01
Case-fit review
An initial review to determine whether the available medical evidence may support moving forward with a full independent opinion.
Independent medical record reviews
Your service deserves a careful review.
Thoughtful, evidence-based nexus opinions for veterans—built from your individual medical history, service records, and the facts of your case.
- Individualized
- Evidence-based
- Clearly explained
Kristina Sifuentes, APRN, FNP-BC
Founder · Guided Veteran Services
Our promise to veterans
“Every veteran is more than a file number. Here, you’re treated like family—and your story is handled with care.”
Services
Clarity starts with the records.
A nexus opinion should not be a generic template. Each review focuses on the medical evidence, the timeline, and the question that needs to be answered.
02
Independent nexus opinion
A detailed review of relevant service and medical records with a clearly reasoned, evidence-based medical opinion when supportable.
03
Review-completion call
A focused follow-up to explain the completed review, answer questions about the medical reasoning, and discuss next steps.
Transparent pricing
Know the scope before you move forward.
Every case begins with an independent case-fit review. If the available evidence may support a medically reasoned nexus opinion, you will receive the price and estimated completion date before deciding whether to continue.
Initial case-fit review
$100Allow up to five business days after all requested records and information are received. The review fee covers professional review time and is nonrefundable.
One claimed condition
$250Estimated completion: 7–10 business days after payment and receipt of all required records.
Two claimed conditions
$450Estimated completion: 10–12 business days after payment and receipt of all required records.
Three to four claimed conditions$650 · 12–15 business days
Five to six claimed conditions$900 · 15–20 business days
Seven or more claimed conditionsIndividualized quote and timeline
Published prices generally include review of up to 750 pages. Larger record sets, multiple prior denials, conflicting medical opinions, toxic-exposure research, aggravation questions, or unusually complex cases may require an adjusted fee and timeline. Any adjustment is disclosed before work begins. Payment does not guarantee that a favorable nexus opinion can be provided.
Available now · Digital download
A calmer way to organize your claim
The Veteran Claim Organization System
A 94-page printable and fillable digital system designed to help you organize the information behind initial claims, increase claims, secondary conditions, supplemental claims, and appeals.
- Medical-record, evidence, appointment, and deadline organizers
- C&P exam preparation pages and generous lined note sheets
- Records-request letter, email, and phone-call templates
- Printable PDF and fillable PDF formats for flexible use
The Payhip purchase includes the printable and fillable PDF files. No physical binder is included.
Physical edition · Coming soon
Professionally Printed Binder
A separate physical edition with printed pages and a binder is being prepared. It will have its own preorder checkout, price, shipping information, and release details.
Pre-Orders Opening SoonThis educational organization tool is not legal or medical advice, is not affiliated with or endorsed by the U.S. Department of Veterans Affairs, and does not guarantee any claim outcome.
Life beyond the paperwork
Service is part of a much bigger story.
Behind every record is a veteran building a life, sharing time with family, and looking toward what comes next.
Conditions considered
Broad primary-care and C&P examination experience.
Potential direct, secondary, aggravation, and toxic-exposure relationships may be considered when they fall within family nurse practitioner scope and the available evidence supports an independent medical review.
Musculoskeletal
Neck and back conditions; shoulder, elbow, wrist, hand, hip, knee, ankle, and foot conditions; strains, arthritis, limited motion, and related functional impairment.
Neurologic
Headaches and migraines, radiculopathy, peripheral nerve conditions, residuals of stroke, numbness, weakness, and other neurologic complaints appropriate for primary-care review.
Sleep and respiratory
Sleep apnea, asthma, COPD, and other respiratory conditions when the medical question is within scope and supported by appropriate testing and records.
Cardiovascular and metabolic
Hypertension, selected heart conditions, diabetes, thyroid disorders, and other endocrine or metabolic conditions within scope.
Kidney and genitourinary
Selected kidney, urinary, prostate, and male reproductive conditions when sufficient records and objective medical evidence are available.
Digestive and infectious disease
GERD, selected intestinal or liver conditions, hepatitis C, and other infectious-disease histories appropriate for primary-care review.
ENT, skin, and general medical
Sinusitis, rhinitis, vertigo and selected ear conditions, skin disorders or scars, and other general medical conditions appropriate for FNP review.
Environmental and toxic exposures
Selected TERA, Gulf War, burn-pit, Agent Orange, and other occupational or environmental exposure questions when a condition-specific medical analysis is within scope.
Evidence—not templates—guides every opinion.
Each accepted case is evaluated using the veteran’s service and medical records, diagnostic testing, documented history, and condition-specific medical evidence. Research may include peer-reviewed, PubMed-indexed studies; systematic reviews and meta-analyses; current clinical practice guidelines; and authoritative sources such as VA/DoD guidance, CDC, NIH, National Academies reports, and relevant professional medical societies.
Some conditions require evaluation by a different specialty. Cases outside family nurse practitioner scope—including those requiring specialized psychiatric, audiologic, ophthalmologic, dental, or other specialty assessment—are not accepted and may be referred elsewhere.
About Kristina
Clinical experience. Human care.
I’m Kristina Sifuentes, a board-certified family nurse practitioner and the founder of Guided Veteran Services. My work is grounded in careful listening, detailed record review, and clear medical reasoning.
I created Guided Veteran Services to give veterans a place where they feel respected—not rushed, dismissed, or reduced to paperwork. I understand that behind every record is a person, a family, and a life affected by the outcome.
My professional experience conducting Compensation & Pension examinations has strengthened my understanding of structured disability examinations, DBQ requirements, functional-impact documentation, longitudinal medical records, and the inconsistencies or missing evidence that may require clarification. That experience helps me perform an organized, careful review while remaining objective and within professional scope.
My role is not to promise a particular result. My role is to review the evidence honestly and, when the medical evidence supports a connection, explain that connection in a clear and well-supported independent opinion.
APRN, FNP-BC
Board-certified family nurse practitioner
Board-certified family nurse practitioner
C&P examination experience
Experienced in detailed record review, DBQ structure, objective findings, and functional-impact documentation
Experienced in detailed record review, DBQ structure, objective findings, and functional-impact documentation
Western Kentucky
Serving veterans through a professional, caring, and trusted process
Serving veterans through a professional, caring, and trusted process
All veterans are family here.
People before paperwork
Every veteran deserves to feel seen.
Your history is personal. It deserves a review that is careful, respectful, and grounded in the complete medical story.
How it works
A straightforward path forward.
Book and pay securely
Choose your appointment and complete payment through the secure Healthie scheduling page.
Submit records securely
After booking, you’ll receive instructions for secure document submission. Please do not send medical records by ordinary email or text.
Receive an honest opinion
Your records are reviewed carefully. An opinion is written only when the available evidence can medically support it.
Take the next step
Let’s find out whether your records tell the full story.
Choose an available appointment below and complete payment securely through Healthie. You’ll receive clear instructions before sending any private medical information.
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Secure scheduling and payment · Guided Veteran Services · Western Kentucky