Physicians Statement of Permanent Disability Form H1837 2025

See details

4.3 out of 5

38 votes

The document is Form H1837, a Physician's Statement of Permanent Disability used by the Texas Health and Human Services Commission (HHSC) to assess an applicant's eligibility for the Supplemental Nutrition Program (SNAP). It requires a physician to confirm if the applicant has any conditions that qualify as permanently disabling, such as severe physical impairments or chronic diseases. The form emphasizes confidentiality and outlines the responsibilities of both the applicant and the physician.

Here's how it works

01. Edit your form h1837 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send h1837 form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out Physicians Statement of Permanent Disability Form H1837

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
Begin by entering the applicant's name, case name, and F.S. case number at the top of the form.
Fill in the applicant's address, including street, city, state, and ZIP code.
Instruct the physician to check the appropriate box(es) that correspond to the applicant's permanent disabilities listed on the form.
Ensure that the physician signs and dates the form at the designated area after completing their section.
Finally, review all entries for accuracy before submitting it back to the HHSC office as indicated.

Start using our platform today to fill out your Physicians Statement of Permanent Disability Form H1837 for free!

See more Physicians Statement of Permanent Disability Form H1837 versions

We've got more versions of the Physicians Statement of Permanent Disability Form H1837 form. Select the right Physicians Statement of Permanent Disability Form H1837 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2019	4.3 Satisfied (38 Votes)
2003	4.4 Satisfied (51 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a proof of disability letter from a doctor?

A well-written doctor letter can: Confirm your diagnosis and describe the severity of your condition. Explain how your symptoms affect your ability to perform daily activities and work tasks. Clarify inconsistencies or gaps in your records.

What is a physicians statement for disability?

An Attending Physician Statement (APS) is a form questionnaire from the insurance company that your treating doctor must complete. The purpose of the APS is for your doctor to docHub your inability to work.

Can I print the DE 2501 form pdf?

Claim for Disability Insurance (DI) Benefits (DE 2501) English: You must submit an original form provided by the EDD, either electronically or through US mail. It cannot be downloaded or reproduced.

What should a physician write in a letter for disability services?

Doctors letters should always include the following elements: References to objective medical statements or evidence. The doctors opinion of the specific limitations of the patient, including examples. An explanation as to how the medical evidence supports your doctors opinion.