Medically reviewed by Crea Rose, FNP-BC, APRN-FPA
· NPI 1366184053
· Last reviewed:
Revival Health & Wellness Clinic provides VA Compensation & Pension (C&P) examinations, independent medical evaluations, and nexus letters for veterans pursuing disability claims, increases, appeals, and secondary-condition connections. Crea Rose, FNP-BC, is a contracted C&P examiner — her exams are official VA-commissioned evaluations, and her nexus letters are independent medical opinions grounded in the record.
If you’re a veteran and your file is missing a clear medical opinion linking a current condition to your service, a nexus letter or C&P exam from a qualified clinician is often what your claim needs.
WHAT A NEXUS LETTER IS — AND ISN'T
A nexus letter is a written medical opinion from a clinician explaining whether a veteran’s current diagnosed condition is “at least as likely as not” (50% or greater probability) connected to their military service, or to a service-connected condition already on record. It cites specific evidence from the medical record and the medical literature.
It is not:
- A guarantee of a VA rating outcome — only the VA decides claims
- A document we write without first reviewing the records
- A formality — we write what the evidence supports, even when that isn’t what the veteran hoped for
CONDITIONS WE EVALUATE
We accept evaluations and write nexus letters across all categories of conditions, including but not limited to:
- Mental health — PTSD, depression, anxiety, MST (military sexual trauma), TBI sequelae
- Musculoskeletal — back, neck, knees, shoulders, hips, joints, chronic pain, post-surgical limitations
- Hearing loss and tinnitus
- Sleep apnea (including secondary connections to PTSD, sinus disease, or weight gain from service-connected medications)
- Respiratory conditions, including burn-pit and airborne-hazard exposure under the PACT Act
- Gulf War presumptive conditions and undiagnosed illnesses
- Agent Orange and other toxic-exposure presumptive conditions
- Gastrointestinal conditions (IBS, GERD, functional bowel disorders)
- Endocrine conditions including thyroid disease and metabolic syndrome
- Cardiovascular conditions secondary to service-connected hypertension, sleep apnea, or PTSD
- Migraines and chronic headache disorders
- Skin conditions including chronic dermatitis from exposure events
- Secondary-condition connections (e.g., depression secondary to chronic pain, sleep apnea secondary to PTSD, GERD secondary to medications)
If your condition isn’t on the list above, that doesn’t mean we won’t evaluate it — it means we haven’t named it here. Call us and we’ll tell you whether your situation is something we can help with.
HOW THE PROCESS WORKS
- Initial call. Tell us briefly what you’re filing for or appealing. We’ll explain what we need and what to expect.
- Records request. This step happens BEFORE the visit. We require your relevant records — DD-214, service treatment records, current VA medical records, prior C&P examination reports, private treatment records for the condition in question, and any prior denial letters or rating decisions. You can upload, mail, or hand-deliver. If you need help requesting records from the VA, we can walk you through it.
- Records review. Crea reviews the file before you come in. This is the actual work of the evaluation — it determines what evidence supports a nexus and what the letter can honestly say.
- Evaluation visit. An in-person clinical encounter where we discuss your history, current symptoms, functional limitations, and how the condition has progressed. Physical examination as relevant.
- Nexus letter. Drafted within a defined turnaround after the visit. The letter cites specific records, specific medical literature where applicable, and states the clinical opinion plainly. You receive a digital copy; we can also send directly to your VSO (Veterans Service Officer) or attorney.
- Follow-up. If the claim is denied or the VA requests clarification, we’ll discuss whether amending the letter is appropriate. Repeat letters are evaluated as new work.
PRICING
VA evaluations and nexus letters are typically self-pay and not billed through standard insurance. Cost depends on the complexity of the records review, the number of conditions evaluated, and whether the work requires a single letter or multiple letters across linked conditions.
Call (618) 740-2240 for current pricing — we’ll quote the work after a brief description of the conditions and the volume of records involved. Payment is typically due before the letter is released.
WHO CREA IS, AND WHY THIS MATTERS
Crea Rose is a board-certified Family Nurse Practitioner with Full Practice Authority in Illinois and 15 years of clinical experience. She is a contracted C&P examiner who performs official VA Compensation & Pension examinations, and she is the spouse of a service-connected disabled combat veteran. The VA process — the paperwork, the denials, the appeals, the way an honest medical opinion can be the difference between a denial and a fair rating — is not theoretical at this clinic. The understanding here is lived, not learned.
That doesn’t mean every nexus letter we write supports a claim. It means we approach the work with respect for both the veteran’s experience and the integrity of the medical opinion. We will not write a letter the records cannot support; equally, we will not soft-pedal an opinion that the records clearly do support.
FREQUENTLY ASKED QUESTIONS
Do you treat veterans for ongoing care, or just write nexus letters?
Both. Many of our veteran patients also see us for primary care, hormone therapy, weight loss support, and other services. Receiving care here is not a prerequisite for a nexus letter, and vice versa.
Can you do C&P exams?
Yes. Crea is a contracted C&P examiner. She performs official VA-commissioned Compensation & Pension (C&P) examinations and completes the corresponding DBQ (Disability Benefits Questionnaire) forms. Depending on your file, a C&P exam, a nexus letter, or both may be appropriate — we’ll discuss which fits your situation at the initial call.
I have a VSO / claims agent / attorney already. Will you work with them?
Yes. With your written permission we can communicate directly with your VSO or attorney, send copies of the nexus letter to them, and discuss the file as needed. Many of our nexus letters are commissioned through veteran advocates and attorneys.
How long does the whole process take?
From initial call to delivered letter, typically two to four weeks — depending on how quickly your records are gathered and how complex the file is. For urgent claims with statutory deadlines, tell us at the initial call and we’ll discuss whether we can accommodate.
Will you write a letter that says I don’t have the condition?
No. If the evidence doesn’t support the claim, we tell you that during or after the records review — before you’ve paid for a letter that wouldn’t help you. Where the evidence is genuinely mixed or unclear, we say so plainly in the letter. Our job is to write an honest medical opinion, not to advocate.
SCHEDULE A CONSULTATION
If you’re a veteran working on a claim and you think a nexus letter or independent evaluation might help, call (618) 740-2240 or email revival.salem@gmail.com. We’ll talk through your situation, what records we need, and whether we can help — before you commit to anything.
Note: Revival Health & Wellness Clinic is not affiliated with the U.S. Department of Veterans Affairs. We provide independent clinical evaluations and medical opinions; the VA decides claims.