Evidence-based Nexus letter — medical opinion establishing service connection, supported by peer-reviewed medical literature and your specific clinical history
Completion of one VA-compliant DBQ aligned with the Nexus letter findings
Functional limitation narrative — translating clinical findings into VA rating language
Secure document delivery via VPME client portal
60-day follow-up window — VPME responds to any VA requests for clarification on your documentation
Ideal for: Veterans with a primary condition requiring both a clinical evaluation and a well-documented service connection argument. The most common scenario for veterans who have been previously denied or underrated.
Concierge-level, end-to-end documentation strategy for complex, multi-condition claims
What's included:
In-depth review of all records including military occupational history, deployment records, exposure documentation, and complete medical history
90-minute comprehensive clinical evaluation
Multi-condition DBQ completion — up to four conditions evaluated in a single engagement
Multiple Nexus letters — one per condition, each supported by condition-specific medical literature
Secondary and presumptive condition strategy — identification of conditions that may qualify based on primary diagnoses
Pre-claim review and rating optimization analysis — understanding how conditions interact in VA combined rating math
One-on-one strategic consultation session — 60 minutes dedicated to claim preparation and next steps
Secure document delivery with a complete claim documentation packet
90-day follow-up window with priority response
Ideal for: Veterans with complex, multi-system claims, those returning from a denial or appeal, pre-separation active duty members building a comprehensive claim, or any veteran whose situation warrants a full clinical and strategic partnership.
New offering!
The C&P Exam Rapid Prep
Expert C&P exam preparation from a certified VA examiner — before you walk through the door
The C&P exam is the single most consequential appointment in the VA disability process. The outcome of that evaluation shapes a rating that follows you for years. Most veterans walk in unprepared — not because they don't care, but because no one told them what the examiner is actually required to document.
Our VPME provider has conducted VA disability exams as a certified examiner through nationally contracted organizations. He has sat on the other side of that table. The C&P Exam Rapid Prep puts that knowledge to work for you — in 30 minutes, before your exam.
What's included:
30-minute telehealth session via secure video with a certified VA examiner
Condition-specific exam preparation — focused on the DBQ requirements for your scheduled exam type
Functional impairment review — how to accurately describe limitations at work, at home, and in daily life
Examiner perspective briefing — what is required to be documented, and what veterans commonly fail to convey
Common mistakes review — the specific errors that result in lower-than-warranted ratings
What's not included:
This session is exam preparation only. It does not include a clinical evaluation, medical record review, DBQ completion, or Nexus letter. If your situation requires documentation, see our Foundation Review, Precision Evaluation, or Comprehensive Advisory packages.
Ideal for: Veterans with a C&P exam scheduled in the next 7–14 days. Veterans who have had prior exams where their symptoms were not fully captured. Anyone filing for a new condition or an increase who wants to walk in knowing exactly what the examiner needs to hear
How VPME Works
Four steps from first contact to documentation in your hands — and we stay with you after delivery.
STEP 1 — BOOK
Request a free 15-minute discovery call. Complete our short intake form — your branch of service, the conditions you want documented, and your current rating. We review it before the call so we can focus on you, not paperwork.
STEP 2 — EVALUATE
We conduct a thorough clinical evaluation approximately 60 to 90 minutes, not 15. Before your appointment we review your medical records, service treatment records, and any prior VA decisions. Every relevant finding is documented in clinical detail.
STEP 3 — DOCUMENT
We draft your documentation package — DBQs, Nexus letters, and functional limitation narratives — using VA-specific language and peer-reviewed medical literature. Your documents are reviewed for accuracy and completeness before delivery.
STEP 4 — FOLLOW UP
We deliver your documentation securely and remain available for 30 to 90 days depending on your service tier. If the VA has questions about your documentation, we respond. Your claim doesn't end at delivery — and neither do we
Veterans Precision Medical Evaluations
VPME | veteranspme.com
Engage with a certified advisor for individualized strategies that transform objectives into measurable results.
There is no substitution for expertise
Veterans Precision Medical Evaluations (VPME) is founded and owned by Dwayne Bell, MSN, APRN, AGACNP-BC — a board-certified Adult-Gerontology Acute Care Nurse Practitioner with over two decades of critical care experience at major medical centers and a certified VA disability examiner. Dwayne holds a Master of Science in Nursing from Duke University and has conducted disability evaluations for veterans and active-duty service members across the Carolinas.
Veterans Precision Medical Evaluations
VPME | veteranspme.com
VPME exists because documentation quality determines outcomes. A rushed, under-documented evaluation costs veterans benefits they earned — sometimes for decades. VPME was built to change that equation.