Almost never. A doctor’s chart may list your symptoms that day or in many cases only those symptoms that are different than your normal examination. If a doctor knows his patient, it is common not to put too much down. If the condition has not changed, there will be a few quick notes but not the extensive notes he may have made when he first met you. And doctors do not address non-medical issues in their chart such as the legal definitions of disability. It is very important to have your doctor explain how your back pain will affect you in a work environment but there is no reason why a doctor would routinely put that in your medical file. He may simply say he does not want you to work without explanation—he knows why and it is obvious to him based on his findings so he does not need to spell it out. But to prove disability we need him to spell out why the disorder or disease or the symptoms make you unable to work at a full time job. This is almost never found in a chart.