Form HA-4632. Claimant's Medications

Form HA-4632 - Claimant's Medications serves as a record of the medications used by a claimant who is seeking Social Security benefits. The primary purpose of this form is to document the medications the claimant is taking, as it can be relevant information for assessing the impact of medical conditions on the individual's ability to work.

For example, a claimant applying for disability benefits due to a medical condition may use this form to provide a comprehensive list of their medications. The form's purpose is to help adjudicators understand the claimant's medical treatment and how it affects their ability to work.

The parties involved in this process are the claimant and the Social Security Administration. The form is structured with sections for the claimant's personal information, details of each medication, and any side effects or limitations resulting from medication use.