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My doctor doesn’t support my getting Social Security for disability. What should I do?

By   /  March 3, 2016  /  49 Comments

Get tips on what to do if your doctor doesn’t think you should get Social Security for disability and learn how a lawyer can help prove you’re disabled.

social-security-for-disability-doctorThe Importance of Your Physician’s Opinion

Your doctor’s support is very important to your claim to get Social Security for Disability. It can be difficult to get benefits without that support, but there are a few things you or your attorney can do if your doctor says that he or she does not think you are disabled.

What to Do When Your Doctor Doesn’t Support Your Disability Claim

The first action is to ask your doctor the reasons for not supporting your claim. It may be that he or she does not understand Social Security’s definition of disability. When you or your lawyer explains it, he may in fact support your disability.

Another possibility is that the doctor who is treating you for one condition does not know about other medical conditions you have or doesn’t know how they limit you. It may be that the combined limitations you have from multiple conditions are disabling under Social Security’s rules.

For example, perhaps you are claiming disability due to a recent lower back injury, but you also had rotator cuff surgery several years ago and have long-standing, upper-body lifting and range of motion restrictions and you have a long-term, uncorrectable partial hearing loss. When the long-standing limitations are added to your more recently developed low-back problems, you may be unable to work due to all the conditions combined. In such a circumstance, you or your attorney representative could present your case to show how your total limitations from all causes disable you and why no one of your doctors has the total picture. Or, you or your attorney might present the facts to your physician; and with full information, your physician might come to believe that you are eligible for Social Security for disability. For a discussion of Social Security’s definition of disability, see our article “What Is Disability According to Social Security Laws?”

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  • Published: 11 months ago on March 3, 2016
  • By:
  • Last Modified: December 1, 2016 @ 9:23 pm
  • Filed Under: Apply for SSD
  • Donald Stephenson

    Hi, I am 55 and have been in the automotive field for almost 40 years. I recently fell 24 ft from a ladder and have bilateral tib/fib plateau fractures, compression fracture at L1 spine, left bruised lung and developed blood clots and a pulmonary embolism.

    Now, one year later, waiting for a trial, (will take 18 months or more) I find that my doctor will not cooperate with any paperwork for ssi. On one hand, when speaking about removing all the steel I have in my legs because of the complications, he makes it clear that my legs will never be the same again, I will always have to be careful to avoid a re-fracture. At the same time he is talking about releasing me for light duty. Another complicating factor is that he (The surgeon) attached my right leg on crooked and was very spurious in the written report from the surgery.

    I told him there is no “light duty” in my profession, it is a very specifically skilled manual labor career. I also have complications with the lower back. It seems none of the doctors take a step back to see the whole picture, that my limbs will not be able to perform my previous duties as an auto tech.

    Is there perhaps another type of doctor I should seek out to help document my condition? How many forms are required to be filled out? For example, I was able to get an orthopedic (same practice, different Dr.) to fill one out in the spring of 2016, do I need one filled out now that the year anniversary of my accident has passed? Thanks!

    • Kay Derochie

      Dear Donald,

      You do need to submit documentation about your current condition ongoing while you wait for the hearing. When you think you are within about three months of the hearing, it could be to your advantage to pay for a physiatrist (specializes in physical medicine) to perform an residual functional capacity examination (FCE) for you and complete an RFC form, which would quantify how long you can stand, walk, and sit; how often you can bend and stoop; and how much weight you can lift and carry and how often. If you have both your upper and lower body evaluated, the RFC will include your capacity to use your arms and hands. Also, about four months before the hearing, get a copy of your medical records up to that time so that you can submit them for the period since your last denial. If they have not been submitted, get your your admit and discharge summaries and operative reports from the hospitals where you have received care.

      You might also consider getting an experienced Social Security attorney to help with the hearign.

      Sincerely,
      Kay

  • Les

    Hi – I am 61 years old. I had 3 knee replacements and then fell and broke my femur. I am on long term disability probably until Dec. My job let me go saying no fault of my own but financial reasons. I was just turned down for SSD. No lawyer yet. I am not walking good and do not do stairs well. I am still in pain, both knees. I applied for Medicaid, waiting for approval. Have not gone back to my Dr. yet, but will make an appt. Sould I get a Disability lawyer to help me with the appeal? There is no way I can go out and look for work. I can walk about a block.

