Disability Report - Child (Internet)

Disability Report - Child

i3820 screens (revised)

Disability Report - Child (Internet)

OMB: 0960-0577

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Screenshot package – i3820 language changes
1/26/24
This only includes the changes corresponding to the highlighted changes on the SSA-3820 sent on 1/26/24. It does not
include pronoun changes or Contact Us language changes.
AC008: About [child name]’s Illnesses, Injuries or Conditions

MH012: Additional Sources of Testing or Examination

MH018: About [child name]’s Testing at a Mental Health or Developmental Disabilities Center

MH029: Summary of [Child Name] Medical History

Changed language in this section:


File Typeapplication/pdf
AuthorOhlin, Amanda
File Modified2024-02-12
File Created2024-02-12

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