Pennsylvania Sample Letter for Medical Records Release in Social Security Disability Action

State:
Multi-State
Control #:
US-0959LTR
Format:
Word; 
Rich Text
Instant download

Description

This form is a sample letter in Word format covering the subject matter of the title of the form.

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FAQ

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.

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.

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.

Here are some tips for writing an effective disability appeal letter: Indicate Your Name and Claim Number at the Top. ... Point Out Any Mistakes or Oversights. ... Supply Missing Medical Information. ... Attach Medical Records or Any Additional Evidence. ... Stick to the Point. ... Be as Detailed as Possible. ... Be Polite and Professional.

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.

The letter should include such information as: The claimant's medical condition(s) Medical evidence such as diagnostic test results. The doctor's medical opinion about the claimant's limitations. An explanation of how the medical evidence supports the doctor's opinion.

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.

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Pennsylvania Sample Letter for Medical Records Release in Social Security Disability Action