This agreement outlines the terms and conditions for independent medical record review and medical opinion services provided by Stephanie Hensley, DNP, APRN, FNP-C.
1. Purpose of Services
The provider offers independent medical record review and medical opinion services, which may include preparation of an Independent Medical Opinion (IMO) or nexus letter when supported by the available medical evidence.
These services are intended to evaluate medical records and provide a professional medical opinion regarding possible relationships between a medical condition and military service.
2. No Legal Representation
Stephanie Hensley, DNP, APRN, FNP-C does not provide legal representation, claims representation, or assistance in preparing, presenting, or prosecuting claims for benefits.
Veterans seeking representation regarding claims for benefits should consult an accredited representative, attorney, or Veterans Service Organization.
3. Independent Medical Judgment
Any medical opinion provided will be based solely on professional medical judgment and the medical evidence available at the time of review.
A nexus letter or medical opinion will only be provided when the available evidence supports such an opinion within reasonable medical certainty.
If the medical evidence does not support a nexus opinion, the provider may decline to issue a nexus letter.
4. No Guarantee of Benefits
Medical record review or medical opinion services do not guarantee approval of any claim for benefits.
All decisions regarding eligibility, service connection, and disability ratings are made solely by the U.S. Department of Veterans Affairs.
5. No Affiliation with the Department of Veterans Affairs
Stephanie Hensley, DNP, APRN, FNP-C is an independent medical provider and is not employed by, affiliated with, or acting on behalf of the U.S. Department of Veterans Affairs.
6. Client Responsibilities
The client is responsible for providing complete and accurate information and submitting relevant records necessary for review. This may include military records, service treatment records, VA medical records, private medical records, prior VA decisions, and Compensation & Pension examination reports.
Incomplete records may limit the ability to provide a medical opinion.
7. Scope of Services
Services may include:
• Medical record review
• Evaluation of medical evidence
• Independent medical opinion
• Nexus letter preparation when medically supported
These services do not include medical treatment, diagnosis, or ongoing patient care.
8. Fees and Payment
Fees for services are outlined separately and must be paid prior to initiation of record review.
If a nexus opinion is supported after record review, additional fees may apply for preparation of a formal medical opinion or nexus letter.
All payments are non-refundable once medical record review has begun due to the time and professional expertise involved.
9. Turnaround Time
Typical turnaround time for record review and medical opinion preparation is approximately 7–14 business days after receipt of payment and all necessary records. Complex cases or large record sets may require additional time.
10. Confidentiality
All records and personal information submitted will be treated as confidential and used solely for the purpose of medical record review and preparation of an independent medical opinion.
11. Limitation of Services
The provider reserves the right to decline services if:
• Records are incomplete
• The case falls outside the provider’s clinical expertise
• The medical evidence does not support a defensible medical opinion
12. Acceptance of Agreement
13. Electronic signatures and digital submission of documents are considered valid and binding.
By signing below, the client acknowledges that they have read and understand this agreement and agree to the terms outlined above.