New York State Teachers' Retirement System members applying for disability retirement give a copy of this Medical Report to each physician involved in their care. The physician gives treatment and onset dates, answers whether the member is totally and permanently disabled from all gainful employment, and writes a narrative of history, treatment, diagnosis and prognosis for the NYSTRS Medical Board.
The member completes and signs Part 1, the authorization, and forwards the form. Each physician completes Part 2, the dates and the total and permanent disability questions, and Part 3, the narrative, signing both and noting specialty and board certification date.
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Medical Report
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The member must be totally and permanently disabled at the time they ceased performing duties. Totally disabled means physically or mentally incapacitated from gainful employment, and permanently means the end of the disability cannot be foreseen for at least one year. The member carries the burden of proof.
The file is presented at the Medical Board's monthly meeting, and the Board can recommend an examination by a physician selected by the System. Refusing a required exam is grounds to deny or discontinue disability retirement benefits.
It is part of the NYSTRS Disability Retirement Application package, which includes three copies of the Medical Report along with the RET-54.1 application and the RET-54.1B Medical Information Summary. The member completes Part 1 of each copy before giving it to a physician.