Free SSDI/SSI Other Conditions Evaluation - Disability Advocates Group, Inc.

It is all but impossible to list every condition that could be eligible for Social Security Disability. If you have a condition that you are unsure qualifies, complete this form and we will be glad to assess your condition and possible claim.

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Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone:

Email

Date of Birth

Are you currently working full time?

Yes
No

Are you currently being treated by a doctor?

Yes
No

Please describe your mental or physical impairment:

Have you been denied within the last 60 days?

Yes
No

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What is 6+4?

Kim Engler / Disability Advocate

Disability Advocates Group has been championing the cause of the disabled for over 20 years. We view each claim as a unique challenge and entitled to individualized strategy to help ensure a successful outcome. Remember, we don’t get paid unless you get paid!

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Would you like to know more?

Tell us a little bit more about your disability case and we'll provide you with some direction.

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