PRIVACY ACT STATEMENT. AUTHORITY: PL , EO PRINCIPAL PURPOSE: To be used by the Medical Services to provide a comprehensive medical assessment for active and reserve component service members separating or retiring from active duty. ROUTINE USES: A copy of this form will be released to. Fill Dd Form , download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile with PDFfiller ✓ Instantly ✓ No software. Try Now!. 8 Aug Hello guys, I've been a long time follower of this forum, and I finally decided to join the community. I'll try to keep things short as possible I ser.
(This information is for official and medically confidential use only and will not be released to unauthorized persons.) Form Approved. OMB No. Expires Oct 31 .. HOME. DATE OF LAST. DATE ENTERED ON. DD FORM , FEB 95 (EG). Designed using Perform Pro, WHS/DIOR, Feb DD-HA(AR) DD form , (blocks as applicable, , 71 and 73 completed by IDC) and DD form ALL RETIREMENT PHYSICALS ARE APPOINTMENT ONLY. Lab work must be completed within 6 months of EAOS Not Terminal Leave date. Labs need to be completed before appointment. Provider must be. (also fill in blocks and lab values in block 73). DD Form Report of Medical Assessment(for VA)-I have documented all current or active medical conditions from / NPPSC /1 SEPARATIONS QUESTIONNAIRE. Fill out completely. Specific Requirements. Current Audiogram with signature on
REPORT OF MEDICAL ASSESSMENT DD FORM , FEB 95 Read more about active, examination, assessment, comprehensive, separating and retiring. The member's medical record has been lost. NOTE: A Preventive Health Assessment with SF Form 93 is required along with the DD Form The member is a Repatriated Prisoner of War (PDS assignment limitation code 5, or 7). The evaluation will include a MEB review unless waived by HQ AFPC/ DPAMM. 27 Mar Bring the filled-out DD Form to the briefing. You will complete a disability application at the briefing. Schedule Physical Exam Part II Take the completed disability application (completed at the VA disability briefing), Part I packet completed by the SMRC, and your military medical records to Building.