Get Social Security Bdisability Reportb Child Asthma

Filling out the Social Security Disability Report for a child with asthma can be an essential step in securing benefits. This guide provides a clear, step-by-step approach to complete the form efficiently and accurately.

Follow the steps to complete the form accurately.

1. Press the 'Get Form' button to acquire the document and open it for editing.
2. Begin by entering the child's name, address, city, state, ZIP code, age, birth date, and current grade in school. Ensure that all information is accurate and up-to-date.
3. Indicate whether the child has asthma by selecting 'Yes' or 'No.' If 'Yes,' be prepared to provide supporting details in subsequent sections.
4. List all relevant findings and tests that support the asthma diagnosis. Be specific and include any medical records that could enhance the claim.
5. Answer whether the condition will last for longer than 12 months. If 'Yes,' provide a brief explanation of why it is expected to persist.
6. Detail the current treatment regimen, including all medications and their dosages. This information is crucial for understanding the child's management plan.
7. Describe any significant side effects from therapeutic drugs that the child has experienced, such as sleepiness, blurry vision, or dizziness.
8. Indicate whether the child has experienced asthma attacks during the past twelve months despite prescribed treatment. If so, provide details and dates of the occurrences.
9. Assess if the child has low-grade wheezing or requires frequent use of bronchodilators. Mark any applicable checks based on the conditions provided.
10. Evaluate the child's FEV1 levels based on their height. Select the appropriate height category and FEV1 reading that applies to the child.
11. Ensure the physician's name is printed and sign the document. Include the address, city, state, ZIP code, phone number, fax number, and the date completed.
12. After reviewing all entries, save the changes, and choose to download, print, or share the completed form as necessary.

Start completing the Social Security Disability Report - Child Asthma online now to secure the benefits your child may need.