DA FORM 2807-1 PDF

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.

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Before filling out the DD Formyou must first read the disclaimer and understand that you must fotm truthfully to all questions or face criminal charges. This is to see if you need further treatment or evaluations for any medical concerns. Put the examining location on box 5, giving the address of the location. Fogm must fill in the corresponding bubble for each medical issue.

You can schedule the exam at any military hospital or clinic or VA facility. Showing results 1 – 4 Page 1 of 1. Such links are provided consistent with the stated purpose of this website. The physician may provide additional comments in box 30, adding additional information that they feel is important. Do not leave any answers blank, you must answer yes or no to each issue.

How do I schedule the exam? The primary collection of this information is from individuals seeking to join the Armed Forces. The assessment results are then accessible by both the DoD and VA. The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U. Close Window Loading, Please Wait! Completed forms are covered by recruiting, medical evaluation board, and official military personnel file SORNs maintained by each of the Services.

All 3 Policies 3 DD Form The Separation Health Assessment documents and assesses your: Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form. Boxes 10 through 19 ask you to indicate whether you have a history of specific medical conditions or illnesses.


The DoD requires a separation history and physical examination to capture the complete medical history of Service Members and evaluate members filing a disability claim. The DD Form is available on the Department of Defense documentation website or can be supplied through the chain of command.

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 This may take a second or two.

Although the Defense Health Agency may or may not dda these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that fom may find at these locations.

You also may be interested in DoD and VA share results of the exam with each other. You need only one exam.

Separation Health Assessment |

At your exam, the examiner reviews your answers and ensures claimed contentions are addressed in the exam report. 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 in advance of your scheduled separation date.

Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question.

You may be complete it at a military hospital or clinic for, at a VA facility. The examiner reviews your current health status and your complete medical history, including the DD Form First, fill out your basic information in boxes 1 through 4, providing your name, social security number, and contact information.


Separation Health Assessment

All your health records are shared with the VA. A physician must attest to your answers in boxes 10 through Find one near you: The DD Form is now ready for submission to the Department of Defense for review of your medical history.

A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. How do I file a VA disability claim? The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds.

You are leaving Health. 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. This becomes part of your record. Next provide your position, usual occupation, current medication, and allergies. You can file a VA disability claim through eBenefitsin person with a Veterans Service Organization, or with a VA representative at a military installation.

Go through each medical issue and answer yes or no for each. You can also access them by using the 280-1 Button. A PDF reader is required for viewing.

On the second page, provide your name and social security number at the top. Government sites or the information, products, or services contained therein. Find a military hospital or clinic Find a VA Facility. If you answer yes to any question in boxes 10 through 19, you must provide an 2870-1 of the medical condition in the provided space in box 29 or attach additional sheets explaining each yes answer.

The examiner must sign and date the second page.