How to Fill Out Form HA-4632 in Salinas

Medication List Form

If you’ve been denied Social Security Disability (SSD) benefits, you’re far from alone.

Social Security denies most people when they first apply.

At Angelina Valle & Associates, we strongly encourage you to consider appealing.

Appeals are when many people win benefits.

A key piece of your appeal is filling out Form HA-4632, which is called “Claimant’s Medications.”

Don’t delay starting your appeal. The Social Security Administration (SSA) has a strict deadline for appeals. If you miss it, you might have to start over your application from the beginning.

So getting this form submitted on time is important to your case. You usually have about 60 days from your denial.

When you submit the form before the deadline Social Security gives you, you keep your claim open and active.

You can fill out the form online, or fill out and return a paper form to a Social Security office.

When you appeal, you’ll also need to fill out other forms, such as SSA-3441-BK (Disability Report – Appeal) and HA-4633 (Claimant’s Work Background.)

Contact Angelina Valle & Associates now to get a FREE CONSULTATION on your Social Security Disability appeal.

What Information Do I Put on Form HA-4632?

This form covers all medications you are currently taking, including medications for your disability and any other medications you take. You’ll need to list several details:

  • Name of each medication
  • Dosage of each medication
  • Reason you’re taking each medication
  • Date when you received each prescription
  • Name of each prescribing doctor
  • Names of non-prescription medications
  • Reasons you’re taking each non-prescription medication

Tips for Filling out Form HA-4632

Form HA-4632 seeks to gather honest insight about the medicines you’re taking and the health conditions that prevent you from working.

To make the strongest case that you need disability benefits, you need to follow your doctor’s orders when it comes to taking medications.

You can hurt your case by not taking medications in the times and amounts prescribed.

This form is a chance to provide a clear idea to Social Security of your treatment history

Should I Get a Lawyer to Help With Form HA-4632?

Yes. Applying for Social Security Disability is complicated. Appealing is even more involved.

You can ease your own burden and give yourself the best chance at winning benefits by working with an experienced disability lawyer.

Angelina Valle & Associates has helped thousands of people in the San Jose and Salinas areas win disability benefits.

We understand how the system works and where you can run into problems.

We can help you with Form HA-4632 and all the forms you need to apply and appeal for Social Security Disability benefits.

If your case reaches the point where you need to talk to a judge, we’ll also help you prepare for that, so you’ll be confident and ready to testify. Some lawyers only show up on the day of your hearing.

When you work with us, we’ll collect all your medical evidence, analyze your Social Security file, set a strategy for your case and question any medical or vocational experts who Social Security calls to testify about you.

Call us right away if you were denied your disability claim, so you don’t lose time to put together your appeal.

You’re going through a lot of hardship. We’re determined to guide you through this process with care and compassion.

If you need help with Form HA-4632, contact us now!

Form HA-4632


Workers’ Compensation/Public Disability Questionnaire
View and download Form SSA-546

Disability Report – Adult
View and download Form SSA-3368

Work History Report
View and download Form SSA-3369-BK

Hearing Request
Claimant’s Statement when ‘Request for Hearing’ is filed and issue is Disability
View and download Form HA-4486

Hearing Preparation
Disability Report Appeal
View and download Form SSA-3441-BK

Medication List
View and download Form HA-4632

Recent Work History
View and download Form HA-4633

Advocacy and Program Information

NSCLC – National Senior Citizens Law Center
CCD – Consortium for Citizens with Disabilities
Bazelon Center for Mental Health Law – Advocacy Manuals
Medicare Rights Center
NOSSCR – National Organization of Social Security Claimants’ Representatives

Medical Resources

The Merck Manual of Diagnosis and Therapy – The classic reference.
The American Psychological Association PsychNet and PsychCrawler (really).
The American Psychiatric Association – Publishers of the DSMV.
The American Medical Association and:
AMA Physician Select – Find information on all U.S. MDs.
JAMA – Journal of the American Medical Association.
Stanford University MedWorld – Amazing access to research tools.
National Institutes of Health
NIH National Library of Medicine
Centers for Disease Control
Food and Drug Administration
World Health Organization
MedScape – Extensive! Free after registration.