Effective Date: 2026-07-08
Legal Business Name: Xterra Health Veteran Disability Services LLC
Doing Business As: Xterra Health
Website: https://xterrahealth.com
Address: 130 S Broadway Ave, Salem, OH 44460
1. Acceptance of Terms
By accessing or using our website, you agree to these Terms and Conditions. If you do not agree, please do not use our website.
2. Services Offered
Xterra Health provides Independent Medical Opinion (IMO) services, along with related informational resources for Veterans. Website content is for informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always consult a qualified healthcare provider for medical concerns.
3. Transactional and Service Communications (All Channels)
By using Xterra Health’s services, submitting a form on our website, or providing your contact information, you agree to receive non-marketing, transactional, and service-related communications. These may be delivered by email, SMS/text message, and voice call.
These communications are operational and administrative, necessary to fulfill our services to you. They include, but are not limited to:
- Form submission confirmations: Confirmations and follow-ups on information you submit through our digital platforms.
- Missed call alerts: Notifications regarding attempts to reach you by phone.
- Service-related account notifications: Status updates, document requests, and progress tracking related to your VA Nexus Letter.
Message frequency varies based on your interactions with our services and may increase during active document preparation. Standard message and data rates may apply to SMS communications. Wireless carriers are not liable for delayed or undelivered messages. You must be 18 or older to use Xterra Health’s services and receive these communications.
Consent to receive these service communications is a condition of receiving our services, but you may opt out of a specific channel (see Section 4) without losing access to those services; Xterra Health will use your remaining active channels to deliver required information. Your personal contact information—including email addresses, phone numbers, and communication consent records—is strictly protected and will never be shared, leased, or sold to third parties or affiliates for promotional or marketing purposes.
4. Opt-Out and Channel Preference Policy
You can manage your communication preferences as follows:
- Email: Click “Unsubscribe” at the bottom of any automated email.
- SMS/Text: Reply STOP to any text message. Opt-out requests are honored within 5 business days. Opting out of SMS does not opt you out of email or voice; each channel is managed separately.
- Support: Reply HELP to any text, or call (220) 270-6900.
- Full revocation: Call (220) 270-6900 to revoke consent for any or all channels.
Opting out of a channel does not affect your eligibility for services. Required service and account information will continue through your remaining active channel(s) or other reasonable means.
5. User Responsibilities
You agree to:
- Provide accurate information in forms
- Use the website for lawful purposes only
- Not attempt to disrupt or compromise website security
6. Intellectual Property
All content on this website, including text, graphics, and branding, is the property of Xterra Health and may not be copied, reproduced, or distributed without prior written permission.
7. Limitation of Liability
Xterra Health is not liable for any damages arising from the use of this website or reliance on its content. No physician-patient relationship is created through website use or SMS notifications.
8. Real-Time Audio/Video Recording
I understand that real-time audio/video interactions with Xterra Healthcare service providers may be recorded for quality assurance purposes. By voluntarily interacting with Xterra Healthcare service providers in real-time, I expressly consent to the recording of these interactions. I further acknowledge that that during my interactions with Xterra Healthcare service providers, protected health information covered under HIPAA may be reviewed or discussed.
I understand that if I request that a family member, friend or other third party (“Approved Third Party”) be present during real time interactions with Xterra Healthcare service providers, it is my sole responsibility to notify the Approved Third Party and to obtain their informed consent regarding the possibility that the interaction could be recorded. I understand that consent to recording is voluntary and may be withdrawn at any time.
8. Changes to Terms
We may update these Terms at any time. Continued use of the website constitutes acceptance of any changes. Check https://xterrahealth.com/terms-conditions/ periodically.
9. Contact Information
Phone: (220) 270-6900
Email: contact@xterrahealth.com
Website: https://xterrahealth.com/
Address: 130 S Broadway Ave, Salem, OH 44460
10. Appointment Cancellation and No-Show Policy
By booking an appointment, you authorize Xterra Health to place a temporary hold or charge on the payment method provided at scheduling. This fee and payment method will be disclosed before your appointment is confirmed. A non-refundable $100 Late Cancellation/No-Show Fee applies per appointment if you miss, cancel, or fail to reschedule at least 24 hours before your scheduled start time.
11. Nexus Letter Revision Policy and Scope
Xterra Health includes up to two (2) complimentary revision rounds for your IMO or Independent Medical Opinion. Requests beyond these two rounds are not guaranteed and are subject to internal review and management approval. This limit does not apply to corrections for a fundamental administrative or factual error caused solely by Xterra Health; those are corrected at no cost and do not count against your revision rounds.

