Here are some complimentary forms for your DOCTORS to fill out that can help win your disability case!

Physical Disabilities:

Physical Medical Source Statement


Cardiac Medical Source Statement

Cancer Medical Source Statement

IBS Medical Source Statement

Lupus Medical Source Statement

Seizure Medical Source Statement

Fibromyalgia Syndrome Medical Assessment Form

Headaches/Migraines Medical Source Statement

Multiple Sclerosis

Vision Problems

Mental Disorders:

Mental Medical Source Statement

For clients with Minor Children Applicants:

Child’s Functional Assessment

Teacher Questionnaire


Medical Report on Adult with Allegation of Human Immunodeficiency Virus [HIV] Infection

Medical Source Instruction Sheet for Completion of Attached DHS 7035 A

Helpful Links:

Social Security Disability Related






Search Engines


Note: You must have Adobe Acrobat Reader to view the following PDF’s. Click here to download a free reader.
DISCLAIMER: Downloading these forms in no way creates an attorney/client relationship and no attorney/client relationship is intended by our office or our attorneys in providing these helpful forms to you. We do not represent you at any time until an attorney has reviewed your case and you and the attorney have decided to establish representation by signing appointment of representative forms that are submitted to the Social Security Administration. To start this process, contact our office for a case review.


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“My attorney and her staff on this ordeal & process of disability were fantastic as I knew they would be, for my family & friend had used her services before with 100% success.  On my first denial, I called her within a few minutes & within a few short months my benefits were approved.  It was a small price to pay to restart my life all over again.  I cannot work anymore but I can still live in a new way.  Thank you Stephanie Lake & may God bless you & yours:  Godspeed!!!”

~ Harold T, 8/24/17

Stephanie Lake Won My Disability Case!
These testimonials do not constitute a guarantee, warranty, or prediction regarding the outcome of your legal matter.