Page 1 of 9 instructions for completing dd form 28072, accessions medical history report. Enter the date that the dd form 1747 was sent to the military applicant. In response to inquiries about the form dd 214, report of separation. Tooth or gum problems other than cavities dd form 28072, mar. Dd form 28071, oct 2003 dod exception to sf 93 approved by icmr, august 3, 2000.
However, do not use if your voucher is processed in the defense travel system dts. Smartvoucher makes it easy for military members to complete their tdy vouchers. Dd, record of military processing bity link bity link dd 28072 pdf. Dd form 28071 report of medical history legal forms. The dd 214 can now be requested online, but only by. Book page if you are requesting for more than one of dd. Dd form 2 retired united states uniformed services identification card. Dod can use the results to evaluate occupational exposures and hazards in. Documents any medical concerns identified during your military career assesses your current health and medical history. Dd form 11722 application for identification carddeers. Dd74 dependency statement child born out of wedlock under age 21 dd448 military interdepartmental purchase request dd397 claim certification and voucher for death gratuity payment dd462 bond of person designated to act on behalf of incompetent member or former dd410 telephone service, requisition for dd365 weight and balance personnel, record of. Getting a replacement dd 214 or military service records. Dd forms 25002999 updated 02192020 form availability. This version of the adobe acrobat is not compatible with the apd website.
The dd form 28071 is available on the department of defense documentation website or. The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. 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. If this message is not eventually replaced by the proper contents of the document, your pdf viewer may not be able to display this type of document. Dd form 28071 the information voluntarily 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 conditions noted on the prescreening form dd 28072. Failure to sign the authorization form will result in the nonrelease of the protected health information.
To schedule for processing at a local military entrance processing station meps, all applicants, via their recruiter, must submit a request for. This can help prevent future illnesses and injuries. The most secure digital platform to get legally binding, electronically signed documents in just a few. Dd form 28071 download fillable pdf or fill online report. This form will not be used for the authorization to disclose alcohol or drug abuse patient information. Apr 26, 2020 dd form 28072 pdf dod has replaced the use of the sf 93 with the dd form and dd form is used by recruiters to prescreen applicants. Dd form 28072, accessions medical prescreen report, march. Dod exception to sf 93 approved by icmr, august 3, 2000.
A dd form 28071 is a department of defense form which is used to gather medical information for applicants who need to accept military service. If your applicant requires an re code waiver, you must. Defense finance accounting service militarymembers. Dd form 28072 montana army national guard recruiting and. Dd form 28071, report of medical history is a form primarily used by and within the department of defense dod to obtain medical information on individuals wishing to join the united states armed. Oct 14, 2019 dd form 28072 montana army national guard recruiting and a pdf reader is required for viewing. Dd 149 application for correction of military record. Fill out the application for identification carddeers enrollment online and print it out for free. If this form is not completed in its entirety, your request will not be processed. Aug 17, 2019 dd 28072 pdf dod has replaced the use of the sf 93 with the dd form and dd form is used by recruiters to prescreen applicants. Next of kin of a deceased, former member of the military. To download a document, rightclick on the link and. This form must be faxedemailed in with your applicant signed and initialed usmepcom 6803ae and dd form 28072. Adverse reaction to serum, food, insect stings or medicine l.
Dd form 2807 2 fill out and sign printable pdf template. The way to complete the online 2807 2 on the internet. The form is designed to assist recruiters in the medical prescreening of applicants. Dd form 28071, report of medical history, october 2003. The advanced tools of the editor will guide you through the editable pdf template. Make sure you use the may 2011 version of the dd512 travel voucher form. Dd 28072 pdf dod has replaced the use of the sf 93 with the dd form and dd form is used by recruiters to prescreen applicants. Dd form 2808 is used by the meps medical staff to document the medical examination. The way to complete the online dd form 2807 2 on the internet. Sign, fax and printable from pc, ipad, tablet or mobile. Certifying official ensures a copy of the completed dd form 368 and a copy of the oath are mailed to the address in item 6. The form is used by military physicians to determine if an applicant can. All items noted below are required and absence will be sufficient cause. The individual completing the dd form 28072 will submit the form, at a.
Most veterans and their nextofkin can get free copies of their dd form 214. Its used by meps during the meps medical examination. Fill out, securely sign, print or email your dd form 2807 2 print instantly with signnow. Sexually transmitted disease syphilis, gonorrhea, chlamydia, genital. This form is to be completed by each individual who requires medical processing in accordance with department of defense instruction dodi. 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 conditions noted on the prescreening form dd 28072. The revisions are designed to ensure that medical prescreening questions used by recruiters and by u. Dd form 2870 this form is used to allow a tricare beneficiary to authorize health net federal services, llc health net to release protected information to a person or entity of the beneficiarys choosing. Military physicians determine if an applicant can be accepted or should be disqualified on medical grounds with the help of it. I certify that i have witnessed the applicants signature above and that i have verified the data in the documents required as prescribed by my. Dd form 28072 medical prescreening of medical history report. This form is to be completed by each individual who. Apr 26, 2018 the report of separation form issued in most recent years is the dd form 214, certificate of release or discharge from active duty.
