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Useful Medical Forms

Sometimes our clients want to help present their case by approaching their doctor or doctors directly with request for medical information. While we assume that it is our job to do this, we understand that some claimants would prefer to contribute to the development of their case for disability. Or, you may just be a visitor to this web site and wish to take advantage of these forms. We certainly do not discourage claimants from helping develop their own claims, so please feel free to print these forms and take them to your doctor for completion. However, we strongly advise that you send the completed forms to your disability attorney prior to showing them to Social Security. In many cases there is no problem at all with what the doctor states on the forms, but in the event that there is a problem is easier to correct it before submitting to Social Security.

Download medical forms to document a physical disability or disabilities (request for narrative report, physical capacity evaluation, and medical release) Click here to download.*

Download medical forms to document a mental-health disability or disabilities (request for narrative report, mental status questionnaire, and medical release) Click here to download.*

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Osterhout Disability Law, LLC
521 Cedar Way, Suite 200
Oakmont, PA 15139

Call toll free: 866.438.8773
Local: 412.794.8003
Fax: 412.794.8050
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The Social Security Disability lawyers at Karl E. Osterhout, LLC, assist individuals throughout southwestern Pennsylvania, eastern Ohio and northern West Virginia, including the cities of Pittsburgh, McKeesport, Squirrel Hill, Monroeville, Greensburg, Butler, Beaver, Washington PA, Uniontown, New Castle, Sharon, Erie, Altoona, Johnstown, State College, Clarion, Dubois, and Clearfield. Our SSD attorneys also represent disabled men and women in and around the counties of Allegheny, Beaver, Butler, Washington, Fayette, Westmoreland, Mercer, Cambria, Indiana, Erie, Greene, Armstrong, Clarion, Clearfield, and State College, as well as the North Hills and South Hills of Pennsylvania.

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