Washington 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
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.
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 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.
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.
You can upload documents by using the Send Response for Individual Case link on the Electronic Records Express Home page. The upload function is also available while accessing a claimant's electronic folder through the Access Claimant's Electronic Folder link.
Form SSA-89 is a Social Security form that authorizes the SSA to verify the connection between your name and your Social Security Number to a third party.
Pdf) 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.
Send or bring the completed form to the subject of the record's local servicing office. To locate the appropriate servicing office, visit , and input the subject of the record's ZIP code.