Independent medical record reviews
Thoughtful, evidence-based nexus opinions for veterans—built from your individual medical history, service records, and the facts of your case.
Every consultation includes a personal, one-on-one phone or video appointment with me, Kristina. You’ll have the opportunity to discuss your records, ask questions, and understand your next steps.
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.”
A message from Kristina
Watch this quick introduction to Guided Veteran Services and the tools created to help veterans feel more organized, informed, and prepared.
Services
Every consultation is personal. You will meet one-on-one with Kristina by phone or video to discuss what your records show, whether a nexus opinion may help, and what to do next.
Your medical and service records are reviewed before a private phone or video consultation. You will receive a clear explanation of whether a nexus opinion is appropriate, why it may help, or what additional information would strengthen your case before moving forward.
When the medical evidence supports an opinion, your relevant records are carefully analyzed and the connection is explained in a personalized, evidence-based nexus letter with clear medical reasoning.
You will receive a phone or video call to review the findings in plain language, ask questions, understand the reasoning, and leave with a clear plan for your next step.
Transparent pricing
Every case begins with a case-fit review and a private phone or video consultation. You will learn whether your records are ready for a nexus opinion, why an opinion may be helpful, or exactly what additional evidence may be needed. If you choose to continue, you will receive the full price and a personalized plan before any additional work begins.
Includes professional review of your submitted records and a private phone or video consultation. You will receive clear, personalized guidance about whether a nexus opinion may help and what your strongest next step may be.
Focused review of one condition with an individualized, evidence-based nexus opinion when the medical records support the connection.
Coordinated review of two conditions with individualized medical reasoning and evidence-based nexus opinions when supported by the records.
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 or scope. You will always receive the full price and scope before additional work begins. Every opinion remains independent and based on the medical evidence.
Start here for free
Before paying for services you may not need, take a few minutes to organize what you already have. This three-page printable checklist helps you identify available records, spot missing evidence, and choose your next steps.
Free three-page printable PDF · Instant digital download through Payhip
Free download
A calmer way to organize your claim
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.
The Payhip purchase includes the printable and fillable PDF files. No physical binder is included.
The professionally printed binder will include the complete organization system, digital toolkit, and Command Center app access. Shipping and estimated release details will be shown before checkout.
Preorder the Binder · $89This 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.
Guided Veteran Command Center
A private-to-your-device organizer for records, conditions, appointments, evidence checklists, and home health readings.
Regular one-time price will be $24.99. No subscription. Access instructions and a unique license key are provided after purchase.
Life beyond the paperwork
Behind every record is a veteran building a life, sharing time with family, and looking toward what comes next.
Conditions considered
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.
Neck and back conditions; shoulder, elbow, wrist, hand, hip, knee, ankle, and foot conditions; strains, arthritis, limited motion, and related functional impairment.
Headaches and migraines, radiculopathy, peripheral nerve conditions, residuals of stroke, numbness, weakness, and other neurologic complaints appropriate for primary-care review.
Sleep apnea, asthma, COPD, and other respiratory conditions when the medical question is within scope and supported by appropriate testing and records.
Hypertension, selected heart conditions, diabetes, thyroid disorders, and other endocrine or metabolic conditions within scope.
Selected kidney, urinary, prostate, and male reproductive conditions when sufficient records and objective medical evidence are available.
GERD, selected intestinal or liver conditions, hepatitis C, and other infectious-disease histories appropriate for primary-care review.
Sinusitis, rhinitis, vertigo and selected ear conditions, skin disorders or scars, and other general medical conditions appropriate for FNP review.
Selected TERA, Gulf War, burn-pit, Agent Orange, and other occupational or environmental exposure questions when a condition-specific medical analysis is within scope.
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.
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.
All veterans are family here.
People before paperwork
Your history is personal. It deserves a review that is careful, respectful, and grounded in the complete medical story.
How it works
Choose a convenient appointment and select a private phone or video consultation through the secure Healthie scheduling page.
You’ll receive simple instructions for securely uploading the medical and service records needed for your review.
During your phone or video consultation, Kristina will explain what the evidence shows, whether a nexus opinion may help, and any records or information needed before moving forward.
Take the next step
Book your case-fit review and choose a private phone or video consultation. You’ll receive secure upload instructions, an individualized review of your records, and a clear explanation of your options.
Booking provided securely by Healthie
