Form 486t 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Section I, which includes the case number, agency's name and address, social security number, and patient details such as name, address, date of birth, and sex.
3. In Section II, provide the medical report. Enter the diagnosis(es), current medications and dosages, and general findings including height, weight, and blood pressure.
4. Indicate whether the impairment has lasted for one year or more. If not, specify how long it is expected to last.
5. Complete the body systems section by marking each system as normal or abnormal. For any abnormalities noted, provide detailed information in the appropriate sections.
6. Fill out the functional charts indicating exertional functions and non-exertional functions based on the patient's capabilities.
7. Finally, ensure all sections are completed accurately before saving your work. You can easily share or print the completed form directly from our platform.

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