Fill out the report of medical history online and print it out for free. Dd form 28072, accessions medical prescreen report, march 2015. Pdf, application for identification carddeers enrollment dd form 2656. Examineeapplicantwill be used by some military facilities. Dod medical forms 2807 and 2808 used by recruiters meps. If 82072 really is an official form you military dudes need to clean up your administrative processes. Dd1966, record of military processing armed forces of the united states. Page 3 of form dd2808 name and emplid at top of pagemust be completed. Department of defense, army forms, business, united states federal legal forms and united states legal forms. Va separation health assessment for service members factsheet. The dd forms 28071, 28072, and the 2808 connect the military recruiters office, meps, and the applicant seeking to join the military to one another by disclosing medical history information of the. Pdf, reserve component survivor benefit plan rcsbp election certificate. May 28, 2019 admin may 28, 2019 may 28, 2019 no comments on dd 28072 pdf dod has replaced the use of the sf 93 with the dd form and dd form is used by recruiters to prescreen applicants.
Download fillable dd form 11722 in pdf the latest version applicable for 2020. Dd form 28071 is often used in dd 2807 forms, dd forms, u. Armed forces of the united states geneva conventions identification card. If your applicant is gps or ps, you will need to include the long form dd 214 or ngb form 22 for the last period of service. To download a document, rightclick on the link and select save target as. If 82072 really is an official form you military dudes need to clean up your administrative. Download fillable dd form 28071 in pdf the latest version applicable for 2020. A dd form 28071 is a department of defense form is used for gathering medical information for applicants to military service. Loss of this allimportant form is not the end of the world.
If your applicant is gps or ps, you will need to include the long form dd 214 or ngb. An additional collection of information using this form occurs when a medical evaluation board is convened to determine the medical fitness of a current. Additional questions have been added to improve its usefulness to the accessions medical prescreening process. If the form number does not have a hyperlink, the form is not available electronically.
Record of military processing armed forces of the united states. Dod can use the results to evaluate occupational exposures and hazards in military workplaces. Dd form 214, discharge papers and separation documents. Use the smartvoucher interactive application to fill our your travel voucher, dd form 512. Before january 1, 1950, several similar forms were used by the military services, including the wd ago 53, wd ago 55, wd ago 5355, navpers 553, navmc 78pd and the navcg 553. Members of the temporary disability retired list tdrl. The primary collection of this information is from individuals seeking to join the armed forces. Application for assignment to housing, september 1993. Pdf, data for payment of retired personnel dd form 26565. To obtain hard copies of current forms not available in electronic format, please contact your own military service or dod component forms management officer. Va separation health assessment for service members. Replaces the existing medical prescreen form dd form 28072, aug 2011. The information collected on this form is used to assist department of defense dod physicians in making determinations as to acceptability of applicants for. The dd forms 28071, 28072, and the 2808 connect the military recruiters office, meps, and the applicant seeking to join the military to one another by disclosing medical history information of the recruit.
Jul 17, 2019 dd 28072 pdf dod has replaced the use of the sf 93 with the dd form and dd form is used by recruiters to prescreen applicants. Military entrance processing command usmepcom with. 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. Dd form 28071, report of medical history is a form primarily used by and within the department of defense dod to obtain medical information on individuals wishing to join the united states armed forces this form sometimes confused with the da form 2807, military working dog training and utilization record, or incorrectly called the da form 2807 was last revised in march 2015. Dd form 28072 pdf dod has replaced the use of the sf 93 with the dd form and dd form is used by recruiters to prescreen applicants. Military entrance processing command usmepcom with health history information necessary to identify. Enter your official identification and contact details. Completed forms are covered by recruiting, medical evaluation board, and official military personnel file sorns.
Use this stepbystep guide to complete the 2807 2 army 20152019 form promptly and with ideal precision. Dd form 28072, accessions medical prescreen report is a form that has to be completed by the person requiring medical processing within the dod. Dd form 2870, authorization for disclosure of medical or. 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. Dd form dd form pdf document dd form 280722 for military aerial support dd form oct page 1 of 4 pages request f ddrequest for military aerial support dd form jul page 1 of 4 pages request f dd. Members of the individual ready reserves and inactive national guard. Dd form 28072, medical prescreen of medical history report. Dd form 28071 download fillable pdf or fill online report of. The applicant and the recruiter fill out this prescreen questionnaire. Page 3 of form dd 2808 name and emplid at top of pagemust be completed. Dd, record of military processing armed forces of the united states.
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