Social Security Disability Benefits Form

Social Security Disability Benefits Form

We at Huntington's Disease Society of America are here to help our HD families.

We know that living with HD is difficult and we understand certain processes or procedures, such as applying for disability benefits, can be challenging and discouraging.

This form is designed to help address problems that can lead to denial of your claim for Social Security disability benefits.

Please complete the form below. Be sure to include the best time for us to contact you.

If you don't complete all the information requested, we will not be able to respond to your inquiry and provide the assistance you require.

When the form is complete, click on the 'Send information to HDSA'  button below.

Note: We strongly suggest you contact us at HDSA before the appeal process and the need for an attorney. If you have already have a lawyer and have begun the appeals process, there is no need to contact us at HDSA.

If you prefer, you may mail the information below to the following address:

SSI Information Request

c/o HDSA

505 Eighth Avenue, Suite 902

New York, NY 10018


All information is strictly confidential.

Social Security Disability Benefits Form

Please fill out this form and click "send".
(* indicates required fields)