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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All your health records are shared with the VA. You can schedule the exam at any military hospital or clinic or VA facility. Foem can file a VA disability claim through eBenefitsin person with a Veterans Service Organization, or with a VA representative at a military installation.

First, fill dw your basic information in boxes 1 through fprm, providing xa name, social security number, and contact information. The DD Form is available on the Department of Defense documentation website or can be supplied through the chain of command. Boxes 10 through 19 ask you to indicate whether you have a history of specific medical conditions or illnesses.

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. A PDF reader is required for viewing. Although the Defense Health Agency may or may not use these sites as additional distribution channels for Department of Defense information, it does not exercise editorial control over all of the information that you may find at these locations.

Separation Health Assessment |

You are leaving Health. Go through each medical issue and answer yes or no for each.

Showing results 1 – 4 Page 1 of 1. How do I schedule the exam? Close Window Loading, Please Wait! The primary collection of this information is from individuals seeking to join the Armed Forces. A DD Form is a Department of Defense form is used for gathering medical information for applicants to fogm service. Put the examining location on box 5, giving the address of the location.


All 3 Policies 3 DD Form You may be complete it at a military hospital or clinic or at a VA facility.

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 You need only one exam. The Separation Health Assessment documents and assesses your: Find one near you: The DD Form is now ready for submission to the Department of Defense for review of your medical history. DoD and VA share results of the exam with each other.

How do I file a VA disability claim? You can also access them by using the Blue Button. You must fill in the corresponding bubble for each medical issue. On the second page, provide ea name and social security number at the top. Before filling out the DD Form 28807-1, you must first read the disclaimer and understand that you must answer truthfully to all questions or face criminal charges.

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.

A physician must attest to your answers in boxes 10 through Find a military hospital or clinic Find a VA Facility. Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question.

Next provide your position, usual occupation, current medication, and allergies. The examiner reviews your current health status and your complete medical history, including the DD Form At your exam, the examiner reviews your answers and ensures claimed contentions are addressed in the exam report.


Completed forms are covered by recruiting, medical evaluation board, and official military personnel 280-71 SORNs maintained by each of the Services.

The examiner must sign and date the second page. Such links are provided consistent with the stated purpose of this website.

The appearance of hyperlinks does not constitute endorsement by the 8207-1 Health Agency of non-U. This may take a second or two. Government sites or the information, products, or services contained therein.

Separation Health Assessment

This is to see if you need further treatment or evaluations for any medical concerns. Do not leave any answers blank, you must answer yes or no to each issue.

Medical history Medical concerns ad 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. You also may be interested in Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form.

The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. The physician may provide additional comments in box 30, adding additional information that they feel is important.

The assessment results are then accessible by both the DoD and VA. This becomes part of your record.