When you have requested, or are requesting, a hearing before an Administrative Law Judge (ALJ), use this form to tell us about medical treatment you have received since you, or someone on your behalf (for example, your representative or doctor), last furnished medical information to us.

Claimant's Recent Medical Treatment, HA-4631

If you are not certain whether you told us about treatment you have received, or remember treatment that you forgot to tell us about, include that information also.