Form SSA-4815. Medical Report on Child with Allegation of Human Immunodeficiency Virus (HIV) Infection

Form SSA-4815, the Medical Report on a Child with an Allegation of Human Immunodeficiency Virus (HIV) Infection, is similar to Form SSA-4814 but is designed for children. Its main purpose is to collect medical information on a child who alleges having HIV infection to determine eligibility for HIV infection-related Social Security disability benefits.

For instance, a parent or guardian can use this form to provide the medical documentation necessary to support a child's claim for Social Security disability benefits related to HIV infection. The purpose is to assess the medical evidence and determine the child's eligibility for HIV-related disability benefits.

The parties involved are children alleging HIV infection, parents or guardians, healthcare providers, and the SSA. The form typically includes sections for reporting detailed medical information about the child's HIV diagnosis and related conditions. Accuracy and thorough medical documentation are essential to establish eligibility for benefits.