Introduction |
When you have requested or are requesting a hearing before an Administrative
law Judge (ALJ), use this form to tell us about the medications you take.
To ensure that we have current medical information, you should also complete
an HA-4631, Claimant's Recent Medical Treatment. If you have worked since
you filed your application for disability benefits, complete an HA-4633, Claimant's Work Background.
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How to Obtain the Form |
Below you will find Form in Portable Document Format (PDF). To print
the PDF version, you will need the Adobe Acrobat reader software. If you
do not already have this special software, see our page
on downloading and printing PDF documents.
After you download the Adobe Acrobat Reader, come back to this page
and download the PDF version of the HA-4632:
Claimant's Medications, HA-4632
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