Additional questions have been added to improve its usefulness to the accessions medical pre-screening process. The questions are intended to provide the U. A, Title V, S Use of medical history information SignNow's web-based software is specially designed to simplify the organization of workflow and optimize the entire process of proficient document management.
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The pre-screening report is filled out by the recruiter and individual seeking to join the military and is part of a series of forms used for disclosing the medical information of the recruit. An up-to-date fillable version of the DD is available for digital filing and download below or can be found on the Executive Services Directorate website. The applicant should complete this form along with the recruiter, guardian, or parent - if needed.
The DD Form provides a full health history of the individual. Positive responses to some questions do not automatically result in a disqualification but do require a full explanation. The form must be submitted at least 1 day in advance, and 2 days in advance if any support documentation is required. The recruit will need to retrieve all medical documentation about past conditions, like broken limbs, surgeries etc.
All documentation on any past or present treatments or consultation with a psychiatrist, psychologist, or therapist should also be attached to the report. Download the document to your desktop, tablet or smartphone to be able to print it out in full.
Table of Contents. What Is a DD Form ? DD Form Instructions. Rate 4. Show Pagination. This form is to be completed by each individual who requires medical processing in accordance with Department of Defense Instruction DODI. Additional questions have been added to improve its usefulness to the.
The questions are intended to provide the U. Use of medical history information facilitates efficient, timely, and accurate medical processing of individuals applying for Service in the United. Positive responses do not automatically result in disqualification but are necessary to prompt further.
Accurate responses to all questions are critical and all positive responses must be fully explained. Applicant responses to. Medical history information will be used by the. Department of Defense for continuity of care purposes if and when an applicant accesses into the Armed Forces or Coast Guard. Supporting medical. Medical history information. All documents must be submitted for review in accordance with standards below. After review, the. All supporting medical documentation must be present with the DD Form to meet the above timeframes for review.
Provide all medical documents via secure electronic submission if possible to. If the applicant was hospitalized, obtain a copy of the inpatient hospital record, to include if any : ER report, admission history and physical,. Disorder ADHD , etc. Obtain any and all documents relating to any evaluation, treatment or consultation with a psychiatrist, psychologist counselor, or therapist, on an.
If all attempts to obtain required substantiating and supporting medical documents fail, the recruiter must contact the MEPS medical department for.
OMB No. The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and. Send comments regarding this burden estimate or any other aspect of this collection of information, including. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a.
The information will also be used for medical boards and separation of Service members from the Armed Forces. For an Armed Forces member, failure to provide the information may result in the individual being placed in a non-deployable.
If you are selected for enlistment, commission or entrance into a commissioning program based on a. Initial each item "Yes" or "No". Detached retina or surgery to repair a detached retina.
Other breathing problems worsened by exercise, weather,. Used inhaler s or steroids for breathing problem s. Strabismus or "lazy eye" or any surgery to correct these. History of chest, chest wall, or breast surgery. Bring your eyeglasses no. Heart murmur, valve problem or mitral valve prolapse.
Palpitation, pounding heart or abnormal heartbeat. Ear surgery, to include mastoidectomy or repair of perforated. Ear, nose, or throat trouble including tonsillectomy. Jaundice except neonatal or hepatitis liver disease. Chronic sinus infections or recurrent nose bleeds. Surgery to remove or repair a portion of the intestine or spleen. Chronic or recurrent intestinal problem of the small or large. Do you wear dental braces or plan to wear braces? If so, your.
Rectal disease, hemorrhoids, or blood from the rectum. A change of menstrual pattern other than pregnancy. Evaluation, treatment or surgery for any other gynecological.
Sexually transmitted disease syphilis, gonorrhea, chlamydia,. Prolonged bleeding after an injury or tooth extraction. Missing a testicle, testicular implant, or undescended testicle.
Variocele, hydrocele, or any scrotal mass, swelling or pain. Adverse reaction to medication describe reaction in Section III. Adverse reaction to serum, insect stings, or tree nuts. Allergy to common foods milk, eggs, fish, meat, etc. Tuberculosis or lived with someone who had tuberculosis. Positive test for tuberculosis PPD or blood test. Disorder s of your immune system including HIV. Bedwetting or treatment for bedwetting after childhood. Diabetes or told that you should be tested for diabetes.
Frequent or severe headaches, including migraines. Lost time from work or school due to frequent or severe. Painful shoulder, elbow, wrist, hand or fingers.
Dislocated shoulder, elbow, wrist, hand or fingers. Foot trouble e. Loss of memory or amnesia, or neurological symptoms. Knee trouble e. Meningitis, encephalitis, or other neurological problems. Loss of the ability to fully flex bend or fully extend a finger, toe,. Impaired use of arms, hands, legs, or feet any reason. Plate s , screw s , rod s or pin s in any bone. Taken or taking medication, drugs, or any substance to. Pain or swelling at the site of an old fracture.
Diagnosed with a learning disorder, to include dyslexia. Any need to use corrective devices such as prosthetic devices,. Any other orthopedic, muscle, or sports injury problems. Seen a psychiatrist, psychologist, social worker, counselor or.
Deep Vein Thrombosis blood clot; leg or elsewhere. Any recent unexplained gain or loss of weight. Artificial or replacement body part eye, bone, palate, hip, knee,. Been arrested or other encounters with law enforcement. Have you ever had any illness or injury other than those already. Been evaluated or treated, either with medication or counseling,.
If "yes", specify when, where and give details in. Have you ever been treated in an Emergency Room? If "yes",. Nervous trouble of any sort anxiety or panic attacks.
DD Form 2807-2 "Accessions Medical Prescreen Report"
The DD Forms , , and the connect the military recruiter's office, MEPS, and the applicant seeking to join the military to one another by disclosing medical history information of the recruit. The applicant and the recruiter fill out this pre-screen questionnaire. It is to be completed by each individual who requires medical processing, in accordance with Department of Defense Directive Though it is recommended to make a copy for your records just in case the MEPS loses the form. The individual completing the DD Form will submit the form, at a minimum, one processing day in advance to the MEPS projected to process the individual. A minimum of two processing days in advance is required if support documentation is required to augment the MEPS review. If you have ever had a surgery, broken a bone, or had an ailment or birth defect, the military wants to know about it.
DD Form 2807-2, Medical Prescreen of Medical History Report ...
This form is to be completed by each individual who requires medical processing in accordance with Army Regulation Chapter 2 standards, or Department of Defense Directive Use of this form will also facilitate efficient, timely, and accurate medical processing of individuals applying for service in theUnited States Armed Forces or Coast Guard. The form is designed to assist recruiters in the medical pre-screening of applicants. The individual completing the DD Form -2 will submit the form, at a minimum, 1 processing day in advance to the MEPSprojected to process the individual. A minimum of 2 processing days in advance is required if support documentation e.