Hi Everyone,
I have the 5 page copy of the form if anyone needs it. It was very helpful for me when my dr. filled it out and it was in my medical records before I appilied for disability. If you need it let me know and I can send it to you. I tried scanning it so I could e-mail it to anyone, but it does not show the whole page. I will try it again.
Please PM, if you need it.
Starmoon