How to fill out a supplemental anxiety questionnaire form for social security disability benefits.
Disability Resolution Form Supplemental Anxiety Script 6/22/14 1. Welcome to the Disability Television.com discussion series, hosted by Florida Disability Attorney Walter Hnot of the Disability Resolution Law Firm on completing important Social Security Disability forms necessary to apply for disability benefits. As always, there are no guaranties in life, but the more thorough and accurate you are in completing these important forms, the better your chances become of being awarded disability benefits. While you can always complete all the forms yourself, we at Disability Resolution are available to assist you with this detailed process to ensure that all the necessary information is properly communicated to the SSA. 2. I am attorney Walter R. Hnot, III of Disability Resolution, and I would like to cover completing the Social Security Administration supplemental anxiety questionnaire form, being the document that disability determination services uses to better understand your anxiety. But first, we must understand listing 12.06 in order to properly categorize what elements you must supply when filling out a supplemental anxiety form. 3. First, consider whether you have a: 1) generalized anxiety disorder; 2) obsessive-compulsive disorder (OCD); 3) panic disorder; 4) post-traumatic stress disorder (PTSD); 5) or a social anxiety/phobia. 4. Ok, so lets break it down, but consider first how they must all be severe enough to keep you from working, and they have or will last more then 12 months, or be terminal, aka kill you. 5. Generalized anxiety: a. Constant worrying that something bad is going to happen; b. Dry Mouth; c. Random Sweating/Fear Sweats/Waking Up Sweating; d. Palpitations/Rapid Heart/Skipping Beats; e. Shaking/Trembling/Quivering; f. Unlikely Fears/Constant Alertness Due To Fears; g. Irritability; h. Hyperactivity; i. Insomnia; j. Muscle Tension; k. Tiredness; l. An easy startle reflex; m. Apprehension; n. Difficulty Focusing; o. Tossing and Turning At Night; and p. Suicidal Ideations. 6. Panic Attacks: a. Shorter than Anxiety Attacks; b. Random Sweating/Fear Sweats/Waking Up Sweating; c. Palpitations/Rapid Heart/Skipping Beats; d. Shaking/Trembling/Quivering; e. Shortness of Breath; f. Hyperventilating; g. Difficulty with social functioning or leaving the house; h. Choking; i. An easy startle reflex; j. Inability to focus on tasks or daily activities; k. Apprehension; l. Difficulty Focusing; m. Suicidal Ideations; and n. Severe, ongoing and recurrent panic attacks that occur at least one time per week on average.? 7. The next thing that I am going to cover is the Obsessive Compulsive Disorders OCD, being the continued, meaning constant and or ongoing obsessive or compulsive behavior that causes significant distress that is unwanted. Basically, its difficult for individuals with OCD to keep jobs because they use a lot of sick days and have a tendency to have social functioning issues. This means that they have a difficult time completing tasks due to a lack of focus, and will often also have a difficult time socializing with others. 8. The next thing that I am going to cover is PTSD, or Post Traumatic Stress Disorder, being the continued, ongoing and intense recollections of a traumatic event. People usually think of veterans from Vietnam or Iraq; however, individuals who have experienced a death, injury, rape, accident, abuse, natural disaster, or a heart attack may also have PTSD. An example that I can give you of how I was personally affected by PTSD involves the Florida Bar Exam. I’m one of those types who tries to always be the best, and with that, I am always trying to find new ways to make systems that will make things easier. Well, when I was studying for the bar, I setup multiple different and evolving schedules. In order to make the schedule better, I would constantly try to wake up earlier and earlier. Upon taking the bar and going through what ended up being a once and done wonderful experience, I could no longer sleep on the right side of my bed without waking up early to study, or waking up in a cold sweat and thinking that the exam was in two days. This is also a form of Post Traumatic Stress Disorder. 9. There are other listings pertaining to anxiety based disabilities; however, if you have any questions, feel free to call me at (407) 279 1754. 10. Ok, so lets go through the questions now. Question one asks, “When did you start having anxiety attacks?” What they are looking for here is a timeline. This means you need to draw out in years when you started having anxiety attacks, and what the triggering event was that pertains to that attack. It is also important to write in additional information as to what treatment was done during those years for the anxiety issues. It is ok for you to say birth for this question, as your parent or sibling may know more about your early anxiety issues than you in your current state. 11. Question number two is, “[w]hat was the date of your last anxiety attack? With this question, it’s usually good to also put in details as to why you had your last anxiety attack. Additionally, it is advisable to talk about whether this was a small anxiety attack, was panic related, came after a long spell of depression, or just came out of nowhere. 12. Question number three is, “How many attacks have you experienced in the last 3 months, and also the last 6 months.” It’s a good idea to bifurcate the smaller attacks from the larger attacks. So for example, I have had 100 smaller panic attacks, and around 40 larger anxiety attacks over the past three months. Also if there are things in particular that recently happened to make the number of panic attacks jump during the last three months, make sure you write in that reason. 13. Question number four is, “How long does each attack last?” A lot of my claimant’s have this perplexed look on their face when they read this question. I understand that many of you do not use a stopwatch, and that even if they did, they are not looking for the average amount. My suggestion is to write the shorter, mid length and longer average for your anxiety attacks. 