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Attached Document:
10-inf-13.pdf
OMM/OCFS/OTDA Materials: INFs Issued by OTDA
10-INF-13: Revised LDSS-4526 (Rev. 6/2010) Medical Examination for Employability Assessment, Disability Screening, and Alcoholism/Drug Addiction Determination and Release of Cover Letter to Accompany the Request for Medical Information Model Document
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The purpose of this release is to provide revisions to the LDSS-4526 (Rev. 6/2010) Medical Examination for Employability Assessment, Disability Screening, and Alcoholism/Drug Addiction Determination. The revisions are intended to collect information about the type and length of conditions and resulting limitations identified on the form. The changes also delete the "Limitations Resulting from Recent Addiction Behavior" section. Additionally, we are introducing the Cover Letter to Accompany the Request for Medical Information Model Document.
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Created: 7/21/2010
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