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 Ha 1151 U4 Form 2009

Ha 1151 U4 Form 2009

Use a Ha 1151 U4 Form 2009 template to make your document workflow more streamlined.

Expected duration and prognosis. For each activity shown below: (1) Check the appropriate block; (2) Respond to the questions about the individual’s ability to perform the activity; and (3) Identify the factors (e.g., the particular medical signs, laboratory findings, or other factors described above) that support your assessment of any limitations. IT IS VERY IMPORTANT TO DESCRIBE THE FACTORS THAT SUPPORT YOUR ASSESSMENT. WE ARE REQUIRED TO CONSIDER THE EXTENT TO WHICH YOUR ASSESSMENT IS...
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