Records & treatment
Medical evidence that supports a claim
Claims are decided largely on medical and functional evidence. Diagnoses matter, but so does clear information about what you can and cannot do at work and in daily life.
What decision-makers look for
Objective findings (exams, imaging, labs) when they exist, plus consistent treatment notes.
How symptoms limit sitting, standing, lifting, walking, concentration, attendance, and pace.
Whether limits are ongoing despite treatment.
Common gaps
Long gaps in treatment with no explanation.
Records that list diagnoses but say little about function.
Inconsistencies between what is reported on forms and what is in the chart.
Practical next steps
- List every treating clinic, hospital, and specialist with approximate dates.
- Request recent records and test results.
- Write a short plain-language description of a typical bad day and a typical better day.
Optional help
You can keep preparing with these guides on your own. If you want help from a disability advocate, you can use the full screening to see next steps and request a conversation.
General educational information only. Not affiliated with the Social Security Administration. Not a determination of eligibility or approval. Not legal or medical advice. Rules and dollar amounts can change; verify details for your situation before you apply or appeal.