Forms Catalog Document - HA4631 :-: SSA :-: Claimant's Recent Medical Treatment

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Claimant's Recent Medical Treatment

The information collected on Form HA-4631 is used to provide an updated medical history for a disability claimant who requests a hearing and to afford claimants their statutory right to a hearing and decision under the Social Security Act.

Form #: HA 4631
Agency: Social Security Administration

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	2	367	[2] Printable Only	Adobe Reader Download

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