Vision Impairment RFC Questionnaire. SS Disability Practice 2025

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The Disability Determination Services (DDS) physician completes the RFC form, but you can also have your own doctor fill out an RFC on your behalf.
Ask Your Doctors to Complete a Physical or Mental RFC Form You can even print out a blank physical RFC or mental RFC form to give to your doctor, counselor, or therapist for them to fill out.
You have a VISUAL DISABILITY if your: vision is 20/70 (by Snellen Chart or equivalent) or worse in the better eye. field of vision is less than 20 degrees wide (by automated perimeter) in the better eye. vision cannot be improved by eyeglasses, medication, or surgery.
Most eye conditions and diseases are rated between 10 percent and 60 percent. Exceptions are blindness and the impairment of central visual acuity, which may receive a rating of up to 100 percent, depending on the related details.
We consider you to be blind if your vision cant be corrected to better than 20/200 in your better eye. We also consider you blind if your visual field is 20 degrees or less in your better eye for a period that lasted or is expected to last at least 12 months.

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RFC is an administrative assessment of the extent to which an individuals medically determinable impairment(s), including any related symptoms, such as pain, may cause physical or mental limitations or restrictions that may affect their capacity to do work-related physical and mental activities.
If youre a veteran with a 100% disability rating and face severe or unique challenges due to your service-connected conditions, you might be eligible for Special Monthly Compensation (SMC) benefits. SMC is designed for veterans who need extra financial support above and beyond regular VA disability compensation.

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