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Shapiro & Riccoboni, LLC.

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(631) 951-3150 · info@ssdlawyersny.com

222 Middle Country Rd, Suite 202, Smithtown, NY 11787
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Below are links to important forms for our clients

If you have any questions, please contact us.

  • New Client Questionnaire

  • Social Security Administration Authorization for Release of Medical Records (SSA 827)

  • Workers Compensation Benefit Questionnaire (SSA 546)

  • Direct Deposit Form

  • Authorization to Release Medical Records to Shapiro & Riccoboni, LLC



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