What role do doctors play in disability claims?
By Hogan Smith
Updated 04/17/2025
When applying for Social Security Disability benefits, doctors play a crucial role in determining the outcome of your claim. The Social Security Administration (SSA) heavily relies on medical evidence, and your doctor’s input can significantly influence whether your application is approved or denied.
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Why Medical Evidence Is So Important
To qualify for disability benefits, you must prove that your condition:
- Meets the SSA’s definition of disability
- Prevents you from working for at least 12 months or is expected to result in death
This determination is made primarily through your medical records, treatment history, and medical opinions — all of which come from your healthcare providers.
How Doctors Support Your Disability Claim
Here’s how your doctors can help strengthen your application:
1. Providing Medical Records
Your doctor’s records show your diagnosis, symptoms, treatment plan, and how your condition impacts your daily functioning. SSA reviewers need this information to verify the severity and progression of your condition.
2. Offering a Medical Opinion
A written statement or medical source statement from your doctor outlining your physical or mental limitations can greatly improve your chances. It should include:
- How long you’ve had the condition
- Specific limitations (e.g., inability to sit, stand, lift, concentrate, etc.)
- Prognosis and future treatment expectations
SSA gives more weight to opinions from treating physicians who have a long-standing relationship with you.
3. Completing Functional Assessments
The SSA may send you or your doctor a Residual Functional Capacity (RFC) form, which assesses how much you can do physically and mentally. Having your doctor complete this accurately and thoroughly is vital.
4. Responding to SSA Requests
Sometimes, SSA will contact your doctor directly for clarification or additional details. A responsive doctor can help avoid delays or unnecessary denials.
What If My Doctor Refuses to Help?
Unfortunately, not all doctors are willing to get involved in disability claims. If your doctor:
- Doesn’t believe you are disabled
- Refuses to complete forms
- Charges high fees for records or letters
…you may need to
seek care from another provider who is more supportive or experienced with disability cases.
How Hogan Smith Can Help You
At Hogan Smith, we understand the critical role your doctor plays in the disability process. Our team will:
- Guide your doctor on what the SSA needs to see in their documentation
- Help you gather and organize your medical records
- Assist with obtaining detailed medical opinions
- Ensure all evidence aligns with SSA’s disability criteria
Contact Hogan Smith Today
Need help preparing your disability claim or getting your doctor’s support?
Contact Hogan Smith for a free consultation. We’ll review your case, explain how to strengthen your application, and work with your medical team to get the documentation you need to win the benefits you deserve.
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