IM-13 UPDATE TO MEDICAL REPORT INCLUDING PHYSICIAN’S CERTIFICATION/DISABILITY EVALUATION (IM-60A) AND INSTRUCTIONS

Department of Social Services
Family Support Division
PO Box 2320
Jefferson City, Missouri

TO:  ALL FAMILY SUPPORT OFFICES

FROM:   KIM EVANS, DIRECTOR

SUBJECT:   UPDATE TO MEDICAL REPORT INCLUDING PHYSICIAN’S CERTIFICATION/DISABILITY EVALUATION (IM-60A) AND INSTRUCTIONS

FORM REVISION #
IM-60A
INSTRUCTIONS

DISCUSSION:

The purpose of this memorandum is to inform staff of updates to the form “Medical Report Including Physician’s Certification/Disability Evaluation” (IM-60A) and the corresponding instructions.

The IM-60A now uses current medical information regarding mental disorders. It was also reformatted to remove outdated Family Support Division (FSD) processes and language.

The IM-60A Instructions were updated to reflect the changes made on the IM-60A and provide clear instructions regarding which sections are to be completed by FSD staff and which sections are to be completed by medical professionals.

NECESSARY ACTION:

  • Review this memorandum with appropriate staff.
  • Begin using the updated version (revised 02/2021) immediately.
  • Destroy all outdated versions of this form.

KE/cj