Our SSI SSDI Psychological Physician Letter and Mental Health Questionnaire is specifically designed to address the gaps often found in medical records. Standard documentation rarely captures key functional limitations, such as your ability to concentrate, maintain punctuality, or handle workplace stress. This questionnaire helps your healthcare provider address these crucial areas, building a strong case that demonstrates your inability to work.
 
Included:
Questionnaire – Two pages
Physician Letter – Explains the importance of the form and why the physician is being asked to complete it.
Instructions- How to submit the competed form
 
Why Choose This Tool?
Focused on functional limitations that evaluators consider.
Tailored questions to guide your provider in documenting critical evidence.
Helps strengthen your claim by providing clear, detailed insights into your mental health challenges.
 
Note: The purchased version of this product does not include the watermarks shown in the picture.
 
Once the digital file is purchased, you will receive an email with a download link to access your document.
 
Disclaimer: Not all pictures are listed to protect the product from being copied.
 
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.