When filing a VA disability claim, veterans may hear terms like “nexus letter,” “medical opinion,” or “independent medical opinion (IMO)” and assume they mean the same thing. While these terms are often used interchangeably, they can refer to different types of medical evidence within the VA claims process. Understanding how these opinions are used can help veterans better organize and present their medical evidence.
For many veterans, proving that a current medical condition is connected to military service can be one of the most difficult parts of a VA disability claim. Even when symptoms clearly stem from service, the VA requires strong medical evidence to recognize service connection. A nexus letter is a medical document written by a qualified medical professional that helps bridge gaps in the evidence.
Clinical Case Review Coordinator
Junior Client Relations Specialist
Latifah “Jo” Johnson is a seasoned customer service professional with more than 15 years of experience dedicated to delivering exceptional client support and building trusted relationships. Known for her professionalism, empathy, and strong communication skills, Jo has built a career centered on service, advocacy, and meaningful human connection.
Currently serving as a Junior Customer Relations Specialist at Prestige Veteran Medical Consulting, Jo is committed to supporting veterans as they navigate the medical consulting process. She understands that each veteran’s journey is unique and often complex, and she approaches every interaction with patience, respect, and compassion. Her role allows her to combine her extensive customer service background with her passion for helping those who have served our country.
Jo is recognized for her ability to listen attentively, resolve concerns efficiently, and ensure veterans feel informed and supported every step of the way. Guided by integrity and a genuine desire to make a difference, she remains dedicated to advocating for veterans and delivering service that reflects gratitude for their sacrifice and commitment.
Sarah is a Customer Relations Specialist at Prestige Veteran Medical Consulting who is passionate about creating a smooth, respectful, and Veteran-first experience. She brings a diverse background in financial services, municipal public service, and emergency medical response, giving her a unique blend of professionalism, attention to detail, and genuine compassion.
Known for her clear communication and strong problem-solving skills, Sarah takes the time to explain each step of the process in a way that helps Veterans feel comfortable, informed, and confident about what comes next. With close personal ties to the military community, her husband and his family are Veterans, along with several of her cousins, she deeply values the sacrifices made by those who have served.
Sarah is proud to support Veterans with care, consistency, and respect, and is dedicated to making sure every Veteran feels heard, supported, and well cared for from the very first conversation to the final step.
Customer Relations Department Manager
Dyani Robinson serves as the Customer Relations Department Manager at Prestige Veteran Medical Consulting, bringing her U.S. Air Force experience, discipline, and deep-rooted commitment to the veteran community into every aspect of her leadership. As a disabled veteran, Dyani understands the importance of being heard, respected, and supported — and she carries that understanding into the way she leads her department and interacts with every client.
Dyani served in the Logistics Readiness Squadron (LRS) in Mobility, supporting Airmen preparing for deployment during Operations Enduring Freedom and Iraqi Freedom. That experience strengthened her ability to lead with structure, urgency, and care — ensuring people feel prepared, supported, and confident during high-stakes moments.
Dyani’s professional background spans veteran services, federal programs, client advocacy, and high-volume case management across healthcare, education, and government sectors. She is known for her steady professionalism, exceptional communication skills, and ability to bring clarity and reassurance to complex situations. Her work supporting military families and diverse veteran populations has shaped her into a leader who is both mission-driven and deeply empathetic.
In her role as Customer Relations Department Manager, Dyani is responsible for setting the standard for communication excellence, operational consistency, and the overall client experience. She leads with a veteran-first mindset — ensuring every interaction is handled with integrity, accuracy, and respect. Dyani takes pride in fostering a department culture where service, accountability, and attention to detail are at the forefront.
For Dyani, this role is more than management — it is a continuation of her service. She is dedicated to creating an environment where veterans feel valued, supported, and confident throughout their experience with Prestige. Her leadership reflects both the strength of her military foundation and her genuine passion for serving those who have served.
In her active-duty service in the United States Navy, Danielle undertook a variety of responsibilities, ranging from essential administrative duties to providing crucial medical care. Her multifaceted contributions played a pivotal role in enhancing her fellow service members’ operational effectiveness and well-being.
