Expertise You Can Trust
Dr. Howard Friedman combines decades of clinical excellence with a profound commitment to the veteran community. Having served both as a U.S. Army veteran and a VA physician, he brings a unique, insider perspective to every medical nexus opinion he provides.
Board-Certified Professional
Specializing in Internal Medicine with a focus on comprehensive medical evaluations and diagnostic accuracy.
Veteran & VA Experience
A former VA physician and U.S. Army veteran with extensive experience navigating VA disability claims and requirements.
How the Nexus Letter Process Works
Initial Intake & Record Review
Step 01
We begin by collecting your service information and conducting a comprehensive review of your existing medical records.
Detailed Medical Analysis
Step 02
Dr. Friedman performs an in-depth clinical analysis to identify the necessary medical link between your service and condition.
Nexus Opinion Draft
Step 03
A formal medical nexus opinion is drafted, utilizing evidence-based medicine and current VA disability regulations.
Final Letter & Support
Step 04
You receive your finalized, signed nexus letter along with guidance on how to submit it with your VA claim.
Commonly Evaluated Medical Conditions
Musculoskeletal
- Degenerative Disc Disease
- Chronic Joint Pain & Arthritis
- Limited Range of Motion
- Back & Neck Conditions
Neurologic
- Degenerative Disc Disease
- Chronic Joint Pain & Arthritis
- Limited Range of Motion
- Back & Neck Conditions
Mental Health
- Post-Traumatic Stress Disorder
- Anxiety & Depression
- Secondary Mental Health Conditions
- Adjustment Disorders
Cardiovascular
- Ischemic Heart Disease
- Hypertension
- Coronary Artery Disease
- Heart Failure
Respiratory
- Asthma
- Sleep Apnea
- Sinusitis & Rhinitis
- Chronic Bronchitis
Other Conditions
- Gastrointestinal (GERD/IBS)
- Skin Conditions
- Hearing Loss & Tinnitus
- PACT Act Related Claims
Why Veterans Choose HHOM LLC
Veteran-Led Perspective
Evidence-Based Opinions
Clear & Accessible
Respect for Service
Understanding the unique challenges of military service transitions first-hand.
Rigorous medical analysis utilizing the latest clinical standards and VA regulations.
We bridge the gap between complex medical findings and disability claim requirements.
Providing the high-level medical support veterans deserve with dignity and integrity.
HOW VA HAS EVALUATED OUR MEDICAL OPINIONS
Independent medical opinions should stand on the evidence. In actual VA rating decisions, adjudicators have specifically commented on the quality and probative value of medical opinions prepared by Dr. Howard Friedman.
“More persuasive than VA/VA contracted opinions…”
The VA cited the thorough review of the veteran's relevant military and personal history and the more convincing medical rationale.
“Far more persuasive and probative than the generic VA examination.”
The VA specifically cited the physician's expertise, experience, and thorough rationale.
“Detailed and compelling rationale.”
The decision recognized the medical analysis connecting the veteran's military exposures and physical demands with the claimed conditions.
Excerpts are from actual Department of Veterans Affairs rating decisions involving independent medical opinions prepared by Dr. Howard Friedman. Veteran identifying information has been omitted. Each VA claim is decided individually on the evidence of record. Prior decisions do not guarantee the outcome of any future claim.