article Sample Medical Summary Reports
Published: September 18, 2026
Sample MSRs
The following MSRs are grouped to highlight specific conditions or circumstances. For all samples, the applicant, case worker, and physician’s identifying information, as well as locations have been changed. These samples are provided for informational use only.
FAST MSR
SOAR Functional Assessment Statement (FAST) Medical Summary Report (MSR) (.pdf) [198.71 KB]Active Substance Use
Sample including substance use (.pdf) [165.01 KB]Anxiety and obsessive-compulsive disorders
Sample including anxiety and depression (.pdf) [147.42 KB]Depressive, bipolar, and related disorders
Sample including Bipolar Disorder (.pdf) [132.98 KB]Sample including Bipolar Disorder (youth) (.pdf) [101.51 KB]
Schizophrenia spectrum and other psychotic disorders
Sample including Schizophrenia (.pdf) [124.16 KB] Sample including Schizoaffective Disorder (.pdf) [160.48 KB]Personality and impulse-control disorders
Sample including Personality Disorder (.pdf) [138.29 KB]Neurodevelopmental disorders
Sample including Borderline Intellectual Functioning (.pdf) [136.47 KB]Trauma- and stressor-related disorders
Sample including PTSD (youth) (.pdf) [160.38 KB]Reapplication for benefits after incarceration
Sample for Reapplication (.pdf) [141.58 KB]Recent Articles
Classification
- Topic
- Benefits Access & Coordination: SSI/SSDI Applications and Appeals, SSI/SSDI Outreach, Access, and Recovery (SOAR)
- Language
- English