Veteran Consultation Information
Purpose of Veteran Consultations
Torii Health provides consultations for Veterans who would like an independent medical perspective on their current medical conditions and how those conditions are documented in the medical record.
Many Veterans experience difficulty navigating the disability evaluation process, particularly when living outside the United States where access to VA facilities and documentation systems may be limited.
Our consultations focus on:
Reviewing available medical records
Clarifying diagnoses and functional limitations
Identifying gaps or inconsistencies in the medical record
Discussing what types of documentation may be helpful when pursuing a claim or reevaluation
The goal of these consultations is to provide clinical clarity and practical guidance, not to produce predetermined documentation.
Scope of Services
Veteran consultations may include:
Review of medical history and symptoms
Review of available imaging, laboratory results, and medical notes
Discussion of service-related injuries or exposures
Evaluation of functional limitations related to diagnosed conditions
Guidance on documentation and care options
Consultations may be conducted in person or via secure telemedicine, depending on clinical appropriateness.
Important Limitations
Torii Health does not provide pre-arranged nexus letters or independent DBQs.
Medical opinions or supporting documentation are only provided when:
The medical record supports the conclusion, and
The opinion is consistent with professional clinical judgment.
Many services advertise guaranteed nexus letters or pre-written reports. Torii Health does not operate in this manner. All medical documentation must be medically justified and supported by the available evidence.
Consultation Process
Before scheduling a consultation, patients are asked to provide basic information about their case, including:
The condition being evaluated
Relevant service history
Current diagnoses
Available medical records or imaging
Any prior VA rating decisions, if applicable
This information helps determine whether a consultation is appropriate and ensures that time is used effectively.
Cases may be declined if sufficient documentation is not available or if the clinical question cannot reasonably be addressed.
Fee Structure
Veteran consultation services are provided on a self-pay basis.
Typical starting fees are as follows:
Initial Veteran Consultation
$200–$250
30–45 minute consultation including preliminary review of available records.
This visit focuses on understanding the medical history, reviewing documentation, and discussing potential next steps.
Medical Record Review or Written Medical Opinion (when appropriate)
$700–$1,200 (depending on the complexity)
This service is only offered when the medical record supports a clinically defensible opinion and when sufficient documentation is available for review.
Written opinions are not guaranteed and are provided only at the physician’s discretion.
Primary Care Evaluation
In some situations, the most appropriate approach may be ongoing medical care to evaluate and treat a condition over time. Documentation that arises through longitudinal care may sometimes provide the most accurate clinical record.
Primary care services are billed according to the clinic’s standard professional fee schedule.
Insurance Participation
Torii Health does not accept Japanese National Health Insurance (Kokumin Hoken).
Veteran consultation services are typically self-pay.
In certain situations, if care is provided as part of routine primary care, U.S. insurance plans may be billed when applicable, subject to the policies of the patient’s insurance carrier.
Records & Documentation
Patients should provide any relevant records prior to consultation when possible.
Helpful documentation may include:
Orthopedic or specialist notes
Imaging reports (X-ray, MRI, CT)
Operative reports
VA rating decision letters
Prior VA examinations
Laboratory results
Providing records in advance allows the consultation to focus on meaningful clinical review.