Maine Sample Letter for Medical Records Release in Social Security Disability Action
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How to fill out Sample Letter For Medical Records Release In Social Security Disability Action?
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FAQ
The following instructions are for completing the preprinted paper Form SSA-3368 (Disability Report ? Adult). The Disability Determination Services (DDS) uses the information on the 3368 to develop medical and other evidence that can be used to establish the correct onset date.
A disability letter from your doctor should explain your medical condition and provide supporting medical evidence. This could include: A detailed explanation of your condition and limitations. Medical evidence of your condition and limitations.
SSA and its affiliated State disability determination services use Form SSA-827, "Authorization to Disclose Information to the Social Security Administration (SSA)" to obtain medical and other information needed to determine whether or not a claimant is disabled.
A medical source statement is a form completed by your doctor summarizing how limited you are physically and mentally as a result of your conditions. This document will help the SSA determine whether you are disabled.
Your doctor must explain, in detail, your physical or mental impairments. Stating that your condition prohibits you from working is not enough. Instead, the letter should address any problems you have with physical strength, sensory deficits, cognitive deficits, range of motion problems, or any other limitations.
Do not tell the doctor you are ?okay,? ?fine,? or ?pretty good? when you are there for an assessment of your condition. Even saying this out of habit could jeopardize your claim. Be honest about your complaints, symptoms, and other details of your condition.
A medical source statement (MSS) is a written document where your doctor shares: Their diagnosis of your condition. Their opinion of its severity. Their opinion on your ability to work because of your condition.
The office is listed under U. S. Government agencies in your telephone directory or you may call 1-800-772-1213 for the address. You may send comments on our estimate of the time needed to complete the form to: SSA, 1338 Annex Building, Baltimore, MD 21235-6401.
