Types of Medical Records the SSA Requires

The SSA reviews a wide range of medical records to evaluate your SSDI claim, including:

• Doctor’s Treatment Notes – Records from your primary care doctor describing your condition, symptoms, and treatment progress.
• Specialist Reports – Documentation from specialists such as neurologists, psychiatrists, cardiologists, or orthopedists.
• Hospital Records – Admission reports, discharge summaries, and test results from hospital stays.
• Diagnostic Test Results – X-rays, MRIs, CT scans, blood tests, or other lab work that supports your diagnosis.
• Surgical Records – Documentation of past surgeries and follow-up care.
• Medication Records – Lists of prescriptions, dosages, and side effects.

Doctor’s Opinions and Medical Statements

In addition to records, the SSA places great weight on detailed statements from your treating physicians. These should explain:

• How your condition affects daily functioning
• Your physical and mental limitations
• Whether your condition prevents you from working full-time

The more specific and consistent your doctor’s opinion is, the stronger your case will be.

Consistency Matters

One of the most common reasons SSDI applications are denied in Nevada is a lack of consistent medical records. Make sure you:

• Attend regular appointments with your doctors
• Follow prescribed treatments
• Keep your medical history updated and accurate

How the SSA Uses Medical Records

The SSA uses your medical documentation to determine:

• Whether your condition meets a Listing of Impairments
• If your condition prevents you from doing your past work
• If you can do any other type of work given your limitations, education, and age