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Expert Medical Evaluations & Veteran Support

QME Services in California • Nexus Letters Nationwide

Dr. Lora Urig, DC - Qualified Medical Evaluator

Contact Dr. Lora

QME SERVICES (CALIFORNIA)

Please reach us at info@drloraurig.com if you cannot find an answer to your question.

A Qualified Medical Evaluator is a licensed physician appointed by the California Division of Workers' Compensation to provide independent, unbiased medical evaluations in workers' compensation cases. 


QME cases are assigned by the California Division of Workers' Compensation (DWC) - patients cannot select their QME directly.


For cases where you need an independent medical evaluation but aren't assigned through the DWC system, Dr. Lora provides comprehensive Independent Medical Examinations. The advantage of choosing Dr. Lora for your IME is her certification as a QME, ensuring the same high standards and expertise required by the state.


Workers' Compensation Evaluations (QME - State Assigned Only)
Independent Medical Examinations (IME - Attorney/Insurance Requested)
Personal Injury Evaluations (Attorney Representation Required)


Comprehensive evaluations to determine the extent of injuries, disability ratings, and treatment recommendations. Dr. Lora provides objective assessments based on medical evidence and established guidelines.


  • Thorough medical history review
  • Complete physical examination
  • Review of medical records and imaging
  • Disability rating assessment
  • Treatment recommendations
  • Detailed written report


Step 1: Case Assignment/Referral

QME cases assigned by DWC | IME cases referred by attorneys or insurance companies 


Step 2: Documentation Review 

All medical records and documentation reviewed prior to appointment 


Step 3: Evaluation

Comprehensive examination and medical record review 


Step 4: Report

Detailed written report provided within required timeframes to all parties  


QME Services: Assigned by California Division of Workers' Compensation only IME Services: Insurance companies, attorneys, self-insured employers Personal Injury Evaluations: Attorneys representing injured parties (attorney representation required)


Have questions about IME services with Dr. Lora? Contact us!

Contact Dr. Lora

NEXUS LETTER SERVICES (NATIONWIDE)

Please reach us at info@drloraurig.com if you cannot find an answer to your question.

A Nexus letter, also known as an Independent Medical Opinion (IMO), is a crucial document for veterans seeking VA disability benefits. It provides a medical professional's opinion connecting a veteran's current health condition to their military service or to a pre-existing condition that was aggravated by military service. Nexus letters start at $600.


Essential for VA Claims


Service Connection Requirement
To receive VA disability compensation, veterans must establish "service connection" - proving their current disability is related to their military service. A well-written Nexus letter can be the difference between claim approval and denial.


Expert Medical Opinion
Veterans often struggle to prove the connection between their current symptoms and events that occurred years or decades ago during military service. A Nexus letter provides the medical expertise to bridge this gap.


Comprehensive Evaluation Process


Thorough Medical Review

  • Complete review of military service records
  • Analysis of current medical conditions
  • Review of all available medical documentation
  • Assessment of service-connected events and exposures


Expert Medical Opinion

  • Evidence-based medical conclusions
  • Clear explanation of causation or aggravation
  • Reference to relevant medical literature
  • Professional assessment of likelihood ratios


Medical Expertise
As a Doctor of Chiropractic and Qualified Medical Evaluator, Dr. Lora understands both the medical and legal requirements for effective Nexus letters.


Military Understanding
Dr. Lora has extensive experience working with veterans and understands the physical demands and common injuries associated with military service. Dr. Lora is a Navy wife, so she understands the unique challenges of the medical system and the culture around claiming injuries while on active duty.


Detailed Documentation
Each Nexus letter includes comprehensive medical reasoning, references to medical literature, and clear conclusions that meet VA requirements.


Nationwide Service
While based in California, Dr. Lora provides Nexus letter services to veterans across the United States.


Step 1: Initial Consultation
Submit your military service records, current medical records, and VA claim documentation. Dr. Lora will review all materials to determine if a Nexus letter can support your claim. 


Step 2: Medical Evaluation
If appropriate, Dr. Lora will conduct a thorough medical examination to assess your current condition and its relationship to your military service.


Step 3: Nexus Letter Preparation
Dr. Lora prepares a detailed Nexus letter that includes medical opinions, supporting evidence, and clear conclusions about service connection.


Step 4: Delivery & Support
You receive the completed Nexus letter for submission with your VA claim, along with any supporting documentation.


Expedited Service Available: Need your Nexus letter within 72 hours? Expedited service available for additional $250.


GETTING STARTED

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QME/IME Evaluations | Nexus Letters California

For QME: Cases assigned by California DWC
For IME: Contact us for evaluation scheduling
For Personal Injury: Attorney representation required


Initial consultation available to review your case and determine if a Nexus letter can support your VA claim.


IME/QMEs - Tuesdays and Thursdays

ChiroVibe Chula Vista

660 Bay Boulevard Suite 211, Chula Vista, California 91910, United States

Office: (619) 575-2588 Fax: 619-764-4076

Frequently Asked Questions

Please reach us at info@drloraurig.com if you cannot find an answer to your question.

QME/IME evaluations are completed within required timeframes. Nexus letters are usually completed within 2-3 weeks of receiving all necessary documentation. Expedited 72-hour service available for additional $250.


For QME/IME: All medical records related to your case, typically provided by attorneys or the state.
For Nexus: Military service records, current medical records, and VA claim documentation.


Yes, Dr. Lora works with attorneys on QME/IME evaluations and Nexus letter cases. For personal injury cases, attorney representation is required. Professional coordination and communication maintained throughout the process.


QME cases are assigned by the California Division of Workers' Compensation – patients cannot select their QME. However, attorneys and insurance companies can request Dr. Lora for Independent Medical Examinations (IME), which provide the same expert evaluation with QME-level standards.


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Chiro Vibe Chula Vista

660 Bay Boulevard Suite 211, Chula Vista, California 91910, United States

619-575-2588

Copyright © 2025 ChiroVibe Chula Vista - All Rights Reserved.

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