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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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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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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
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
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