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Disability Resources

Disability Forms

A good disability case requires documentation. We offer a variety of forms to help you support your case.

Medical Source Statements

Arguably the most helpful piece of evidence in a case is a good word from your doctor. If your physician is willing, ask him or her to complete a questionnaire about your work-related limitations. You can download a generic form for him or her to complete here. Be advised, however, that this is a general purpose form and may not be relevant to the specifics of your case. Please contact our firm for a more detailed questionnaire that addresses your specific medical impairments.

Third Party Statements

It's also helpful to have a sworn statement by a neighbor, friend, or family member who is familiar with your condition. We recommend they write a statement on your behalf based on the example provided here. In our opinion, specific examples like those in the example above help to illustrate the extent of your limitations and disability.

Employer Statements

If you lost your job because of your medical impairments, that can serve as persuasive evidence that you are no longer able to work. And even if you're still working, it can be helpful to document any workplace accommodations provided by your employer. Feel free to download our Vocational Questionnaire if you think an employer, supervisor, or coworker would be willing to lend their opinion on the matter. You can download the form here.

Financial Assistance

For help with obtaining financial assistance, food stamps, TANF, WIC, etc., visit www.yourtexasbenefits.com. You can also find additional information by visiting 211 Texas at https://www.211texas.org/guided-search/.

Vocational Rehabilitation

If you need help finding a job that can accommodate your disabilities, or for free workplace training, contact the Texas Workforce Commission's vocational rehabilitation program at https://www.twc.texas.gov/jobseekers/vocational-rehabilitation-services. To find a TWC office near you, visit https://webp.twc.state.tx.us/services/VRLookup/.

Medical Assistance

One of the most common reasons a disability case is denied is due to a lack of medical care. If you need regular medical care, you should first see if an affordable health insurance plan is available through the ACA exchange by visiting www.healthcare.gov. The ACA provides a variety of plans on a sliding scale, and an affordable option may be available.

However, if you cannot afford medical insurance, there are other options. You can visit http://txclinics.dshs.texas.gov/chcl/ to search for indigent healthcare services based on your location. And here are some additional low- or no-cost options available in the North Texas region:

Dallas County

Parkland Financial Assistance
2021 Medical District Drive
Dallas, TX 75235
Phone: (214) 590-4900
Patient Pricing Inquiry Line: (214) 590-8831
Website: https://www.parklandhospital.com/parkland-financial-assistance
Application available here

Hope Clinic of Garland
800 South Sixth Street
Suite 100
Garland, TX 75040
Phone: (469) 800-2500
Website: https://hopeclinic-garland.org/
Email: info@hopeclinic-garland.org

Agape Clinic
4104 Junius Street
Dallas, Texas 75246
Phone: (972) 707-7782
Fax: (972) 707-7781
Website: https://www.theagapeclinic.org

Tarrant County

JPS Connection Program
JPS Eligibility & Enrollment – Main Campus
1325 S. Main Street
Fort Worth, TX 76104
Phone: (817) 702-1001
Website: https://www.jpshealthnet.org/financial-resources/jps-connection
Email: eligibility@jpshealth.org, enroll@jpshealth.org
Application available here

Collin County

Collin County Indigent Health Program
825 N. McDonald Street, Suite 110
McKinney, TX 75069
Phone: (972) 548-4702
Fax: (972) 547-7268
Website: https://www.collincountytx.gov/healthcare_services/Pages/indigent.aspx
Application available here

Watermark UrgentCare
910 W Parker Rd
Suite 102
Plano, TX 75075
Phone: (972) 972-8930
Website: https://www.watermarkurgentcare.com/locations

Hope Clinic of McKinney
103 E. Lamar St.
McKinney, TX 75069
Phone: (469) 712-4246
Website: https://hopeclinicmckinney.org/
Email: info@hopeclinicmkinney.org

Denton County

Denton County Indigent Care Program
535 S Loop 288
Suite 1052
Denton, TX 76205
Phone: (940) 349-2940
Fax: (940) 349-2941
Website: https://www.dentoncounty.gov/737/Indigent-Health-Care
Email: indigent.care@dentoncounty.com

Kaufman County

Kaufman County Indigent Health Care Program
100 N. Washington
Kaufman, Tx 75142
Phone: (469) 376-4544
Fax: (469) 595-0496
Website: https://www.kaufmancounty.net/county-offices/indigent-health-care-program/
Email: info@kaufmancounty.net
Application Available here

Johnson County

Johnson County Indigent Healthcare
Bank of America Building
1 N Main
Room 212
Cleburne, Texas 76033
Phone: (817) 556-6990
Fax: (817) 556-6116
Website: https://www.johnsoncountytx.org/departments/indigent-healthcare
Email: ihc@johnsoncountytx.org
Application Available here

Ellis County

Ellis County Indigent Health Care Program
207 S Sonoma Trail
Ennis, TX 75119
Phone: (972) 825-5289
Website: https://co.ellis.tx.us/166/Indigent-Health-Care
Application Available here

Hope Clinic of Waxahachie
411 East Jefferson
Waxhachie, Tx 75165
805 West Lampasas St.
Ennis, TX 75119
Phone: (972) 923-2440
Website: http://call4hope.org
Email: info@call4hope.org

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