Get Ssa-787 1992

The SSA-787 form, also known as the Physician’s/Medical Officer’s Statement of Patient’s Capability to Manage Benefits, is essential for determining whether a patient can manage their Social Security benefits. This guide provides step-by-step instructions to help you navigate the process of completing the form online.

Follow the steps to successfully complete the SSA-787 form online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the patient's name in the designated field. Ensure that the name matches official records for accuracy.
3. Fill in the identifying information, including the Social Security number of the patient and the name of the wage earner or self-employed person, if different from the patient.
4. Provide the patient's address, including the street, city, state, and ZIP code, to verify their residence.
5. Input the patient's date of birth in the specified format to confirm their age.
6. Enter the date of your last examination of the patient to provide a timeline for your assessment.
7. Indicate whether you believe the patient is capable of managing their benefits. Select 'Yes', 'No', or 'Unsure' to appropriately reflect your assessment.
8. If you selected 'No' or 'Unsure', complete the additional questions that ask for explanations regarding your conclusions.
9. Certify the statements by printing your name, providing your address, title, telephone number, and date of completion.
10. Review the form for any errors or missing information before finalizing.
11. Once completed, save your changes, and you will have options to download, print, or share the form as needed.

Complete the SSA-787 form online today to ensure proper management of benefits.