EDCS Screens/Interview - Full Version

Continuing Disability Review Report

EDCS Screens -- Child CDR

EDCS Screens/Interview - Full Version

OMB: 0960-0072

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Disability Case Selection

May 13, 2009

1

Select Case Level

May 13, 2009

2

Confirm Case Creation

May 13, 2009

3

Form Selection

May 13, 2009

4

Link Folder

May 13, 2009

5

CDR Information, Part 1 of 2
User has indicated claimant used other names, but has not entered any

May 13, 2009

6

CDR Information, Part 2 of 2
Other Names = Yes, but no other names entered

May 13, 2009

7

Other Names Used

May 13, 2009

8

CDR Information, Part 2 of 2
Other Names = Yes, with another name entered

May 13, 2009

9

CDR Representatives
Appointed Representative = No

May 13, 2009

10

CDR Representatives, Part 1 of 2
Appointed Representative = Yes

May 13, 2009

11

CDR Representatives, Part 2 of 2
Appointed Representative = Yes

May 13, 2009

12

CDR Claims

May 13, 2009

13

Contacts, Part 1 of 3

May 13, 2009

14

Contacts, Part 2 of 3
Person Completing Report = Claimant

May 13, 2009

15

Contacts, Part 3 of 3
Person Completing Report = Someone Else

May 13, 2009

16

Medical Conditions
Medical Conditions Propagated from mainframe, no new conditions entered

May 13, 2009

17

Medical Conditions
Medical Conditions Propagated from mainframe, plus one new conditions entered

May 13, 2009

18

Medical Sources
Initial view

May 13, 2009

19

Medical Sources
User has indicated claimant has medical sources, but has not entered any

May 13, 2009

20

Add Doctor/Therapist, Part 1 of 2

May 13, 2009

21

Add Doctor/Therapist, Part 2 of 2

May 13, 2009

22

Medical Sources
User has indicated claimant has medical sources and entered a doctor

May 13, 2009

23

Add Hospital/Clinic, Part 1 of 3

May 13, 2009

24

Add Hospital/Clinic, Part 2 of 3

May 13, 2009

25

Add Hospital/Clinic, Part 3 of 3

May 13, 2009

26

Tests Summary

May 13, 2009

27

Test Information
No body part involved

May 13, 2009

28

Test Information
Body part involved

May 13, 2009

29

Physical and Mental Condition Information – Plan A

May 13, 2009

30

Physical and Mental Condition Information – Plan B

May 13, 2009

31

Medicines Summary

May 13, 2009

32

Medicine Information

May 13, 2009

33

Work

May 13, 2009

34

Remarks

May 13, 2009

35


File Typeapplication/pdf
File TitleSlide 1
Author414761
File Modified2009-07-16
File Created2009-07-16

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