Ha 1151 u4 1999 form-2025

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The document is a Medical Source Statement designed to evaluate an individual's ability to perform work-related physical activities despite impairments. It requests the medical professional's opinion on the individual's capabilities in various areas such as lifting, standing, walking, sitting, pushing, pulling, and postural functions. The form emphasizes the importance of providing supporting medical findings for any limitations assessed and includes sections for manipulative, visual, communicative, and environmental limitations.

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Versions	Form popularity	Fillable & printable
2009	4.8 Satisfied (92 Votes)
2006	4.4 Satisfied (365 Votes)
1999	4.4 Satisfied (68 Votes)

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