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  • Ssa Ha-1152-u3 2006

Get Ssa Ha-1152-u3 2006-2025

================================================================== NAME OF INDIVIDUAL SOCIAL SECURITY NUMBER INSTRUCTIONS: Please assist us in determining this individual’s ability to do work-related activities on a sustained basis. “Sustained basis” means the ability to perform work-related activities eight hours a day for five days a week, or an equivalent work schedule. (SSR 96-8p). Please give us your professional opinion of what the individual can still do despite his/her impairmen.

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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.

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.

6 Useful Tips For Your Mental Examination Answer The Question. ... Be Honest And Don't Exaggerate. ... Try Not To Ramble Or Go Off Subject. ... Be Specific About Your Symptoms And Limitations. ... Paint A Picture Of Your Daily Living. ... Don't Be Embarrassed.

A psychological exam tells the SSA what they need to know about your mental health. Since your mental health can impact your ability to work, the SSA may send you to a psychological examination. The psychological exam is called a Consultative Examination.

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.

The Mental Status Exam Your memory, awareness, mood, and language skills will all be evaluated by medical professionals in a Mental Status Exam (MSE). You may be asked to remember a few words throughout the exam, discuss your childhood, view images, and describe what you see.

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.

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.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232