DOD has replaced the use of the SF 93 with the DD Form and DD Form is used by recruiters to pre-screen applicants. Commissioned Corps of the U.S. Public Health Service. General Instructions for Completing Medical Examination Forms. DD “Report of Medical History” . A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. The form is used by military.
|Published (Last):||7 October 2007|
|PDF File Size:||4.99 Mb|
|ePub File Size:||20.98 Mb|
|Price:||Free* [*Free Regsitration Required]|
Boxes foorm through 19 ask you to indicate whether you have a history of specific medical conditions or illnesses. You can also access them by using the Blue Button.
The information collected on this form is used to assist DoD physicians in making determinations as to acceptability of applicants for military service and verifies disqualifying medical condition s noted on the prescreening form DD You also may be interested in The DD Form is now ready for submission to the Department of Defense for review of your medical history.
Separation Health Assessment |
This becomes part of your record. This is to see if you need further treatment or evaluations for any medical concerns. You can schedule the exam at any military hospital or clinic or VA facility.
At your exam, the examiner reviews your answers and ensures claimed contentions are addressed in the exam report. The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U. Completed forms are covered by recruiting, medical evaluation board, and official military personnel file SORNs maintained by each of the Services.
You are fogm Health. The examiner must sign and date the second page. All your health records are shared with the VA. The DoD requires formm separation history and physical examination to capture the complete medical history of Service Members and evaluate members filing a disability claim.
You can file a VA disability claim through eBenefitsin person with a Veterans Service Organization, or with a VA representative at a military installation.
You need only one exam. An additional collection of information using this form occurs when a 28077-1 Evaluation Board is convened to determine the medical fitness of a current member and if separation is warranted.
The physician may provide additional comments in box 30, adding additional information that they feel is important. DoD and VA share results of the exam with each other. Government sites or the information, products, or services contained therein. Such links are provided consistent with the stated purpose of this website. Medical history Medical concerns identified during your military career Current health status How It Works Schedule your exam at a military hospital or clinic or VA facility well 28007-1 advance of your scheduled separation date.
You may be complete it at a military hospital or clinic or at a VA facility. Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form.
Do not leave any answers blank, you must answer yes or no to each issue.
Separation Health Assessment
The examiner reviews your current health status and your complete medical history, including the DD Form This may take a second or two. Showing results 1 – 4 Page 1 of 1. Next provide your position, usual occupation, current medication, and allergies. A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. A PDF reader is required for viewing. The assessment results are then accessible by both the DoD and VA.
Put the examining location on box 5, giving the address of the location. The Separation Health Assessment documents and assesses your: If you answer yes to any question in boxes 10 through 19, you must provide an explanation of the medical condition in the provided space in box 29 or attach additional sheets explaining each yes answer.
How do I schedule the exam? Before dda out the DD Form dw, you must first read the disclaimer and understand that you must answer truthfully to all questions or face criminal charges.
The DD Form is available on the Department of Defense documentation website or can be supplied through the chain of command. The primary collection of this information is from individuals seeking to join the Armed Forces.
Go through each medical issue and answer yes or no for each.
Questions 20 through 28 ask additional personal questions, which you must answer yes or no for fprm question. The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. Find a military hospital or clinic Find a VA Facility.