Get Co Med-9 2014-2026

The CO MED-9 form is essential for assessing medical eligibility for the Aid to the Needy Disabled (AND) program in Colorado. This guide will provide you with step-by-step instructions to complete the form online accurately.

Follow the steps to complete the CO MED-9 form online.

1. Press the ‘Get Form’ button to acquire the CO MED-9 form and open it in your preferred online editor.
2. Begin by filling out Section 1, which requires you to input your name (last, first, middle), address including city, state, and zip code, as well as your telephone number. Include the printed name and contact information of the county representative initiating the form.
3. In Section 2, you will find space for the medical personnel to complete. Your medical provider should enter their findings regarding disability. They must specify the date of birth and Social Security number.
4. The medical provider needs to check the appropriate box for whether the individual is totally and permanently disabled or has other conditions affecting their employment ability. For each qualification, they must select the qualifying disability from the list provided.
5. If applicable, the medical provider must assess and check the duration of the physical or mental impairment, specifying the severity of physical exertion permissible. They should also provide details of any less severe conditions preventing employment.
6. Section 3 includes a series of questions that the medical evaluator will need to answer if the individual is being re-examined. Make sure these are filled out accurately.
7. In Section 4, the applicant should complete the yellow section ahead of the medical exam. This includes entering educational background, age, job training type, and explaining the disability.
8. Finally, verify all information for accuracy. Once all sections are thoroughly completed, the form can be saved, downloaded, printed, or shared based on your needs.

Complete your CO MED-9 form online today for a smoother application process.