14. Question number five is, “What appears to cause the attacks?” Please be careful with this question. Make sure that you put in the original cause, the daily routine issue that enhanced your stress, and any unique things that are going on in your life that pushed you over the edge. 15. Question number six is, “What makes the attacks worse?” Please also be careful with this question as well. This can include the time of day, if it is raining, or you just woke up on the wrong side of the bed. There are unlimited things as to what could make the attacks worse. Write them out and leave out nothing. You must always tell the truth. Don’t worry about hurting a family member by saying that they cause you anxiety. You need to get the truth out there in an accurate and truthful manner. And also, put new information in as the SSA can send you this form after every appeal. It’s always best to create consistent wording between this form and the 3441 appeal form. 16. Question number seven is, “What relieves your symptoms?” This can include anything and everything, being medications, breathing exercises, locking yourself in a room, eating cereal, or watching harry potter movies. Many people pace, talk to themselves, and yada yada. Basically, all of this information needs to go into this question. 17. Question number eight is, “In your own words, giving as many details as possible, describe what happens during an attack, including what kinds of thoughts you have and what this makes you do.” Please remember the list from above, being symptoms, such as: a. Constant worrying that something bad is going to happen; b. Dry Mouth; c. Random Sweating/Fear Sweats/Waking Up Sweating; d. Palpitations/Rapid Heart/Skipping Beats; e. Shaking/Trembling/Quivering; f. Unlikely Fears/Constant Alertness Due To Fears; g. Irritability; h. Hyperactivity; i. Insomnia; j. Muscle Tension; k. Tiredness; l. An easy startle reflex; m. Apprehension; n. Difficulty Focusing; o. Tossing and Turning At Night; and p. Suicidal Ideations. q. Also, do not forget to describe what happens before and after your anxiety attack. Talk about who you were talking to, what happened at work, and what thoughts, no matter how disturbing they are, were entering and exiting your mind during the anxiety attack. 18. Question number nine is, “How do these attacks affect you ability to function?” Ok, take a mini break, as the explanation thus far has been pretty detailed. Ready? Great, it’s wonderful to hear that you paused the media and you are ready again to begin, even though you were not put on notice to pause the media. Great, so you need to think in terms of work functioning, and social functioning. Split it up. What jobs did you have within the past 15 years, and what functions could you not complete in those jobs due to your anxiety attacks nowadays. For example, you could not focus, and therefore would not complete the task of filing documents properly, whereas back in the day, this is something that you could easily do. Additionally, think of social functioning issues. You would start crying, and your family tried to help, but it only hurt more, and you ended up at the hospital, because you need space from people, ect…ect. This is your chance to add evidence as to why your abilities to function, meaning doing anything from everyday stuff, to highly complex tasks, is limited by your anxiety attacks. 19. Ok, now that does it for the supplemental anxiety questionnaire form from the SSA for disability benefits. I hope this helped you with a better understanding as to what the SSA is looking for when considering whether you can receive benefits from the SSA. 20. In the event you have any questions or would like assistance with the form completion process, please feel free to contact me at email@example.com or (407) 279-1754. I would be happy to assist you this process. 21. Again, I am attorney Walter R. Hnot, III, with Disability Resolution, P.A. 22. Come visit me in Orlando, Florida and have a great day!
What is an SSA 827 Authorization To Release Medical Infomation Form By FL Orlando Disability Attorne
Disability Resolution Form SSA-827 Script 5/9/14 1. Welcome to the Disability Television.com discussion series, hosted by Florida Disability Attorney Walter Hnot of the Disability Resolution Law Firm tonight, on completing important Social Security Disability forms necessary to apply for disability benefits. As always, there are no guaranties in life, but the more thorough and accurate you are in completing these important forms, the better your chances become of being awarded disability benefits. While you can always complete all the forms yourself, we at Disability Resolution are available to assist you with this detailed process to ensure that all the necessary information is properly communicated to the SSA. 2. I am attorney Walter R. Hnot, III of Disability Resolution, and I would like to cover completing the Social Security Administration form SSA-827, being the Authorization To Disclose Information to the SSA. Simply put, it's a Hipaa, or Health Insurance Portability and Accountability Act form. 3. The SSA-827 is a form where you voluntarily authorize the release of your medical records, and other supplemental records to the SSA. You want this so that they can collect evidence on your claim to determine your eligibility for benefits. 4. In order to complete the SSA-827 form, look to the upper right and neatly print or type your first, middle, and last name with any suffix, like Jr., III, etc. Immediately beneath your name, print or type your SS#, followed by your date of birth in month, day and full year format. You should then read through the SSA-827 form to get a full understanding of what it entails, or discuss the form with your attorney who will explain it to you in detail. 5. Do not complete the middle section of the form as this space is for the SSA. Moving now to the lower section of the form, sign the form in front of your witness using blue or black ink, date it, complete your address, and add your phone number. Your witness can be anyone at least 18 years of age who knows you, but remember, federal law does not require a witness to sign. But if a witness does, the witness must also provide their address or phone number on the space provided. And as a side note, it’s always best to have a witness sign your disability documents, as to lower the probability of fraud on your behalf. Additionally, do not forget to date the form after you sign it. 6. When the form is completed, it must be submitted to the SSA following the instructions on the back of the form, or be given to your attorney for error review and admin fax submittal to the SSA. 7. As a few side notes, an 827 usually lasts around 12 months, can be limited by timelines, includes material created after its signature, and usually covers educational records as well. 8. In the event you have any questions or would like assistance with the form completion process, please feel free to contact me at firstname.lastname@example.org or (407) 279-1754. I would be happy to assist you this process. 9. Again, I am attorney Walter R. Hnot, III, with Disability Resolution. 10. Have a great day!