    • Kay Derochie

      Dear Les,

      Yes, if you have been or will be disabled for a total of twelve months or more, I suggest that you get legal assistance and file an appeal. When you hire a Social Security attorney, you do not have to pay any legal fees up front, and you will pay attorney fees only if you are approved for benefits. Social Security law sets the amount your attorney can charge and the Social Security Administration pays the attorney directly from the retroactive award before they send your back pay to you.

      When you see your doctor, discuss your limitations and see if he will write a letter supporting your limitations on how long you can stand before needing a rest and how long the rest needs to be and the same for walking. He should also state the findings on which he bases the limitations and how long he expects them to last. Also, make a statement yourself about which duties you can no longer do in occupations you have held in the past fifteen years or so.

      Sincerely,
      Kay

  • Lisa

    I am thinking about applying for SSD, I am 52 years old. I had applied 2 years ago and was denied, In 2012 I had a total hip replacement, I also have hip displasia in my other hip, I live with chronic pain in my back (I have been seeing a pain management doctor for 4 years). I have now been diagnosed with Diverticulosis. I cannot survive without income, It is like a double edged sword as I have to work until I can get disability income BUT disability will turn me down if I earn more than a certain amount. I have to earn at least 1400.00 a month to pay my house payment, car payment, insurance etc…
    I honestly don’t know what to do! Every day trying to go to work is excruciating painful, I am in tears half the time by the time my shift has ended, this is not even a physical job as I work in a call center. I have to drive at least an hour (to/from) work and the pain meds I take is the Fentanyl 25mg and Percocet 7.5/2 tablets every 4 to 6 hours! I shouldn’t even be driving. So how can I get disability while having to work until getting approved? Please help.

    • Kay Derochie

      Dear Lisa,

      First, I would check to see whether your are covered under an employer’s short-term disability (STD) insurance policy that would provide some income while you are off work. Otherwise, the only thing I can think of is to try to lower your bottomline core expenses so that you can cover them with less than $1,130 gross wages ($1,170 in 2017), perhaps by downgrading your car so you do not have a car payment or refinance the car to lower rate or take in a roomer. That way, you could file a Social Security application while working.

      Sincerely,
      Kay

      • Lisa

        Thanks Kay, I don’t have short term disability through my job. I was trying for Long term disability through my employer. I also received a phone call from my doctors office and was told that my doctor will not fill out the paperwork and she is going to put the paperwork in the shredder!

        • Kay Derochie

          Dear Lisa,

          Apparently, your physician thinks that you can work. If you disagree, you might consider getting a workup by a different physician to get a second opinion about your capabilities and limitations.

          Sincerely,
          Kay

  • Tammy Magill

    I’m 49 I have fibromyalgia degenerative disc disease I’ve had neck and lower back fusions can’t walk after sitting to long can’t walk after standing to long and was denied ssi and my doctor will not sign a paper stating I have fibromyalgia after she diagnosed me. How do I find a doctor that will sign?

    • Kay Derochie

      Dear Tammy,

      Rheumatologists are the physicians who are considered to be in the correct specialty to diagnose fibromyalgia.

      Sincerely,
      Kay

  • Trey Williams

    Hi I am 18 years old curently suffering from sevre ADHD/social anxiety, also have a irregular heart beat from a level 1 heart block. The heart block makes me tired alot faster than most people. I am working as a package handler part time and my adhd causes really bad leg pain from standing so much with moving very little. My adhd also cause me to become focused on the wrong things for long periods causing me not to do my job well enought. I am also very forgetful due to adhd.I take ritalin for my adhd but it only helps somewhat even taking the max dosage allowed. I want to continue working but do not believe I can work full time, I want to get ssi so i can have money to move out and survive on my own. Will I qualify?

    • Kay Derochie

      Dear Trey,

      I cannot predict whether or not you qualify medically for disability benefits. If you are earning less than $1,130 gross per month, you can apply for benefits while working.

      Sincerely,
      Kay

  • Sandy

    I got approved for disability SSI because I got very ill with failed kidney.
    My primary doctor with Kaiser will not write my a doctors note to go with my approved disability claim my doctor will only give me a note to give to me work but only one or two days at a time. I need to be excused for 5 mo. My work says they need a doctors note to go with the approved disability claim. Advice please?

