What constitutes Medical Evidence of Record?
Your report should present symptoms, signs and laboratory findings that will establish that your patient has a medically determinable impairment severe enough to prevent him or her from working for a year or more or to result in death.In most cases, this initial medical evidence is all that is needed by Social Security to make a disability determination. This is because the evidence provided by you, the treating source, usually is based on a long-term relationship. You are familiar with your patient and can trace or establish the beginning and course of the impairment(s)’ response to treatment and prognosis. Social Security Administration guidelines emphasize the importance of the treating source’s evidence in the decision making process.
