Most VA claims don't fall short because the disability isn't real — they fall short because the medical evidence doesn't tell the story. I'm a Navy veteran and physician assistant, and building that evidence is what I do.
I spent ten years as a physician assistant in the U.S. Navy, practicing general medicine for active-duty service members — every condition service life produces, not just one specialty — including two deployments to Afghanistan: one as the medical provider for SEAL Team TEN, and one as a Fleet Marine Force Medical Officer. I know what service does to a body, because treating it was my job.
Since leaving active duty in 2018, I've practiced as an orthopedic and orthopedic trauma PA in busy civilian health systems. Musculoskeletal conditions — backs, knees, shoulders, joints — are the single most common category of VA disability claims, and they're my daily specialty. That combination — general military medicine plus deep orthopedic expertise — covers the ground most veterans' claims are built on.
Here's what I've learned helping veterans with their disability packages: the VA doesn't rate what you experienced — it rates what your records prove. A claim built on thin or scattered medical evidence gets lowballed or denied, no matter how real the disability is. My job is to make sure the medical side of your claim is complete, accurate, and impossible to overlook.
I focus on the part of your claim that decides the outcome: the medical evidence. Every service below is delivered by me personally — a licensed PA, not a call center.
A full, clinical read of your service treatment records and civilian medical records — mapping every documentable condition, including the ones you didn't know were claimable.
Well-reasoned, evidence-cited medical opinion letters connecting your current conditions to your service — written in the language VA raters and examiners expect.
Service-connected conditions cause and aggravate others — a bad knee changes a back; chronic pain affects sleep and mental health. I identify the secondary claims your records support.
Understand what your Compensation & Pension exam actually measures, and how to communicate your symptoms accurately and completely — on your worst day, not your best.
Help translating what you live with every day into the clear, specific, medically-relevant language that supports — instead of undercuts — the rest of your evidence.
Already denied, or rated lower than your reality? I review the decision letter against your records to find exactly where the evidence gap is — and how to close it.
Every engagement starts with a free consult, so you know exactly what your case needs before you spend a dollar. All work is quoted up front — you will never pay a percentage of your benefits or back pay.
In many cases, this is all you need to build your claim.
Start with a reviewUnusually large record sets or complex multi-condition cases are quoted individually — always before any work begins. A nexus letter is written only where the medical evidence genuinely supports the connection; if your records don't support an opinion, you'll be told directly and charged only for the review.
We talk through your service history, conditions, and goals. You'll leave the call knowing whether I can help — no charge, no pressure.
I review your service treatment records and medical history the way a clinician does — looking for every documented condition and every gap.
You get a clear picture of what your records support: nexus letters where warranted, secondary conditions identified, and a plan for anything missing.
You submit through your VSO, accredited agent, or on your own — with medical evidence that finally tells the whole story.
"Rebekah led me through the overwhelming process of filing a VA claim with incredible attention to detail and professional expertise. I highly recommend her for assistance through every step of the way!"
"I had a great experience working with Rebekah. She was very knowledgeable, professional, and took the time to thoroughly review my history to help identify VA disability claims I may have overlooked. She explained the process clearly, answered all of my questions, and made me feel much more confident about submitting my claim."
"I went from a 10% rating and minimal help from the DAV to 100% T&P all thanks to Rebekah Macaskill, PA. Her knowledge and guidance through the VA claims process made all the difference."
Tell me a little about your service and what you're working toward — an initial claim, an increase, or a denial you want to challenge. I read every message personally and typically respond within two business days.
✉️ Rebekahmacaskill@gmail.com