    • Kay Derochie

      Dear Sandy,

      So that I can respond, please provide more information because I don’t understand your situation.

      1. Are you working now?
      2. If so how much are you making?
      3. Why do you need to be “excused from work” for five months? Stated another way, what are you asking your employer for that needs the note?

      Thank you,
      Kay

  • Ashley

    HI, I’ve already applied, have been denied, and now waiting for a hearing. I do have a lawyer. I’ve been diagnosed bipolar, ptsd, anxiety/panic attacks. I also have a nonunion femur fracture. I’ve had multiple surgeries to fix my thigh bone, but they all have failed. I have permanent bone failure. I have rods in my leg, but because there is no Union of my bone, I have severe pain when walking. From this I have developed joint narrowing in my knee, and hip. All documented with x-rays. I also have DDD, buldge discs, and borrowing of disks. I cannot sit, or stand for long. I have trouble sleeping from the pain in back, and leg. I have chronic pain. Auto immune disease, waiting for them to pin point which one. I have had testing done. I suffer from migraines. I take multiple anti mood medications, klonopin, muscle relaxers, norcos, anti-inflammatory, nothing works. Dr is constantly trying new medications. I also have problems in my wrist, and forearm, from a fracture I had. I had a metal plate in my arm for three years, but it was removed, due to complications. I have severe anxiety attacks driving in cars, from my accident 4 years ago. I almost died. I broke multiple bones. My entire right leg was shattered, right arm broken, pelvic bone (still cause pain,) ribs, ruptured spleen, and broken bone in foot. I cannot walk correctly, and have muscle loss. I’ve tried physical therapy multiple times, but it didn’t help anything. I can’t take care of my children. My husband, and family members help with everything.

    • Kay Derochie

      Dear Ashley,

      I suggest discussing with your attorney whether statements from family members who are helping take care of your children and household would be helpful to your claim.

      Sincerely,
      Kay

  • Tim Nugent

    I have been an electrician and worked in the construction industry for 30 years but my Orthopedic doctordoesntsupportmein filing a disability claim. I have had 2surgies, one on each one of my knees, the last one on my left knee is what’s giving me pain. My doctor says he has patients that can hardly walk and they are still working. I have asked him to just answer the questions on the form for my lawyer and he refuses. He says you need to find a different way todo your job. He was not supportive showed no empathy. Not sure what I should do. I haven’t worked since 2013. I have had 2 denials, now I am waiting for my appointment with the judge. I am very concerned that I can’t find a doctor that will answer questions about my knees and what I can’t do anymore in the electrical/construction industry.

    • Kay Derochie

      Dear Tim,

      I suggest that you get quickly get an appointment with a physiatrist for a functional capacity evaluation of your lower body and that your attorney submit to the judge the RFC together with a Dictionary of Occupational Titles (DOT) job description that shows the physical requirements for being an electrician.(Usually orthopedists will not do RFC exams.) Discuss this with your attorney before proceeding.

      Sincerely,
      Kay

  • Candy

    Hi. I’m 59, and I have degenerative disc disease, advanced facet arthritis, and compression of the 4th and 5th nerve root, which are documented in MRIs and X-rays. I also had an EMG that was positive. My doctor has documented muscle weakness, decreased range of motion, decreased reflexes, and decreased sensitivity, as well as a positive straight leg raising test. It appears to me that I meet the listing for nerve compression, but I think one doctor is anti “entitlement” and he may be trying to sabotage my claim. I also have bi-lateral Grade 4 chondromalacia patella, and previous carpel tunnel surgeries. My previous jobs involved heavy work. Should I be worried about this doctor, who spent only 7 minutes with me?

    • Kay Derochie

      Dear Candy,

      It is hard to say. You do not indicate whether the 7-minute doctor is one of your physicians or a consulting physician, what his specialty is, or whether you asked him to submit a report. If he is a doctor you have seen and you have submitted the other doctor’s opinions and the records and reports that document the test results you mention, the single doctor may not carry a great deal of weight.

      Sincerely,
      Kay

  • Antonio Araica

    Hello I need help! I suffer from ADD and deppression ever since I was a kid then suffer from severe social anxiety, insomnia, depression and Suicidal Thoughts all my teen life. I’m 43 years old and been on different meds for it which makes me sick. I cannot hold a job for long.There are years of records of my mental illness from psychiatrist and doctors. Im on temporary disability now butt was wondering what are my chances for permanent disability.thanks Tony.

