If the case contains no medical evidence, leave items 32-33 blank.
In all other cases, enter the following:
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•
Item 32 –the name and the date of the medical assessment form containing the medical evaluation
(For example, “RFC dated MM-DD-YYYY”).
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•
Item 32A - name of the MC or PC who signed the medical assessment form containing the medical
evaluation.
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•
Item 32B - the medical specialty code of the MC or PC who completed the medical assessment
form containing the medical evaluation. (For medical specialty codes, see DI 24501.004.)
NOTE: For electronic processing, the medical specialty code propagates from the disability
determination services case processing system.
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•
Item 33 - date the MC or PC signed the medical assessment form containing the medical evaluation.
If there are multiple medical assessment forms, the MC or PC with the overall responsibility
for the medical evaluation signs the SSA-831. For policy explaining who has overall
responsibility for the medical evaluation, see DI 24501.001.