It is possible to complete a paper disability report instead of an online disability report, but your local office will convert your paper document to an electronic document and then shred your paper document. If you add alot of narrative to the paper document or create an attachment, that is likely to be scanned in to the electronic file as an extra document. The disability analyst should read that document, but the focus will still be on the disability report. It is important that your treating physician information is provided so your medical records can be reviewed because your limitations have to be supported by objective medical evidence.

I do agree that medical records do not always contain evidence of limitations - the doctor just didn't write down everything you said or you think he can see your limitations and writes it down or makes inferences based on what he recalls from your last visit.

It is true that the new version of the disability report does not ask about functional limitations or medication side effects. Don't know why the change.