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pdfDisability Case Selection
May 13, 2009
1
Select Case Level
May 13, 2009
2
Confirm Case Creation
May 13, 2009
3
Form Selection
May 13, 2009
4
Link Folder
May 13, 2009
5
CDR Information, Part 1 of 2
User has indicated claimant used other names, but has not entered any
May 13, 2009
6
CDR Information, Part 2 of 2
Other Names = Yes, but no other names entered
May 13, 2009
7
Other Names Used
May 13, 2009
8
CDR Information, Part 2 of 2
Other Names = Yes, with another name entered
May 13, 2009
9
CDR Representatives
Appointed Representative = No
May 13, 2009
10
CDR Representatives, Part 1 of 2
Appointed Representative = Yes
May 13, 2009
11
CDR Representatives, Part 2 of 2
Appointed Representative = Yes
May 13, 2009
12
CDR Claims
May 13, 2009
13
Contacts, Part 1 of 3
May 13, 2009
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Contacts, Part 2 of 3
Person Completing Report = Claimant
May 13, 2009
15
Contacts, Part 3 of 3
Person Completing Report = Someone Else
May 13, 2009
16
Medical Conditions, Part 1 of 2
Medical Conditions Propagated from mainframe, no new conditions entered
May 13, 2009
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Medical Conditions, Part 2 of 2
Medical Conditions Propagated from mainframe, no new conditions entered
May 13, 2009
18
Medical Conditions, Part 1 of 2
Medical Conditions Propagated from mainframe, plus one new conditions entered
User has indicated claimant uses an assistive device
May 13, 2009
19
Medical Conditions, Part 2 of 2
Medical Conditions Propagated from mainframe, plus one new conditions entered
User has indicated claimant uses an assistive device
May 13, 2009
20
Medical Sources
Initial view
May 13, 2009
21
Medical Sources
User has indicated claimant has medical sources, but has not entered any
May 13, 2009
22
Doctor/Therapist Information, Part 1 of 2
May 13, 2009
23
Doctor/Therapist Information, Part 2 of 2
May 13, 2009
24
Medical Sources
User has indicated claimant has medical sources and entered a doctor
May 13, 2009
25
Hospital/Clinic Information, Part 1 of 3
May 13, 2009
26
Add Hospital/Clinic, Part 2 of 3
May 13, 2009
27
Add Hospital/Clinic, Part 3 of 3
May 13, 2009
28
Tests Summary
May 13, 2009
29
Test Information
No body part involved or other explanation needed
May 13, 2009
30
Test Information
Body part involved
May 13, 2009
31
Physical and Mental Condition Information – Plan A
Claimant adds physical or mental condition while adding test
May 13, 2009
32
Physical and Mental Condition Information – Plan B
Claimant adds physical or mental condition while adding test
May 13, 2009
33
Medicines Summary
May 13, 2009
34
Medicine Information
May 13, 2009
35
Other Medical Information
Initial View
May 13, 2009
36
Other Medical Information
User has indicated claimant has other medical source, but has not entered any
May 13, 2009
37
Other Medical Information
May 13, 2009
38
Other Medical Information
User has entered an other medical source
May 13, 2009
39
Education and Training
Initial View
May 13, 2009
40
Education and Training, Part 1 of 2
User has indicated claimant received education and training
May 13, 2009
41
Education and Training, Part 2 of 2
User has indicated claimant received training
May 13, 2009
42
Vocational Rehabilitation, Employment, or Other Support Services
Initial View
May 13, 2009
43
Vocational Rehabilitation
User has indicated claimant received vocational rehabilitation, but has not entered any
May 13, 2009
44
Vocational Rehabilitation, Employment, or Other Support Services Information,
Part 1 of 2
May 13, 2009
45
Vocational Rehabilitation, Employment, or Other Support Services Information,
Part 2 of 2
May 13, 2009
46
Daily Activities
Initial View
May 13, 2009
47
Daily Activities
User has indicated claimant has hobbies or interests
May 13, 2009
48
Daily Activities, continued, Part 1 of 2
Initial View
May 13, 2009
49
Daily Activities, continued, Part 2 of 2
Initial View
May 13, 2009
50
Daily Activities, continued
User has indicated claimant has difficulty bathing
May 13, 2009
51
Work
May 13, 2009
52
Daily Activities, cont 2, Part 1 of 2
Initial View
May 13, 2009
53
Daily Activities, cont 2, Part 2 of 2
Initial View
May 13, 2009
54
Remarks
May 13, 2009
55
| File Type | application/pdf |
| File Title | Slide 1 |
| Author | 414761 |
| File Modified | 2009-07-16 |
| File Created | 2009-07-16 |