Disability Report Form - Adult
Work History Report Form
Hearing Request Form
Disability Report Appeal Form
Recent Medical Treatment Form
Medication List Form
Recent Work History Form
How To Fill Out Form HA-4632 in New Orleans
Medication List Form
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. Part of appealing is filling out Form HA-4632, which is called “Claimaint’s Medications.”
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.
When you appeal, you’ll need to fill out HA-4632 along with other forms, such as SSA-3441-BK (Disability Report – Appeal) and HA-501-U5 (Request for Hearing by Administrative Law Judge.)
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 PUT ON FORM HA-4632?
This form covers all medications you are currently taking, including medications for your disability and any other medications you take. You’ll need to list several details about your medications:
- Each medication and dosage
- Date each medication was first prescribed
- The reason you’re taking each medication
- The doctor who prescribed each medication
- Any non-prescription medications you take and the reasons you’re taking them
TIPS ABOUT MEDICATIONS, FORM HA-4632 AND YOUR DISABILTY CASE
Make sure to follow your doctor’s directions about prescribed medications.
If you don’t take medicines in the times and amounts your doctor orders, you could hurt your case.
Form HA-4632 seeks to gather honest insight about the medicines you’re taking and the health conditions that prevent you from working, qualifying you for disability benefits.
This form is an opportunity to provide a clear idea of your medical history to the administrative law judge who will review your case and make a decision on your claim in an appeals hearing.
SHOULD YOU GET A DISABILITY ADVOCATE TO HELP WITH FORM HA-4632?
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 understand how the system works and where you can run into problems. We can help you with Form HA-4632 and all the forms you need when you 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 build your appeal.