You have not Submitted the appeal request for Nikiya Anton Bettey.

Please review the information below before submitting the appeal on the "Submit tab".

You can Save and Exit and return later to complete your appeal request.

If you need to make any changes, please select the "EDIT" button to return to that page.

Summary Review

If you need to make any changes, please select the Edit button to return to that page.

Identification

Complete IconInformation about Nikiya Anton Bettey
Name:Nikiya Lisa Anton Bettey 
Mailing Address:629 Main Street, Room 307, Bangor, Maine, 04401
Do you live at the above address?Yes
Daytime Phone Number:(949) 310-3962
Alternative Phone Number:
Email Address:nikiyaanton@hotmail.com
Complete IconRepresentative
Has a representative:Yes
Representative's Name:Robert Lee Bettey DVM 
Is the representative an attorney?No
Address:26102 Spur Branch Lane, Laguna Hills, California, 92653
Daytime Phone Number:(949) 310-3957
Fax Number: 
Complete IconRequest for Hearing by Administrative Law Judge
Date Notice of Decision received:06/02/2022
Claim Number:
Reason for Appeal:Physician Verification of Disability Letter was submitted by Primary Care Provider (Coastal Comprehensive Care) on behalf of applicant: Nikiya Lisa Anton Bettey [Disabled b/f age 18, full].
Do you wish to appear at a hearing?I do not wish to appear at a hearing and I request that a decision be made based on the evidence in my case.

Medical

Complete IconSomeone We Can Contact about Nikiya Anton Bettey's Medical Conditions
Name:Robert Lee Bettey DVM 
Relationship to you:Other
Description of your Relationship:Special Circumstance
Address:26102 Spur Branch Lane, Laguna Hills, California, 92653
Daytime Phone Number:(949) 310-3957
Speak and Understand English:Yes
Complete IconMedical Conditions
Change in physical or mental conditions:No
New physical or mental conditions:No
Complete IconMedical Treatment
Other Names Used:Yes
Other Name 1:Nikiya Lisa Anton 
Other Name 2:Nikiya Lisa Bettey 
Other Name 3:Nikiya Lisa Anton Bettey 
Other Name 4:Nikiya Lisa Anton-Bettey 
Seen a healthcare provider or received treatment, or have an appointment scheduled:No
Complete IconDoctors or Healthcare Providers

Click the "Add" button if you need to enter information for a new doctor or healthcare provider.

Complete IconDoctor 1
Doctor or Healthcare Provider Details 
Name of Doctor or Health Care Provider:Dr. Paul F. Cassedy MD 
Name of Practice or Medical Group:Coastal Comprehensive Care
Phone Number:(949) 707-0005
Address:25226 Cabot Rd, Laguna Hills, California, 92653
Patient ID Number, if known:
Treatment Dates
First Visit:2005/2006
Last Visit:2021
Next Scheduled Appointment:N/A
Medical Conditions Treated
Medical conditions treated:Failure To Thrive Code 100 (5'0 Final Adult Height); Low Birth Weight; Consideration to Very Low Birth Weight infant litter (2020); Eating Disorder Restrictive Type, Anorexia Nervosa Fine Trained.
Treatment Received
Treatments Received:Nothing to treat no panacea no cure. Condition permanent expected to last for life or end in death. Eating disorder restrictive type condition expected to last for life or result in death even by sentence of outcome without fund.
Complete IconHospitals and Clinics

No hospitals or clinics entered. Click the "Add" button if you need to enter information for a new hospital or clinic.

Complete IconTests

No tests entered. Click the "Add" button if you need to enter information for a new test.

Complete IconMedicines

No medicines entered. Click the "Add" button if you need to enter information for a new medicine. 

Complete IconOther Medical Information
Since you last told us about your other medical information, does anyone have medical information about any of your physical or mental conditions (Including emotional and learning problems) or are you scheduled to see anyone else?No

Activities/Training

Complete IconActivities
Changes in daily activities due to physical or mental conditions:No
Complete IconWork and Education
Have you worked or has your work changed:No
Completed or enrolled in any type of GED classes, specialized job training, trade school, vocational school or college classes:No
Complete IconVocational Rehabilitation, Employment, or Other Support Services
Participated in program:No

Review

Complete IconRemarks
Remarks:Maybe ask primary care provider if we may resubmit physician verification of disability letter. The medical record summaries by law are sufficient, a mention only of a record that is missing (remuda) may exist possible. Cannot omit or be disrespectful to facility business or primary care provider including various record type (full, copy, portion , breif, etc.). Must accept summary brief by law and especially where real medical history. All physicians clear. Imaging and medical records also permitted. Actual record copies permitted. Physician has a right to review edit confidential replace with summary delete revoke/remove change etc., medical records/submission (inc multiple times as appropriate where insufficient information etc.) and to be informed about patient case (no violence harm torture etc. to physician and health care providers). The SSA is not permitted to retain records on physician or extra records or etc., and that may cause a circumstance of ssa sabotaging or locking or framing or sticking it to the man (ad hominem). The physician traditionally provides that ssa with a copy of the patients actual medical records including imaging blood test etc.. never hippa violation by USA law. Ssa and hippa are USA only. The physician does not ever reveal his own record, his patients records, etc., persists for international law (please be humane to physician). The physicians are in good standing international. Especially nikis. The purpose of medical record consideration by ssa is to appreciate that the applicant exist with history or background. No denial should be for insufficient evidence where verification of disability letter, applicant patient with medical record history background, etc.. We can not double verify at ssa. No verification by ssa is evidence of actual condition etc.. The ssa is not permitted to integrate feelings into the judgement. Failure To Thrive Code 100 (5'0 Final Adult Height); Low Birth Weight; Consideration to VLBW infants 2020 litter
Complete IconMedical Release Form 
I voluntarily authorize and request disclosure of all of my medical records; also education records and other information related to my ability to perform tasks. I agree to:Agreed to electronically sign the medical release form.