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Q: When you apply for social security disability, how does the agency decide to deny or approve benefits? A: Information regarding your medical condition is the number one thing that will affect whether you are approved for benefits or not. Be certain that the doctor who is currently treating your condition believes you should qualify for social security disability insurance and will cooperate with the required paperwork. A statement that outlines your injury and how it impacts your employment will need to be written by your doctor. Your disability case will be based on that deive statement provided by your physician. If you do not believe your doctor thinks you should apply for social security disability insurance, then you will want to seek treatment from a different doctor.