🔑 VA Secondary Service Connection SECRETS! Secondary service connection occurs when a new condition is proximately due to, caused, or aggravated by a current service-connected condition rated at 0% or higher. How to prove it in three steps: 1. Current diagnosis of the secondary condition 2. Primary is service-connected (0% ) 3. Medical nexus letter: “at least as likely as not” caused or aggravated by the primary (38 C.F.R. § 3.310).  Many veterans qualify for secondary service connection, but
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