Case Studies
Plans & Pricing
Log InGet a Demo
Get Started
No Credit Card Required
Product
Resources
Case Studies
Plans & Pricing
Documate is now Gavel! Read more about why we’re excited about this rebrand.

Get The SSA Medical Records Request (with Affidavit) App

Better than a template and created by a lawyer. Try this legal app. This workflow contains a template to request for medical records to begin the appeal process for Social Security disability benefits.

This app is for legal aid organizations looking for standard templates that request for a client’s medical records from the Social Security Administration to aid in the appeal process for Social Security disability benefits. The form included in this workflow is the Medical Records Request with Affidavit template. It is important to note that these templates include Minnesota states statutes. Unless you are a legal aid organization in Minnesota, these templates must be updated to reflect your state’s statutes. This is only possible thanks to the generous funding by Legal Services Corporation through the Technology Innovation Grant.

You can find the rest of SMRLS’ free SSI/SSDI workflows on Gavel’s Marketplace: SSA Letter to Client, Medical Records Request no Affidavit, Letter to the SSA Requesting Medical Records Fee Waiver, and Letter to Social Security Administration

Jurisdictions Covered
Vermont
Michigan
Wisconsin
Michigan
Indiana
Orange County, Florida
Florida
Tennessee
Ontario
UK
Worldwide
Wyoming
Los Angeles, CA
Minnesota
Virginia
USA - Federal
Missouri
Louisiana
Illinois
Sweden
USA - All States
Canada - All Provinces
Utah
Texas
New York
Colorado
California
Who is this app for?
Legal Aid
Languages
English
Documate file icon
Are you an attorney? Contact us to use this app as a template for your firm
Contact Us
Southern Minnesota Regional Legal Services

Southern Minnesota Regional Legal Services provides free, high-quality legal help to low-income people in critical civil matters in Minnesota. For 113 years, we’ve helped individuals and families secure and protect their basic needs, maintaining freedom from hunger, homelessness, sickness, and abuse. Because, justice matters.

Call
(877) 696-6529

Created by

Thomas Krause
Senior Attorney
Thomas Krause is a Senior Attorney at Southern Minnesota Regional Legal Services, Inc.
Jenna Saverynski
Paralegal
Jenna Saverynski is a paralegal at Southern Minnesota Regional Legal Services, Inc.

App Updates

Version
2.0
Current
Version
1.0
Current
This is the initial version of the application.
Jurisdictions Covered
Minnesota
Who is this app for?
Legal Aid
Languages
English
Documate file icon
Are you an attorney? Contact us to use this app as a template for your firm
Contact Us
No items found.

Do you have a Gavel legal app to add to the marketplace?

Use your legal expertise to build a Gavel app, and we can help you package and sell it on our marketplace.
Contact UsLearn more about our marketplace
Free
Use Now