As a disabled veteran, she developed a profound understanding of the unique challenges faced by her fellow service members. Now, in her civilian role, Danielle is a valued member of the Prestige Veteran Medical Consulting team, where she continues to leverage her extensive background and educational achievements to provide exceptional support to veterans.
ADMINISTRATIVE ASSISTANT
Leticia has been in the medical field for nearly 14 years. She has always had a passion for medicine and caring for her community. Leticia has spent the last 4 years caring for veterans and first responders with alcohol and substance abuse in a medical rehabilitation setting whilst continuing her education working towards a degree in software development.
Someday she hopes to develop medical software that further enhances the patient’s experience in medical care. Leticia has a deep respect and love for those who have served as she comes from a family of law enforcement and military veterans.
U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER
Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.
Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran. He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.
U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER
Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.
Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran. He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.
ADMINISTRATIVE ASSISTANT
During her Active-Duty time in the US Navy as a Hospital Corpsman, Julie provided medical administration
and patient care services in the field, the hospital, and base medical office settings. This military medical and
administrative background has given Julie the hands-on experience and extensive knowledge necessary to
provide unparalleled service to her fellow Veterans through the Prestige Veteran Medical Consulting team.
Julie’s educational achievements include a Bachelor of Arts with a minor in Human Services and a pre-nursing associate in arts and science.
Julie has been inspired by her firsthand knowledge of navigating the VA Benefits process. She has dedicated
most of her adult life to serving Veterans through her knowledge derived from her military and civilian medical
education and training.
U.S ARMY VETERAN, CHIEF OPERATIONS OFFICER
During her Active-Duty service in the Army, Jennifer supported various research efforts centered on combat casualty care and Soldier performance. Her military background gave her unique insights into veterans’ distinct challenges, ultimately inspiring her to join the Prestige Veteran Medical Consulting team.
Jennifer’s educational achievements include a master’s in molecular biology from George Washington University and a master’s in data science from Texas Tech University. Jennifer wholeheartedly dedicates herself to utilizing her knowledge and expertise gained from 15 years of healthcare experience to impact the well-being of those who have served positively.
U.S ARMY VETERAN, CHIEF FINANCIAL OFFICER
Alan enlisted in the US Army as a combat medic, where he deployed in support of Operation Iraqi Freedom.
Influenced by his time as a combat medic, he attended the Interservice Physician Assistant program while on
active duty, was commissioned as an officer, and subsequently deployed to Afghanistan.
Alan’s military and medical background inspired him to form Prestige Veteran Medical Consulting with his
wife, Leah Bucholz, a Physician Assistant and Army Combat Veteran. He has devoted himself to using his
knowledge gained in the military as a medical professional to serve the Veteran community.
U.S ARMY VETERAN, MEDICAL EXPERT & FORMER C & P EXAMINER
Meet Leah, the founder, and leader of our organization. A combat veteran herself, she understands the unique challenges veterans face, making her mission about much more than running a successful business. It’s about the opportunity to provide a legacy of exceptional service for our heroes.
“It is essential to remember that there is no greater honor than caring for service members on the battlefield. Continuing to care for Veterans after separation is an opportunity that I have been afforded to extend that care in this new battlefield related to service-incurred disabilities.”
Her inspiration comes from years of military experience working alongside her fellow servicemembers, particularly key leaders who have influenced her journey, applying their wisdom to her path. She values her team deeply, most of whom are also disabled combat veterans, each member a trusted individual sharing her vision.
“Driven by passion and purpose, I aim to create a sustainable change that empowers veterans and future generations.”
Leah’s journey hasn’t been without challenges. From overcoming and living with her service-related disabilities to navigating work-life balance, she’s learned to face each hurdle head-on with resilience. Like many of her veteran brothers and sisters, her early background consisted of limited resources and opportunities. Her military service has helped shape her into a steadfast leader, offering relatable inspiration to others.
Join us in celebrating Leah, a compassionate leader, and resilient veteran, driving our mission to serve those who served our nation.
