ELLIS CLINIC · SOCIAL SECURITY DISABILITY APPOINTMENT PROCESS
ELLIS CLINIC · SOCIAL SECURITY DISABILITY

Prepare for Your SSD Appointment

Before completing the Ellis Clinic Social Security Disability Appointment Protocol, review how to prepare your records. A well-organized packet helps the Clinic identify the medical evidence that matters without burying the important records in unnecessary pages.

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BEFORE YOU BEGIN

Send Pertinent Records — Not Everything

The Ellis Clinic instructions say to send copies only because records are destroyed and are not returned. They also emphasize sending pertinent records rather than every page of a medical chart. For example, an operative report may be enough for a surgery, and routine follow-up maintenance visits usually do not all need to be included.

1. Appointment Protocol on Top

Your completed Social Security Disability Appointment Protocol should be the first page of the packet.

2. Typed Summary List

Prepare a typed Summary List of the important records. The supplied instructions say the Summary List may be attached to the medical report.

3. Organize by Section

Use a colored sheet or tab between sections, keep the most recent records on top within each section, and clip or staple each operation, test, physician, or record group together.

Important: Do not create a separate medical-record list for every condition. The instructions call for organizing all operations together, all tests together, all physician records together, and so forth.
RECORDS ORDER

Build Your SSD Records Packet in This Order

The supplied Ellis Clinic instructions use the following record categories.

1 · Operations
Usually only the operative report.
2 · Tests
MRI, EMG/nerve conduction studies, pertinent laboratory tests, and similar diagnostic evidence.
3 · Hospital Records
For surgery, the operative report may be enough; when there was no surgery, a discharge summary may be sufficient.
4 · Physician Records
Reports, office notes, and other pertinent physician documentation.
5 · Optional Non-Physician Records
Examples include physical therapy and a Functional Capacity Evaluation.
Summary List
List the important records by category and date so the medical history can be reviewed efficiently.
WHAT THE PROTOCOL COLLECTS

Your Information & Disabling Conditions

The Appointment Protocol asks for your contact information, Social Security number, date of birth, work status, representative, and the conditions, diseases, or injured body parts that make it difficult to work. The form asks that the most disabling condition be listed first and provides ten lines for conditions.

Payment information: The supplied protocol lists a $500 Social Security Disability examination and medical opinion report fee and also describes a Summary List preparation charge. This website builder does not collect credit-card numbers, expiration dates, or security codes. Those payment fields remain blank on the generated PDF.

Ready to Build Your Protocol?

Complete the guided form, review your answers, and create a filled copy of the Ellis Clinic SSD Appointment Protocol.

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