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T the initial and reconsideration levels. They are asking members of the Tennessee Primary Care Association to complete Medical Source Statements so that they can get more input from treating doctors. Medical Source Statements (attached) are forms used by Social Security to obtain a doctor s opinion with respect to work-related functional limitations. For physical impairments, this involves an assessment of limitations with respect to walking, standing, sitting and lifting. For mental impairm.

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How to fill out the Why Medical Source Statements Are Important online

Filling out the Medical Source Statements is a crucial step in supporting individuals seeking Social Security Disability benefits. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring that treating doctors can effectively advocate for their patients.

Follow the steps to complete the Medical Source Statements easily

  1. Click ‘Get Form’ button to obtain the form and open it in the digital editor.
  2. Begin by entering the patient’s personal information, including their full name, date of birth, and contact details. Ensure all information is accurate to avoid processing delays.
  3. Proceed to section one, which requests the physician's information. Include the full name, medical license number, and contact details of the treating doctor. This step is essential for identifying the source of the medical opinion.
  4. In section two, assess the patient’s work-related functional limitations. Provide detailed input regarding the patient’s physical capabilities, such as walking, standing, sitting, and lifting. Use the patient’s reported limitations as a guide.
  5. Next, move to section three, which focuses on mental impairments. Evaluate the patient's ability to understand, remember, and concentrate, as well as their capacity to interact with co-workers and supervisors.
  6. Once all fields are completed, review the form for accuracy. It is essential to ensure that all information presented accurately reflects the patient's condition and capabilities.
  7. Finally, save your progress, and choose to download, print, or share the completed Medical Source Statement as necessary. Make sure to retain a copy for your records.

Take the next step in supporting your patients by completing the Medical Source Statements online today.

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This includes copies or photocopies of medical records, doctors' reports and recent test results. Your treatment records are used along with other information to see if you meet our definition of disability.

"Acceptable medical sources" are: Licensed physicians (medical or osteopathic doctors). Licensed psychologists, which include: A licensed or certified psychologist at the independent practice level; and.

By Type Retirement. Disability. Supplemental Security Income (SSI)

A medical source statement is an opinion from your doctor regarding the nature and severity of your limitations due to your medically-determinable impairments.

SSI is a needs-based program, which requires specific income and resource criteria be met. You cannot receive more than $943 per month for an individual. Those limits increase to $1,415 per month for an eligible individual with an eligible spouse.

A lump-sum payment is a one-time Social Security payment that you received for prior-year benefits. For example, when someone is granted disability benefits they'll receive a lump sum to cover the entire time since they first applied for disability. This period could cover months or years.

This list may be helpful when communicating with SSA in order to ensure clear communication between you and the SSA representative. SSA -- Social Security Administration. SSDI -- Social Security Disability Insurance (Title II) - Social Security Disability Insurance authorized under Title II of the Social Security Act.

A medical source statement is a valuable way to help prove your case — showing that you need disability benefits, and explaining why. This statement is an important opportunity to explain to the SSA how sick you are. So it's essential for your MSS to be as strong as possible.

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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
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
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 WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
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