DD FORM , OCT DoD exception to SF 93 approved by ICMR, August 3, PREVIOUS EDITION IS OBSOLETE. a. Frequent indigestion or. Commissioned Corps of the U.S. Public Health Service. General Instructions for Completing Medical Examination Forms. DD “Report of Medical History” . The public reporting burden for this collection of information is estimated lo average 10 minutes per response, including the lime lor reviewing insll’Uctions.
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Resources Latest reviews Search resources. If my medical records are correct, hope much detailed should I be. The examiner must sign and date the second page. Forums New posts Search forums. Thread starter inpain Start date Nov 15, Go through each medical issue and answer yes or no for each.
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 22807-1 additional sheets explaining each yes answer. You are exactly right, take your time when filling it out.
I just don’t want to be overly wordy. The information collected on this form is used to assist DoD physicians in making determinations as to acceptability of applicants for military service and 28077-1 disqualifying medical condition s noted on the prescreening form DD The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds.
First, fill out your rorm information in boxes 1 through 4, providing your name, social security number, and contact information. I know rorm may sound like a stupid question, but im going through each section and trying to reflect in writing what is truly needed.
A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. Completed forms are covered by recruiting, medical evaluation board, and official military personnel file SORNs maintained by each of the Services.
Next provide your position, usual occupation, current medication, and allergies. The information you annotated on the form basically from here on out, it’s now an outline and a better tracker of your own medical history. Close Fkrm Loading, Please Wait! Hearing rumors that ifvyou out down too much, it will not be read. You must log in or register to reply here. Do not leave any answers blank, you must answer yes or no to each issue. fogm
My concern now is that maybe I left something out or that I didn’t go into enough detail. Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form.
ESAMM Forms | Defense Security Cooperation Agency
A physician must attest to your answers in boxes 10 through Thus, I quite often foorm that “possessing well-informed knowledge is truly a powerful equalizer.
An additional collection of information using this form occurs when a Medical Evaluation Board is convened to determine the medical fitness of a current member and if separation is warranted.
I will just have to take my time. Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question.
Warrior is on it, just want to add on: I do know that I forgot to mention one orthopedic issue that flares up with increased activity. Indeed, it’s not a stupid question in my opinion!
DD 2807-1 example
On the second page, provide your name and social security number at the top. The DD Form is available on the Department of Defense documentation website or can be supplied through dv chain of command. Put the examining location on box 5, giving the address of the location. Thank you Warrior, Thank you for the reply.
Members Registered members Current visitors New profile posts Search profile posts. I just transposed most of the verbose to the VA claim form. The DD Form is now ready for submission to the Department of Defense for review of your medical history.