Disability claims and legal cases are often decided by people who have never met you. A focused clinical evaluation can translate symptoms, history, and functional limitations into clear professional documentation that attorneys, physicians, agencies, and other decision-makers can understand.
Provided by Jamie E. Mills, LCSW, CIMHP, CCTP — Clinical Director · In-person assessment in Raleigh, NC
When mental-health symptoms affect someone's ability to work, function, maintain relationships, or participate fully in daily life, a diagnosis alone may not tell the whole story.
We provide focused clinical evaluations and professionally written documentation describing:
Documentation may support:
We can provide a clinical evaluation and summary of symptoms, history, and functional impairment for veterans pursuing a disability claim.
This documentation may be used as supporting evidence or provided to a physician preparing a formal medical opinion.
We do not advertise this service as a "nexus letter," and we cannot guarantee a particular disability rating or claim outcome.
We can document how mental-health symptoms affect areas such as concentration, attendance, stress tolerance, social functioning, adaptation to workplace demands, and the ability to sustain reliable employment. See our Mental RFC Assessments page for detail.
Our documentation serves as supporting evidence of symptom severity and functional impact. Social Security requires that a medically determinable impairment be established by an "acceptable medical source," such as a physician or licensed psychologist.
When trauma, an accident, or another event has caused or worsened psychological symptoms, we can provide an assessment and clinical summary explaining the person's presentation, functional impact, treatment needs, and prognosis when clinically supportable.
Documentation supporting FMLA requests, workplace accommodations, and medical-leave decisions — grounded in a clinical assessment and written for the decision-makers who will read it.
| Service | Fee |
|---|---|
| Clinical evaluation and summary letter | $350 |
| Additional consultation, record review, attorney communication, deposition, or legal participation | $180 / hour |
| Routine FMLA or disability-related letters for established clients | $35–$40 |
Tell us what documentation you need and we'll first confirm it's within our clinical scope — before you schedule or pay for anything.
Request an EvaluationOr call (919) 756-6210 · Attorneys and physicians welcome to inquire directly
No. We provide accurate, independent clinical documentation — not advocacy disguised as an evaluation, a guaranteed disability rating, or a predetermined opinion. For VA claims, our documentation may be used as supporting evidence or provided to a physician preparing a formal medical opinion.
The evaluation is sometimes billable to insurance when it's part of establishing ongoing therapy services and we are in network with your plan. For the evaluation alone, it is not billable to insurance. Summary letters, record review, and coordination with attorneys or physicians are cash-pay services.
A clinical evaluation and summary letter is $350. Additional consultation, record review, attorney communication, deposition, or legal participation is $180 per hour. Routine FMLA or disability-related letters for established clients are $35–$40 depending on complexity.
Yes — the clinical assessment is completed in person at our Raleigh office.
