Our SSI SSDI Autism Provider Form is designed to capture the critical evidence needed to strengthen a disability case. Medical records often overlook essential details, but this form ensures that key areas—such as social skills, independence, stimming behaviors, and daily functioning—are thoroughly documented. By addressing these crucial factors, this form provides a comprehensive picture of the individual's challenges, helping to build a stronger case for disability approval. If you are applying for the first time or appealing a denial, this guide will help you.
 
Includes:
Questionnaire- 4 pages
Instructions -1 page
 
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Disclaimer
This form does not file your disability claim with the Social Security Administration (SSA). Instead, it serves as a supplemental tool to help document and strengthen your claim by providing medical evidence of your functional limitations.
To learn more about filing a disability claim or to begin the application process, please visit SSA.gov or visit your local SSA office.