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
The $100 Case Fit Review includes your records review and a phone or video conversation about the findings. A nexus letter is a separate, optional service.
I review the records you have and discuss what they show with you by phone or video. I explain whether a nexus letter may be appropriate. If the records do not support one, we discuss what was or was not found and possible next steps. This service does not include a nexus letter.
If the evidence supports an opinion, you can decide whether you want me to write a nexus letter. I will explain the price based on the number of claimed conditions and the complexity of the case before any additional work begins. The letter is not part of the $100 review.
Transparent pricing
The Case Fit Review is a separate service. I review the records you have, discuss what I found with you, and explain whether the evidence may support a nexus letter. A nexus letter is optional and has its own price.
Includes review of the records you submit and a private phone or video conversation about what they show. If a nexus letter is not supported by the available evidence, we will discuss what was or was not found and possible next steps. A nexus letter is not included.
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.
Physical edition · Preorder open
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.
Veteran Command Center app
Organize your claim information and home health readings in a private-to-your-device app. The screen shown here is a preview of the actual Command Center.
One-time founding price. Regular price will be $24.99. No subscription. Payhip provides access instructions and a unique license key after purchase.
Actual app screen · Tap to enlarge
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
Pay $100 and choose a private phone or video appointment through the secure Healthie scheduling page.
You’ll receive instructions to upload your medical and service records securely. I review the available evidence before we talk.
I explain whether a nexus letter may be appropriate. If it is not supported, we discuss what was or was not found and possible next steps.
After the review: If a nexus letter is appropriate, you decide whether to purchase one. It is priced separately based on the number of claimed conditions and the complexity of the case. No letter or claim outcome is guaranteed.
Take the next step
Book the $100 Case Fit Review, securely share the records you have, and get a clear explanation of whether a nexus letter may help. Any letter is a separate, optional purchase after your review.
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