Skip to navigation Skip to content

Applicant Medical History (.pdf)

Share

The purpose of this worksheet is to help gather all the medical information related to your disability(s) that you need for your Social Security Disability Insurance application.

Download Worksheet

Share


Your input is important!

We believe that people affected by MS live better lives when they're connected.  To help us provide you with the best resources, support and information, please provide your feedback in a short survey.
Take the survey