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Disability Report Form - Adult

Work History Report Form

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Disability Report Appeal Form

Recent Medical Treatment Form

Medication List Form

Recent Work History Form

How To Fill Out Form HA-4631 in New Orleans

Recent Medical Treatment Form

View and Download Form HA-4631

If you’ve been denied Social Security Disability benefits, you’re not alone.

Most people get denied the first time they apply. You should consider appealing the decision. An important part of appealing is filling out Form HA-4631, which is called “Claimant’s Recent Medical Treatment.”

Don’t wait to appeal, because the Social Security Administration (SSA) has a strict deadline for appeals and could make you start your application again if you’re too late.

To appeal your denial, you’ll have two other forms you need to submit before you complete Form HA-4631.

First, complete Form HA-4486: “Claimant’s Statement When Request for Hearing is Filed and the Issue is Disability.”

Also, fill out Form SSA-3441-BK: “Disability Report – Appeal.”

Once you’re finished with those, you’ll next be asked to fill out Form HA-4631.

And you will complete this form along with these two forms:

You must submit the forms before the SSA’s deadline, or you risk having to start over from the beginning with your application.

You can fill out the forms online, or fill out and return paper forms.

WHAT INFORMATION DO YOU INCLUDE ON FORM HA-4631?

This form covers the doctors who have treated you. You’ll need to list several details about the treatment you have received:

  • Every doctor you have seen
  • Dates when you received treatment
  • If you were hospitalized because of your disability, name and address of the hospital
  • Reasons you were hospitalized
  • Details of treatment you received in the hospital

TIPS ABOUT MEDICAL TREATMENT AND FORM HA-4631

Evidence of your medical treatment will make your Social Security Disability case stronger, so be sure to keep track of all your medical records.

This medical treatment information – along with work history information – will be crucial evidence when you see an administrative law judge in a disability appeals hearing.

SHOULD YOU GET A DISABILITY ADVOCATE TO HELP WITH FORM HA-4631?

When you’ve been denied Social Security Disability benefits and need to appeal, we highly recommend working with a disability advocate.

This stage in the process is complicated.

It’s enough stress dealing with health problems that keep you from work. You can relieve the burden on yourself and give yourself the best chance at winning benefits by getting help from a professional disability representative.

Gary Sells and his team have helped thousands of people win disability benefits. Gary Sells has been winning essential benefits for people for 35 years.

We can help you with Form HA-4631 and all the forms you need to apply and appeal for Social Security Disability benefits.

We’ll also help you prepare for your hearing with a judge. We’ll meet with you to explain the process and get you ready and confident to testify. We’ll gather all your medical evidence and work history records, ensuring that you have a strong case.

Call us right away if you were denied your disability claim, so you don’t lose time to put together your appeal.

Contact us if you need help with Form HA-4631.