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DTA's EAEDC Medical Report Form

Date: 
03/19/2019
Author: 
DTA
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This form is no longer in use and has not been in use since March 2020 when the COVID pandemic began. Here are the current procedures for DTA (As of Jan 2022): https://eohhs.ehs.state.ma.us/DTA/PolicyOnline/BEACON5/!SSL!/WebHelp/X_P...

 

 

 

DTA form given to EAEDC applicants who are applying as disabled individuals. The form must be completed by the EAEDC applicant's physician or other "competent medical authority," (most recently revised to include physican assistants).  See 106 CMR 701.600

Click the "Go to Website" link below for DTA's Online Guide where you can search for all DTA forms in the Online Guide.