DD FORM , OCT DoD exception to SF 93 approved by ICMR, August 3, PREVIOUS EDITION IS OBSOLETE.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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Anyway, more updates to follow. Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form. Put the examining location on box 5, giving the address of the location. Thus, I quite often comment that “possessing well-informed knowledge is truly a powerful equalizer.
Filling these forms out normally occurs during Periodic health assessments and SRPs, Soldiers tend to finger drill them just to get it over with. I just transposed most of the verbose to the VA claim form. I do know that I forgot to mention one orthopedic issue that flares up with increased activity. Go through each medical issue and answer yes or no for each.
Warrior is on it, just want to add on: You must log in or register to reply here. The physician may provide additional comments in box 30, adding additional information that they feel is important. Before filling out the DD Formyou must first read the disclaimer and understand that you must answer truthfully to all questions or face criminal charges.
A physician must attest to your answers in boxes 10 through Thread starter inpain Start date Nov 15, Members Registered members Current visitors New profile posts Search profile posts. On the second page, provide your name and social security number at the top. Please don’t solely rely upon any medical clinician or medical healthcare provider to properly review your medical records without any detail validated input from you referencing your current military healthcare status; hmm, that’s potentially a one-way setup for an extreme failure occurrence in my direct opinion!
Close Window Loading, Please Wait! Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question.
Resources Latest reviews Search resources. I found this form very helpful when filling out my VA claims. You must fill in the corresponding bubble for each medical issue. How detailed should get when completing this form? A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. Forums New posts Search forums. What’s new New posts New resources New profile posts Latest activity.
DD example | Physical Evaluation Board Forum
Next provide your position, usual occupation, current medication, and allergies. Do not leave any answers blank, you must answer yes or no to each issue. I just don’t want to be overly wordy.
Indeed, it’s not a stupid question in my opinion! 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.
DD 2807-1 example
The examiner must sign and date the second page.