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Medical examination for employability assessment, disability - labor state ny

Medical examination for employability assessment, disability - labor state ny 2025

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The document LDSS-4526 is a medical examination form used by the New York State Office of Temporary and Disability Assistance for assessing employability, disability screening, and determining alcoholism or drug addiction. It includes sections for client identification, authorization for medical information release, medical history, functional limitations, treatment history, current treatment program details, work activity limitations, SSI referral screening, and physician information. The form aims to gather comprehensive medical and functional data to support disability determinations.

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