Topic Categories:


Overview of Disability

Disability Back Pay

Requirements for Disability

Applications for disability

Tips and Advice for Disability Claims

How long does Disability take?

Winning Disability Benefits

Common Mistakes after a Denial

Mental Disability Benefits

Denials for Disability

Appeals for denied claims

Disability Benefits from SSA

SSI Benefits

Child Disability Benefits

Qualifications and How to Qualify

Working and Disability

Disability Awards and Notices

Disability Lawyers, Hiring Attorneys

Social Security List of Conditions

What Social Security considers disabling

Medical Evidence and Disability

Filing for Disability Benefits

Eligibility for Disability Benefits

SSD SSI Definitions



Ask a question, get an answer

Should you get a Statement from a Personal Physician for your SSD or SSI Disability Case?




 
A statement from a doctor can, in many social security disability and SSI cases, make the difference between winning or losing a disability claim. But not just any statement. As a disability examiner, I found it fairly routine to receive very brief signed statements from claimants' doctors that said little more than "My patient is completely disabled and unable to work".

This type of statement is extraordinarily useless to a disability examiner (who makes the decision on an application for disability or on a first appeal, a reconsideration) or a judge at a disability hearing.

Why? Because the social security administration is very interested in receiving the opinion of a claimant's treating physician but only if it is specific enough to indicate why the physician believes that their patient is disabled and unable to work.

To satisfy SSA (the social security administration), a statement (known as a medical source statement or residual functional capacity, or RFC, statement) should be as follows:

1. It should indicate the claimant's diagnosed condition or conditions.

2. It should indicate the date of the diagnosis.

3. It should indicate the outlook, or prognosis, for the condition, or conditions.

4. Most importantly, it should indicate all the various ways in which the claimant is functionally limited and, consequently, has difficulty engaging in normal daily activities.

5. Finally, a doctor who submits a statement should be a treating physician, which is, according to the social security administration, a doctor who has an extended history of treating the claimant for their condition, as opposed to, for example, an urgent care doctor who has seen the claimant once or twice. As SSA sees it, a treating physician is qualified to give a valid opinion as to the claimant's medical condition and how the condition affects them.

Regarding item number 4, it is usually more effective and efficient for a doctor to simply complete a check-off style form that allows them to address the claimant's physical strength level, their range of motion, their postural or ambulatory limitations (walking, bending, crouching, balancing), their deficits with regard to their senses (seeing, hearing, feeling), and any other physical functional short-comings they may have.

If the claimant's condition is mental, the physician or psychologist should indicate which cognitive deficits they have. For example, do they have trouble retaining information, learning information, concentrating, getting along with supervisors or co-workers, etc.

Statements that obtain this type of detailed information are not, however, sent to a claimant's doctor or doctors by social security. When a case is being processed, they are completed (in the form of something known as a RFC form) by the doctors who act as consultants to disability examiners.

Wouldn't it make sense for social security to simply send a form to a claimant's own doctor to get their detailed opinion, especially in the format that they prefer (a check-off style form)? Yes, it would. But SSA does not do this, and it may be because it is a cost issue.

However, a competent and skilled disability attorney will nearly always try to obtain a statement from the claimant's treating physician, or physicians if they have more than one. And this is because such statements can often turn the tide in a case and effectively win disability benefits. Why are these statements effective with administrative law judges at disability hearings? Because an ALJ will typically recognize that the claimant's treating physician has an opinion that should carry weight in the decisional outcome of a case.

Medical Source statement PDF download















Return to:  Social Security Disability Resource Center, or read answers to Questions





























Related pages:

A "proper" statement from your doctor can have a dramatic effect on your disability case
Should you get a Statement from a Personal Physician for your SSD or SSI Disability Case?
Will my doctor charge me for a letter for my social security disability claim?
Will Social Security Attempt To Get A Letter From Your Doctor To Help Your Case?
Letters from doctors for Social Security Disability
Social Security Disability Doctor, Supportive Statements
Can I file a disability claim for my adult child who lacks mental capacity?
Can I get disability if I have seizures?



Information on the following topics can be found here: Social Security Disability Questions and in these subsections:

Frequently asked questions about getting Denied for Disability Benefits | FAQ on Disability Claim Representation | Info about Social Security Disability Approvals and Being Approved | FAQ on Social Security Disability SSI decisions | The SSD SSI Decision Process and what gets taken into consideration | Disability hearings before Judges | Medical exams for disability claims | Applying for Disability in various states | Selecting and hiring Disability Lawyers | Applying for Disability in North Carolina | Recent articles and answers to questions about SSD and SSI


These pages answer some of the most basic questions for individuals who are considering filing a claim.

Filing for disability - How to file for SSD or SSI and the Information that is needed by Social Security
How to Apply for Disability - What medical conditions can you apply and qualify for?
Applying for Disability - How long does it take to get Social Security Disability or SSI benefits?
What happens if I file a disability application and it is denied by a disability examiner or Judge?
How to Prove you are disabled and qualify to win disability benefits
How do you prove your disability case if you have a mental condition or impairment?
Social Security Disability Back pay and How Long it Takes to Qualify for it and receive it
Social Security Disability SSI - Eligibility Requirements and Qualifications Criteria