What Is a Consultative Exam?

A consultative exam is a medical evaluation arranged by SSA when they need more information to make a decision about your disability claim. The exam may be physical, psychiatric, or psychological, depending on your condition. It's typically conducted by a doctor who does not regularly treat you.

Why Is It Required?

SSA might request a CE if:

• Your medical records are outdated or incomplete
• You haven't seen a doctor recently
• SSA wants clarification about your physical or mental limitations
• Your reported symptoms don’t align with the medical evidence submitted

How to Prepare for Your Consultative Exam

1. Review Your Medical History

Before your appointment, review your medical records and make a list of:

• Your diagnosed conditions
• All current symptoms and how they affect your daily activities
• Medications you take and their side effects
• Any hospitalizations, surgeries, or recent treatments

Bring this summary with you. It helps the examining doctor understand your condition quickly and clearly.

2. List Your Functional Limitations

Be ready to describe:

• How far you can walk, sit, or stand without pain
• If you need help dressing, bathing, cooking, or driving
• How your condition affects your concentration or memory
• How often your symptoms flare up

Use real-life examples. For instance, “I can only stand for 10 minutes before needing to sit.”

3. Be Honest, Not Exaggerated

Tell the truth about what you can and cannot do. Don’t overstate or minimize your symptoms. The examining doctor will observe your behavior, so consistency matters.

4. Bring Identification and Paperwork

Bring a photo ID and any instructions from SSA. You might also bring:

• Your medication list
• Your glasses, hearing aids, braces, or mobility devices
• Any medical records not already submitted (though the doctor may not review them)

5. Arrive Early

Plan to arrive 15–30 minutes early. If you’re late or miss the appointment, your claim could be delayed or denied.

6. Expect a Brief Exam

Most consultative exams are short, often 15–30 minutes. The doctor may perform physical tests (like range of motion or reflexes), ask questions about your mental health, or observe your ability to follow instructions. Be prepared but realistic about what the appointment will involve.

What Happens After the Exam?

The doctor sends a report to SSA, who then uses it—along with your medical records—to decide on your SSDI claim. You won’t receive results directly from the doctor.