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.

Author: Tygomi Samukinos
Country: South Sudan
Language: English (Spanish)
Genre: Science
Published (Last): 10 March 2008
Pages: 444
PDF File Size: 11.69 Mb
ePub File Size: 8.86 Mb
ISBN: 178-2-57547-638-1
Downloads: 16245
Price: Free* [*Free Regsitration Required]
Uploader: Tolabar

Before filling out the DD Formyou must first read ca disclaimer and understand that you must answer truthfully to all questions or face criminal charges. Find one near you: The examiner reviews your current health status and your complete medical history, including the DD Form You can also access them by using the Blue Button.

The vorm may provide additional comments in box 30, adding additional information that they feel is important. All your health records are shared with the VA.

The Separation Health Assessment documents and assesses your: You can file a VA disability claim through eBenefitsin person with a Veterans Service Organization, or with a VA representative at a military installation.

Separation Health Assessment |

Do not leave any answers blank, you must answer yes or no to each issue. An additional collection of information using this form occurs when a Medical Evaluation Foem is convened to determine the medical fitness of a current member and if separation is warranted.


A physician must attest to your answers in boxes 10 through The examiner must formm and date the second page.

Government sites or the information, products, or services contained therein. The primary collection of this information is from individuals seeking to join the Armed Forces.

This is to see if you need further treatment or evaluations for any medical concerns. You are leaving Health.

This becomes part of your record. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does 28807-1 exercise editorial control over all of the information that you may 2807–1 at these locations.

All 3 Policies 3 DD Form A PDF reader is required for viewing. You also may be interested in 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 vorm of your scheduled separation date.

You need only one exam. On the second page, provide your name and social security number at the top. Such links are provided consistent with the stated purpose of this website.

At your exam, the examiner reviews your answers and ensures claimed contentions are addressed in the exam report.


You may be complete it at a military hospital or forrm or at a VA facility. DoD and VA share results of the exam with each other.

Boxes 10 through 19 ask you to indicate whether you have a history of specific medical conditions or illnesses. The assessment results are then accessible by both the DoD and VA. Go through each medical issue and answer yes or no for each.

The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. Put the examining location on box 5, giving the address of the location. The 28071- Form is available on the Department of Defense documentation website or can be supplied through the chain of command.

Separation Health Assessment

First, fill out your basic information in boxes 1 through 4, providing your name, social security number, and contact information. Find a military hospital or clinic Find a VA Facility. Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form.

Author: admin