Multiple Services Discounts:

If a mental health and a physical health opinion are provided for the same veteran, only one Record and Review and Strategy consult fee (Initial Payment) is required.
If a nexus letter and examination are done by the same medical professional, at the same time, for the same conditions, only one Record and Review and Strategy consult fee (Initial Payment) is required AND the additional Exam and DBQ Signed and Delivered Fee (Final Payment) is discounted.