When writing CE reports, the provider must:

1. a. 

   Write the history and examination in narrative form and include all specific test results.

2. b. 

   Make the reported results  of the CE conform to SSA and accepted medical standards and practices.

3. c. 

   Include the actual medical facts as well as a statement (based on the physician's findings) which describes the claimant's ability to function despite impairment.

4. d. 

   Make the detail conform to the specifications listed in the Listing of Impairments.

5. e. 

   Attach original or legible copies of tracings, xrays, interpretations, lab findings, and graphics to the narrative report. Include any medical reports or test results brought by the claimant.

6. f. 

   Make sure identifying information such as name or case number appear on the top of the report and on all subsequent pages.

• •

  Elements of a complete CE, DI 22510.015B.2.

• •

  Requirements for each specialty CE, DI 22510.000

• •

  Medical source statements, DI 22510.015B.2.

• •

  Listing of Impairments, DI 34000.000