    • Kay Derochie

      Dear Antonio,

      The only way to find out if you are eligible is to file a claim. If you worked more than six months in your current or last job, the point in time that you have to prove you became disabled is when you last stopped work. You can submit a chronology of your illness and your treatment for background and also list the reason for each time you stopped work, especially if it was health related. You do not have to be permanently disabled to get Social Security Disability benefits, just disabled or expected to be disabled for twelve months. Most claims are approved with a Continuing Disability Review (CDR) date of one, three, five, or seven years when the claim is reviewed to see if you are still disabled.

      Sincerely,
      Kay

  • Ronnie

    I applied for ssdi April 2016 I went to cr exam and full out adult function report all in one month is that a good sign of approval everthing went so fast, in 51 had totel knee replace and I have 40 working credit

    • Kay Derochie

      Dear Ronnie,

      It is good that you live in an area that is not backlogged and that your claim is being actively reviewed. However, how fast things are working is not a sign of whether or claim will be approved or denied.

      Sincerely,
      Kay

      • Sam Cadura

        Dear Kay…
        My apologies for sending this question (as a comment on Ronnie’s question) I spent half an hour, trying to figure out how to send an inquiry, but failed. Anyway, my question and situation might be a little unusual, and I was hoping for a little advice or to at least be pointed in the right direction. I was deemed “disabled” in June of 2014, and am supposed to receive monthly benefits of about $1,100… however, according to Social Security, I was not an American citizen and therefore they could not pay these benefits. After months and months of searching for my “Consular Birth Abroad document” from 1962 or my last American Passport [issued in 1996] I was unsuccessful. I had been told by several different employees at my local {San Diego – Social Security office] that I would qualify for my disability [along with 24 months of retro payments] if I could find either of these documents, which would prove that I was in fact, a US citizen. Several months ago, with the financial help of a few friends, I was able to pay for a FILE SEARCH and then expedited processing on a passport renewal, which was finally completed this week. I took my new American passport into my local SS office, but now they’re telling me that although they can start paying me the $1,100 a month… they can NOT EVER pay me for any of those 24 years retro (((because the passport does not indicate “WHEN” I became a US citizen))) They claim if I can present my “Consular Birth Abroad” paperwork {which I don’t have} then they will include all backpay… but I have no idea how difficult this might be, or how many months it might take. I’ve been near-homeless for most of the past 18 months, and only thanks to close friends and family members who were able to loan me a little over $16,000; was I able to avoid being pushed out to the streets. Do you have any idea on how long it takes to get a new copy of “Consular Birth Abroad” and if there are expedited services for this? It’s Social Security’s fault for having me as an “unknown” in their database [according to them, a computer glitch compromised my data in 1978] before my first job. I’ve voted in every election since 1980, had at least 5 American passports in my life, and they’re making things extremely difficult for me. Along with several physical issues that have greatly reduced the quality of my life since around 2005, only getting worse every year since; I also have major problems with depression, being tired, and having no motivation to even live. I want to be able to start paying my friends back, and attempt to have a little enjoyment of life, and even attempt to recover somewhat, if possible. I appreciate any information you might be able to provide. Thank you in advance, Sam

        • Kay Derochie

          Dear Sam,

          I don’t know how long it takes or how to get a “Consular Birth Abroad” certification. Your quickest route might be to try to get a letter from the passport office that documents the first year you were issued a passport as a U.S. citizen. That should be on record.

          Sincerely,
          Kay

  • Linda

    I have suffered muscular pain for yrs. I have 2 family members in wheelchairs with lupus. Finding doctors that examine u is troubling enough, let alone diagnosing u. Ive now been told by a recent rheumatologist a positive ANA concluded fibromyalgia. Walking, standing is almost impossible. I also can not even be outside with allergies n asthma scoring off the charts. My immune system is shot and cant risk being around sick ppl. I am allergic to so many medications also, so i suffer and dnt take anything but thyroid n allergy asthma meds. My doctor said he only gives ppl letters for glaucoma. So what can i do? Going 2 doctors also cost 2 much i only go when i have 2. I want 2 see a state doctor. How do i do it? They would probably do more. Is there a worker or someone 2 guide me. Afraid if i get a new doctor they will think im lookin for a quack, but my doctor now talks abt his dog n family n not my issues. Please help!!!

