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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At your exam, the examiner reviews your answers and ensures claimed contentions are addressed in the exam report. Close Window Loading, 28807-1 Wait! Next provide your position, usual occupation, current medication, and allergies.

You need only one exam. The DD Form is available on the Department of Defense documentation website or can be supplied through the chain of command.

The DoD requires a separation history and physical examination to capture the fork medical history of Service Members and evaluate members filing a disability claim. The assessment results are then accessible by both the DoD and VA. All 3 Policies 3 DD Form Government sites or the information, products, or services contained therein.

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 can also access them by using the Blue Button.

You also may be interested in All your health records are shared with the VA. You can schedule the exam at any military hospital or clinic or VA facility. Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question.

DD Form Report of Medical History – Military Forms – |

You may be complete it at a military hospital or clinic or at a VA facility. 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 PDF reader is required for viewing. Completed forms are covered by recruiting, medical evaluation board, and official military personnel file SORNs maintained by each of the Services. The DD Form is now ready for submission to the Department of Defense for review of your medical history.

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A physician must attest to your answers in boxes 10 through Find one near you: The appearance of hyperlinks does not constitute endorsement by the Defense Health Agency of non-U. DoD and 287-1 share results of the exam with each other.

Put the examining location on box 5, giving the address of the location. How do I file a VA disability claim?

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. The physician may provide additional comments in box 30, adding additional information that they feel is important.

Such links are provided consistent with the stated purpose of this website. The primary collection of this information is from individuals seeking to join the Armed Forces. Gorm Separation Health Assessment documents and assesses your: Go through each medical issue and answer yes or no for each.

This is to see if you need further treatment or evaluations for any medical concerns. This may take a second or two. You must fill in the corresponding bubble for each medical issue. 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 Showing results 1 – 4 Page 1 of 1.


The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. Although the Defense Health Agency may or may not use these sites as additional 2807–1 channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations.

Find a military hospital or clinic Find a VA Facility. Provide the information required in boxes 6 rorm 9, stating the military branch you are applying for, component, and purpose of the form. A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. The examiner must sign and date the second page.

You are leaving Health. How do I schedule the exam? This becomes part of your record.

Separation Health Assessment

Boxes 10 through 19 ask you to indicate whether dw have a history of specific medical conditions or illnesses. Medical history Medical concerns identified during your military career Current health status How It Works Schedule 28071- exam at a military hospital or clinic or VA facility well in advance of your scheduled separation date.

Do not leave any answers blank, you must answer yes or no to each issue. On the second page, provide your name and social security number at the top.