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Forms To Download For Your Case 2018-06-10T23:12:58+00:00

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DOWNLOAD PRINT, SIGN, SCAN and SEND BACK TO THE OFFICE AT:

info@SLODisability.com or 1500 Story Ave., Louisville, KY 40206

Fee Agreement

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SSA Attorney Fee Agreement

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Sullivan Law Medical Release

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General PHYSICAL Medical Form for Cases

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Mental Assessment Form for Cases

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Form HA 4631 Recent Medical Treatment Form

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Form HA 4633 Work History Last 15 Years

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Form HA 4632 Medications Form

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Form SSA 827 Medical Release For The SSA

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Form SSA 1696 Appointment of Representative

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DISCLAIMER

(502) 587-0228 – Principal Office is Located at 1500 Story Ave., Louisville, KY 40206 – Michael P. Sullivan, Attorney. Others in Firm May Perform Some Services. THIS IS AN ADVERTISEMENT

Merely contacting this office by phone, electronically off this site, or by email does not create an attorney-client relationship. All legal services require a written contract to employ Mr. Sullivan.  The information is presented here is informational in nature, and it not intended to be a substitute for sound legal advice that is unique to your specific situation. You should not rely upon generic information, but should seek legal advice that is tailored to your circumstances.   As always, all initial consultations are free.