13 PDF Article

DD FORM , OCT DoD exception to SF 93 approved by ICMR, August 3, PREVIOUS EDITION IS OBSOLETE.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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I will just have to take my time.

DD example | Physical Evaluation Board Forum

The physician may provide additional comments in box 30, adding additional information that they feel is important. A physician must dr to your answers in boxes 10 through However they forget the fact, that this is a perfect opportunity to re-do your own medical self assessment from “head to toe”. Resources Latest reviews Search resources. If you answer yes to any question in boxes 10 through corm, you must provide an explanation of the medical condition in the provided space in box 29 or attach additional sheets explaining each yes answer.

Anyway, more updates to follow. Go through each medical issue and answer yes or no for each.

Do not leave any answers blank, you must answer yes or no to each issue. Home What’s new Latest activity Authors.

As such, I would like to direct your attention to the Principal Purpose s section of DD Form which states “The primary collection of this information is from individuals seeking to join the Armed Forces. Please don’t solely rely upon frm 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!


For a better experience, please enable JavaScript in your browser before proceeding. On the second page, provide your name and social security number at the top.

My concern now is that maybe I left something out or that I didn’t go into enough detail. You must fill in the corresponding bubble for each medical issue. dorm

You must log in or register to reply here. I do know that I forgot to mention one orthopedic issue that flares up with increased activity.

The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. I know it may sound like a stupid question, but im going through each section and trying to reflect in writing what is truly needed.

I found this form very helpful when filling out my VA claims. The DD Form is now ready for submission to the Department of Defense for review of your medical history.

I just transposed most of the verbose to the VA claim form. Members Registered members Current visitors New profile posts Search profile posts.

Thank you Warrior, Thank you for the reply. Hearing rumors that ifvyou out down too much, fotm will not be read.

DD 2807-1 example

Boxes 10 through 19 ask you to indicate whether you have a history of specific medical conditions or illnesses. First, fill out your basic information in boxes 1 through 4, providing your name, social security number, and contact information.


Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question. I just don’t want to be overly wordy.

Next provide your position, usual occupation, current medication, and allergies. 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. Warrior is on it, just want to add on: Thus, I quite often comment that “possessing well-informed knowledge is truly a powerful equalizer.

Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form. If my medical records are correct, hope much detailed should I be.

The examiner must sign and date the second page. Completed forms are covered by recruiting, medical evaluation board, and official military personnel file SORNs maintained by each of the Services.

What’s new New posts New resources New profile posts Latest activity. 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. Not all Doctors are good at note taking. A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service.