Please respond to the following questions regarding your patient¶s disability. This will be used as medical evidence for a 6ocial 6ecurity disability claim or a ...
An RFC form completed by your doctor can greatly improve your chances of winning Social Security disability benefits. Download a free RFC form here.
FORM APPR0VED. OMB NO. 0960-0431. RFC ASSESSMENT IS FOR: PHYSICAL RESIDUAL FUNCTIONAL CAPACITY ASSESSMENT. CLAIMANT:.
This form is the
MENTAL RESIDUAL FUNCTIONAL CAPACITY ASSESSMENT. SOCIAL SECURITY NUMBER. NAME. ASSESSMENT IS FOR: CATEGORIES (From IB of the ...
Form SSA-4734BK (1-89). 1. (Formerly SSA-4734-U8 Use prior editions). Form Approved. OMB NO.0960-0431. PHYSICAL RESIDUAL FUNCTIONAL ...
When applying for SS benefits due to PTSD, the SSA will evaluate your ability to work. An RFC form can help provide support for your claim.
A medical source statement is essentially synonymous with the RFC, or