    • Kay Derochie

      Dear Linda,

      If you are not working or are working and earning less than $1,130 gross a month, you can file for disability benefits. If there is insufficient information in file to make a decision, you will be sent to a physician to evaluation but no treatment. If you file a claim, be sure to list your reasons for not taking medications for your muscular pain. As far as finding a doctor, you might contact your state’s medical board for a list of rheumatologists and/or primary care doctors in your area. Another approach is to ask people you know whether they are happy with their doctors.

      Sincerely,
      Kay

  • Keith

    Hello. I suffer from depression and server panic disorder that keeps me from working ,driving ,cooking going around people or leaving home. I also have chronic back pain from a herniated disc with nerve root commprssion. I can not lift no more than 10lbs, I can’t stand no longer than 1 hour or sit linger than 2 hours. I can’t walk far distances either. I also can’t lift no more than 5 pounds because of a bicep tear. I have MRI and xrays in my medical file I also have xray showing I have DDD. I currently take 4 different types of meds for pain and panic and 1 for high blood pressure. I have been wanting for a hearing for ssdi for 2 years I am 37 do I have a good chance to get approved. I also have a lawyer.

    • Kay Derochie

      Dear Keith,

      Although it is often hard to get approved when a combination of conditions contribute to disability, with legal assistance to present your claim, you have a possibility of being approved.

      Sincerely,
      Kay

  • Susan c chagnon

    MS has causes memory loss, inability to multi-task, concentrate and retain information. Still, NP simply said memory loss does not qualify me for disability. I am relocating and been at last job for nearly 12 years. In past three years, my cognitive skills have worsened. How am I to get new job of I am unable to retain? Neuro Psych suggested working from home, but not all jobs allow this option. Testing showed memory loss and recall issues. What are my options when neurologist will not approve?

    • Kay Derochie

      Dear Susan,

      You can apply for disability benefits and submit your cognitive test results to support your claim. If the tests show significant deficits, you may not need the support of your physician.

      Sincerely,
      Kay

  • Kevin

    I have had 2 open heart surgeries and have an irregular heartbeat and get light headed and sometimes pass out. I also get very exhausted quicker that your normal person while working and had to get my heart shocked last Christmas from it beating to fast. Do you think I would qualify? And I’m not sure my doctor will fill out the papers to do so!

    • Kay Derochie

      Dear Kevin,

      You might qualify for disability benefits. It depends on whether or not your condition keeps you from working and earning $1,130 gross per month in occupations that you have done in the past or in any new occupation. When evaluating your ability to perform a new occupation, your limitations, education, training, work experience, and age are considered.

      I suggest that you discuss your symptoms with your physician, including how often you pass out, to see whether he would support you in a disability claim. At the same time, you might consult with a vocational rehabilitation firm or your state’s vocational rehab department to find out whether there are less exerting jobs that you can perform.

      If the doctor doesn’t think you are disabled from all occupations but thinks that you should not be working in the job you are in, for example, for safety reasons, you might check with your employer to find out whether you are covered by a short-term or long-term disability policy that initially requires that you be disabled only from your present occupation. That would give you time to retrain and get established in a different occupation and/or try a claim for SSDI without your doctor’s support.

      Sincerely,
      Kay

  • Stevie

    I am a 37year old male with HIV+. Heart disease heart attack two stinits in my chest low circulation in left lower extremitie due to clogged bypass100% clogged .and arterie disease I recently applied for ssd do you think I’ll qualify? With those illnesses?

    • Kay Derochie

      Dear Stevie,

      You may qualify. It will depend on whether you are limited from doing any type of work you have done in the past or any other work you could do if you did not have the limitations caused by your coronary-artery disease.

