If a claimant indicates he or she cannot, or will not, submit to us or authorize us
            to obtain medical evidence that relates to his or her claim due to religious or personal
            reasons, explain that:
         
         
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                     the claimant’s impairment must be established by medical evidence; 
 
 
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                     the claimant has a duty to submit or inform us about all evidence that relates to
                        whether or not he or she is blind or disabled, in its entirety;
                      
 
 
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                     we will not excuse the claimant from satisfying this duty based on religious or personal
                        reasons;
                      
 
 
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                     if the claimant does not submit to us or authorize us to obtain all related medical
                        evidence, we will have to make a disability determination based on information available
                        in the case; and
                      
 
 
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                     if the evidence is insufficient, we will make a determination based on the evidence
                        we have and may deny the claim.