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How to use or fill out doh 5139 with our platform
- Click ‘Get Form’ to open the doh 5139 in the editor.
- Begin by entering your personal information in the designated fields, including your name, case number, and client ID number. Ensure accuracy as this information is crucial for processing.
- In Part I, list all medical conditions affecting your daily life. Be detailed about how these conditions limit your activities.
- For Part II, provide information about your medical records. Indicate if you have a primary care provider and list any other medical professionals you've seen in the past year.
- In Part III, answer questions regarding your education and ability to communicate in English. This section helps assess additional factors related to your disability claim.
- Finally, complete Part IV by detailing your work history over the past 15 years. Include job titles, duties performed, and reasons for leaving each position.
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