DI 24510.062 Completion of Heading of SSA-4734-F4-SUP
A. Operating Policy
The heading must be completed.
B. Operating Procedure
Obtain this information from the PRTF and the claim folder.
Insert the individual's name, Social Security Number, categories from section IC of the Psychiatric Review Technique Form (PRTF), and the appropriate period for which the assessment is being made.