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Terms of Service

Effective May 26, 2026

These Terms of Service (“Terms”) govern your use of the swornmedical.com website and the services provided by Sworn Medical PLLC (“Sworn Medical,” “we,” “us”). By using this website or engaging Sworn Medical for services, you agree to these Terms.

Read this first. Sworn Medical provides independent medical opinions for use in VA disability claims. We are not your treating physician, and use of this website does not create a physician-patient relationship. We do not provide legal advice. We do not guarantee the outcome of any VA claim.

1. Nature of the service

Sworn Medical PLLC, through Dr. Doug Mayeux, MD, provides records-based independent medical opinions (often called “nexus letters” or “independent medical opinions”) for use as evidence in veterans’ VA disability claims. These services consist of:

  • An initial consultation to discuss the case and assess whether a nexus opinion is supportable
  • Review of medical and service records you provide
  • Preparation of a written medical opinion based on that review
  • Where appropriate, a written rebuttal of an adverse C&P or other medical opinion

Our opinions are medical opinions — they are not legal advice, claim preparation, or representation before the VA. We do not file VA forms on your behalf. We do not represent you in proceedings.

2. No physician-patient relationship

Engagement with Sworn Medical for an independent medical opinion does not create a physician-patient relationship. No physical examination is conducted. No treatment is provided. We are not your treating physician, and our opinion is not medical advice for your personal medical care.

If you have a medical condition that requires evaluation, treatment, or emergency care, consult your treating physician or seek appropriate medical attention. Sworn Medical does not provide treatment recommendations through this service.

3. No guarantee of outcome

The VA, the Veterans Benefits Administration, and the Board of Veterans’ Appeals are the sole decisionmakers on disability claims. We cannot and do not guarantee any outcome. Specifically:

  • We do not guarantee that a nexus opinion will result in service connection.
  • We do not guarantee any particular disability rating.
  • We do not guarantee any specific amount of back pay or compensation.
  • We do not guarantee favorable treatment by any C&P examiner or VA adjudicator.

Our fee is for the physician’s professional time, expertise, and the resulting opinion — not for any specific result. Fees are due regardless of the VA’s decision on your claim.

4. Honest assessment policy

If, after consultation or records review, the physician concludes that the evidence does not support a favorable nexus opinion, we will tell you so. We will not write an unsupported opinion. In that situation:

  • If we identified the issue at the consultation stage, the consultation fee covers our time.
  • If we identified it only after records review, partial fees may apply for time spent.
  • We will explain why we cannot support the requested opinion and what evidence, if any, would change that.

5. Fees and payment

5a. Fee schedule

Current fees are listed on our website and quoted to you in writing before any work begins. Once quoted, the fee for a stage of work is the fee for that stage regardless of the time actually spent.

5b. Payment terms

Payment is collected before records review begins. We accept payment by credit card and other electronic methods. We do not accept insurance — independent medical opinions are not covered services under health insurance plans.

5c. Refund policy

Because each engagement involves the physician’s professional time:

  • Consultation fees are non-refundable once the consultation has occurred.
  • Records-analysis and nexus-letter fees are non-refundable once the physician has begun the review.
  • If you cancel before any work has begun, fees paid in advance will be refunded in full.
  • If we decline to provide a requested opinion (per Section 4), unused portions of any fees paid for the stage we did not perform will be refunded.

6. Your obligations

By engaging Sworn Medical, you agree to:

  • Provide complete and accurate information about your service history, medical history, and prior VA claims
  • Provide all relevant medical and service records, or authorize their release
  • Submit records through our HIPAA-compliant intake process — not through the website intake form, unencrypted email, or social media
  • Not misrepresent the source, content, or completeness of records you provide
  • Pay agreed fees in accordance with these Terms

Misrepresentation or withholding of relevant records may result in withdrawal of services without refund and, if appropriate, retraction of any opinion already provided.

7. Use of opinions

Opinions delivered by Sworn Medical are intended for use as evidence in your VA disability claim, supplemental claim, Higher-Level Review, or Board appeal. They may also be appropriate for use in court proceedings related to veteran benefits. You may not:

  • Alter, redact, or modify the opinion before submission
  • Use the opinion to misrepresent the physician’s conclusions or qualifications
  • Reproduce the opinion for use in unrelated matters without our written consent

8. Confidentiality and HIPAA

Sworn Medical complies with HIPAA when handling protected health information you provide for the purpose of preparing an opinion. PHI is received through our HIPAA-compliant intake portal, retained according to applicable law and our internal retention policy, and used only for the purposes you have engaged us for.

Note: the website intake form (swornmedical.com/#contact) does not collect PHI and is not part of the HIPAA-covered intake process. Do not submit medical records or diagnoses through the website form.

9. Intellectual property

Website content (text, graphics, code) is the property of Sworn Medical PLLC. Blog posts and educational content may be quoted with attribution but not republished without written permission. The signed medical opinion delivered to you may be used freely for VA claim purposes as described in Section 7.

10. Disclaimers and limitation of liability

To the maximum extent permitted by law:

  • The website is provided “as is” without warranties of any kind, express or implied.
  • Our services are provided in accordance with the professional standards applicable to a physician providing an independent medical opinion based on records review.
  • We are not liable for indirect, incidental, consequential, or punitive damages arising from use of the website or services.
  • Our aggregate liability for any claim arising from the services is limited to the fees you have paid us for the engagement that gave rise to the claim.

Nothing in these Terms limits any liability that cannot lawfully be limited (for example, professional negligence claims governed by applicable malpractice law).

11. Governing law and disputes

These Terms are governed by the laws of the State of Utah, without regard to its conflict-of-law principles. Any dispute arising from these Terms or the services will be resolved in the state or federal courts located in Utah, unless the parties agree otherwise in writing.

Nothing in this section restricts your rights under the Federal Arbitration Act or any consumer-protection statute that applies to you.

12. Changes to these Terms

We may update these Terms from time to time. Material changes will be highlighted on the website. The “Effective” date at the top of this page indicates when the current version took effect. Continued use of the website or services after a change constitutes acceptance of the updated Terms.

13. Contact

For questions about these Terms:

Sworn Medical PLLC
Email: [email protected]
State of organization: Utah

These Terms govern the website and the independent medical opinion service. If you are referred to Sworn Medical by an attorney or claims agent, the engagement letter we provide for that case prevails over these Terms to the extent of any conflict.

Sworn Medical PLLC — Utah
Medical opinions from a physician who served.

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