Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota

Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota

What Is Form DHS-6125B-ENG?

This is a legal form that was released by the Minnesota Department of Human Services - a government authority operating within Minnesota. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is the purpose of Form DHS-6125B-ENG?
A: Form DHS-6125B-ENG is a State Medical Review Team (SMRT) Adult Continuing Disability Review Worksheet used in Minnesota.

Q: Who uses Form DHS-6125B-ENG?
A: The State Medical Review Team (SMRT) in Minnesota uses Form DHS-6125B-ENG.

Q: What is the function of the State Medical Review Team (SMRT)?
A: The State Medical Review Team (SMRT) in Minnesota is responsible for conducting adult continuing disability reviews.

Q: What is the purpose of the adult continuing disability review?
A: The adult continuing disability review is conducted to determine if an individual's disability still exists and if they are still eligible for disability benefits.

Q: What information is included in Form DHS-6125B-ENG?
A: Form DHS-6125B-ENG includes information such as the individual's personal details, medical history, and functional abilities.

Q: Is Form DHS-6125B-ENG specific to Minnesota?
A: Yes, Form DHS-6125B-ENG is specific to Minnesota and is used by the State Medical Review Team (SMRT) in the state.

ADVERTISEMENT

Form Details:

  • Released on July 1, 2014;
  • The latest edition provided by the Minnesota Department of Human Services;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a printable version of Form DHS-6125B-ENG by clicking the link below or browse more documents and templates provided by the Minnesota Department of Human Services.

Download Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota

4.3 of 5 (25 votes)
  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota

    1

  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 2

    2

  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 3

    3

  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 4

    4

  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 5

    5

  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 6

    6

  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 1
  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 2
  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 3
  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 4
  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 5
  • Form DHS-6125B-ENG State Medical Review Team (Smrt) Adult Continuing Disability Review Worksheet - Minnesota, Page 6
Prev 1 2 3 4 5 6 Next
ADVERTISEMENT

Related Documents