Dr. Scott Brayall provides chiropractic medical-legal letters in support of Bureau of Pension Advocates (BPA) files and Veterans Review and Appeal Board (VRAB) proceedings. Thanks to secure telehealth, veterans and advocates anywhere in Canada can use this service — not just those in Fredericton.
What Is the Bureau of Pension Advocates?
The Bureau of Pension Advocates (BPA) is a group of lawyers within Veterans Affairs Canada. They provide free legal representation to veterans who disagree with a VAC disability decision and want to challenge it before the Veterans Review and Appeal Board (VRAB).
What Is a Medical-Legal Letter?
A medical-legal letter is an independent clinical opinion for use in a legal proceeding. In a VRAB context, it addresses the specific medical questions in dispute — most often whether service caused or aggravated a condition. Moreover, it bases that opinion on examination findings, records review, and relevant clinical literature.
Why a Chiropractic Perspective Matters
Musculoskeletal disability claims — spine, joint, and chronic pain conditions tied to service — often need a specific kind of clinician. They need someone who understands both the mechanics of the injury and how VRAB evaluates service-relatedness under the Benefit of the Doubt principle. In short, that’s the gap this service fills.
How It Works
- Send the file — the advocate or veteran provides existing medical records, service health records, and the specific question the Board needs addressed.
- Clinical review — Dr. Brayall reviews the file and decides whether the existing records tell the full story, or whether he needs a telehealth consult to complete the opinion.
- Telehealth consult (if needed) — a focused virtual visit to gather current symptoms, functional limitations, and history that can be reliably assessed remotely.
- Letter drafted — Dr. Brayall writes the letter to Benefit of the Doubt standard, addressing causation or aggravation and citing relevant literature where appropriate.
- Delivered — you or your advocate receives a submission-ready letter.
Call (506) 472-7000 to Get Started
What Telehealth Can and Can’t Do
Being direct here matters for the strength of your file. Telehealth works well for history, symptom review, and functional impact. However, certain hands-on orthopedic tests and palpation findings genuinely require an in-person exam. For that reason, every letter states plainly which findings came from direct examination and which came from records review. In fact, that transparency is what makes a med-legal opinion credible to the Board — not a weakness to hide.
Scope
This service covers musculoskeletal and chronic pain conditions within chiropractic scope. It does not include mental health or PTSD claims.
For BPA Advocates
If you’re an advocate managing multiple files, this service works at volume. First, send the records. Then, Dr. Brayall tells you clearly what the file needs, and you receive a letter that meets the standard VRAB expects — without asking every veteran to travel to Fredericton.
Related Information
If you’re in the Fredericton area and need a Medical Questionnaire completed in person, see our VAC Medical Questionnaires — Fredericton page. You can also learn more about our VAC Disability Reports, and how billing works on our Cost page.
About Dr. Scott Brayall
Dr. Scott Brayall is a Fredericton chiropractor practising at Fredericton Family Chiropractic. He completed his BSc in Kinesiology at the University of New Brunswick and his Doctor of Chiropractic at New York Chiropractic College, along with an advanced certification in Sports Science and Human Performance. His continued training includes Chiropractic BioPhysics®, Activator Methods®, and Chiropractic Functional Neurology. He is experienced with the VAC entitlement process, including the Veterans Well-being Act, the VAC Entitlement Eligibility Guidelines, and the Table of Disabilities. He offers care in English and in French.
Learn more about Dr. Brayall · Page last reviewed July 2, 2026 by Dr. Scott Brayall, DC
Frequently Asked Questions
Often, yes. The process starts with a records review, and Dr. Brayall adds a telehealth consult only if the opinion needs it. However, some hands-on orthopedic and palpation findings require an in-person exam. Therefore, every letter states clearly which findings came from direct examination and which came from records review.
No. This service covers musculoskeletal and chronic pain conditions within chiropractic scope. Mental health and PTSD claims require a psychologist or psychiatrist qualified in that area.
For veterans working with a Bureau of Pension Advocates advocate, BPA typically reimburses reasonable costs, and we bill through the advocate where possible. Also, feel free to contact us or ask your advocate about your specific situation.
Contact
Dr. Scott Brayall — Fredericton Family Chiropractic
1-30 Hughes St, Fredericton, NB E3A 2W3
Phone: (506) 472-7000
We serve veterans and BPA advocates across Canada by telehealth, in English and in French.