Resource Bank

Physical Residual Functional Capacity Questionnaire

Categories
Resource Type
Client/Agency Forms  
Description
This questionnaire, provided by attorney Leslie Kline-Capelle of Health Advocates, is intended to assist with a determination of disability for purposes of obtaining social security disability benefits. In order to be effective, the form must be completed by a medical doctor who is treating the individual applying for benefits. Although not HIV/AIDS specific, the form, if properly completed, may be a helpful piece of evidence in a case being heard by an administrative law judge (ALJ).  
File
Click here to download this document [ 33.79 kB ]  
Published
2008-May-02