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DISABILITIES OF THE ARM, SHOULDER, AND HANDName:___ Date:___Please rate your ability to do the following activities in the last week by circling the number below the appropriate response.NO DIFFICULTYMILD
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Start by carefully reading the instructions on the form.
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Provide accurate and updated information about the disability.
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The form disabilities of form is a specific document used to report and manage disability-related information, typically for the purpose of applying for benefits or support services.
Individuals who are applying for disability benefits or need to report disability status to a relevant authority are required to file the form.
To fill out the form, one should provide personal information, details of the disability, supporting medical documentation, and any other required information as instructed in the form guidelines.
The purpose of the form is to collect necessary information to determine eligibility for disability benefits and to ensure that individuals receive appropriate support and services.
The form typically requires personal identifying information, details of the disability, medical history, treatment information, and any other relevant data as specified in the form.
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