      Sincerely,
      Kay

  • Cassie

    Hi, I’m 34yr old female, I have a herniated disc 2 bulging discs, spinal stenosis, osteoarthritis,degenerative disc disease and my back hurts everyday. I’ve had a MRI that shows all of this but it is mild to moderate, not severe yet but I can’t vacuum sweep or wash dishes because of the pain I feel. I have to sit down, lay down and change positions throughout the day.I have not had back surgery. I also have anxiety/panic attacks that happen at any time. I have not driven a car or worked in 3 years. Large crowds of people cause me to have a panic attack. I have irrational behaviors such as triple checking the stove or if the door is locked and then I worry if the house will burn down. I do not say the word cancer because I fear saying it will make me get it. Among other things similar to that. I have not seen a psychiatrist, my family doctor gives me Xanax to help control it but I still have a panic attack at least once a week. I am struggling to pay for things because I can not work any longer. I do not have a doctor saying I’m disabled or if he even would say I am and don’t know where to start. Do you think I would qualify?

    • Kay Derochie

      Dear Cassie,

      As you describe your back condition, you may not be eligible based on that problem. I suggest that you start seeing a psychiatrist for medication management and the psychiatrist or another mental health professional for counseling, both for your health and,i if you decide to file a disability claim, for better documentation of your mental health.

      Sincerely,
      Kay

  • Hi I’m a 53 year old male who is a veteran and now works construction for the past 25 years. Through working construction I’ve had my body beaten down from heavy lifting bending crawling twisting turning etc. I’ve had 2 llower back sugurys 1 neck surgery with a plate put in and both knees are shot and need replaced a lot of pain . I find it now where I can’t phycially do my job anymore. Do I have a good chance on getting disability for my knees and back ,neck because I can’t stand a lot go up a ladder or crawl like my job requires . thank you Vince

    • Kay Derochie

      Dear Vince,

      Given your history of heavy work and the medical conditions you describe, you may be eligible for Social Security Disability.

      Sincerely,
      Kay

  • Dwight

    Hi, I have had a mild stroke 11 months ago, according to the neurologist I have had 2 mild strokes. This stroke has left me with balance problems, and also short term memory problems. In other words I can be in the middle of a sentence and completely forget what I am talking about. I am 49 Years old. Also I have had 5 surgeries. Both shoulders The last was 3 months ago. It was serious enough that I have screws holding my bicep tendon in place. I have had back surgery for a ruptured disc. I had a terrible surgery for a tumor related to Zollinger-Ellison syndrome. The a year later I have a serious hernia operation due to 4 hernias that come because of the first surgery. I no longer can do the work I used to do. I have some good days. but I have just as many days that I really can’t do anything. I have filed for disability. Since my stroke hasn’t left me with a noticeable physical problems what are my chance of being approved?

    • Kay Derochie

      Dear Dwight,

      The combination of the memory problems and the physical limitations from your muscular-skeletal problems may combine to allow an approval, especially if you have done all fairly heavy labor in the past. If you have not had cognitive testing to document your memory problems, it could be helpful to your claim to get the testing done and submit it for your claim.

      Sincerely,
      Kay

      • Victor

        Hi, my name is Victor and I’m currently receiving 30%disability. I’m a service connected member! I need to add to my claim but I don’t have a doctor can you recommend any? I live in Florida!

        • Kay Derochie

          Dear Victor.

          I cannot recommend a physician for you. You might check the American Medical Association for a physician list of doctors with the correct specialty for your medical condition. Or, if you have insurance that requires you to stay within a network, get a list of doctors in your network.

          Sincerely,
          Kay

  • melissa

    Also I’ve never been able to hold a job more than two weeks due to my conditions. That’s why I’m going through this process. However I don’t know if my doctor is specific about my limitations. I feel like he just goes through the motions.

  • melissa

    I am 27 and my claim is for bipolar disorder and anxiety disorder what are my chances of winning. I have myler disability representing me. I go to my hearing Dec 8 2014. I’m a nervous wreck!

    • Kay Derochie

      Dear Melissa,

      I can’t offer an opinion on whether you will be approved; however, the fact that a lawyer took your case is an indication that you have a possibility of being approved. Whether or not you are approved will depend on how your mental illnesses affect your ability to work.

      Sincerely,
      Kay

  • Neva Tweed

    Hi I just had my colon removed and I am still in pain from Crohns I have bathroom problems every hour I can’t work because of the as in whats my chance for getting social security disability I’m 58 I don’t know what else to do I had my colon removed about 6 months ago

    • Kay Derochie

      Dear Neva,

      You may qualify for Social Security Disability. I suggest that you apply. Tips on filing an application can be found under the “Apply SSD” tab of the top navigation bar of this website.

      Sincerely,
      Kay

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