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Our application process includes steps to verify the identity of the signer, and we continue to protect the information and records we receive. When filing online, applicants can print a copy of the signed SSA-827 for their records.

If you have a chronic pain condition that renders you incapable of working, you may qualify for Social Security disability (SSD) benefits. However, qualifying can be a challenge because the Social Security Administration has a strict definition of what it means to be disabled.

The statement focuses on how your health affects your working ability and ability to complete work-related activities. Your medical source statement will play a major role in determining whether or not your Social Security Disability Insurance (SSDI) claim will be approved.

The pain questionnaire is asking how pain limits the individual and how often they are experiencing the pain. This form will also ask about any medications they are taking and any side effects the medication is causing. Side effects from medications can also help you show how else your client is limited.

When applying for Social Security disability benefits, your chronic pain, or “medically determinable impairment,” will need to have been well documented by medical professionals for at least 1 year.

The items of the questionnaire are assessed on a 0–10 numeric rating scale in which 0 means no disability and 10 is maximum disability. The sum of the seven items equals the total score of the PDI, which ranges from 0 to 70, with higher scores reflecting higher interference of pain with daily activities.

Unfortunately, pain is subjective and hard to prove – just stating you have pain is not enough. In order to qualify for Social Security Disability Income, you must show you have a medically determinable mental or physical impairment (MDI) that is established by objective symptoms and laboratory tests.