First Name

Last Name

Email *

Phone *

Date of birth *

What is the date you enlisted in the service? *

What was the date you got out of the service? *

What Branch of Service were you in? *

What was your Job? (MOS) *

DId you Deploy? If so, please say where and when *

Do you have a deadline? *

List The Conditions You Are Seeking A Nexus For, Please List What It Is Secondary To If It Is A Secondary! *

Please input your current Disability rating (Breakdown if available, otherwise just total %, desired new rating, and previous denial status *

Any questions can be asked in this box! *

How did you hear about us? *

Patriot Advisors is not a Veterans Service Organization (VSO) or law firm and is not affiliated with the U.S. Department of Veterans Affairs (“VA”). Patriot Advisors does not provide legal or medical advice or assist clients with preparing or filing claims for benefits with the VA.