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DD 2807-1 2018-2024 free printable template

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E. Loss of finger or toe DD FORM 2807-1 MAR 2015 d. Tumor growth cyst or cancer DoD exception to SF 93 approved by ICMR August 3 2000. REPORT OF MEDICAL HISTORY This information is for official and medically confidential use only and will not be released to unauthorized persons. OMB No* 0704-0413 OMB approval expires Oct 31 2017 The public reporting burden for this collection of information is estimated to average 10 minutes per response including the time for reviewing instructions searching...
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How to fill out dd form 2807 1

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How to fill out dd form 2807 1:

01
Begin by downloading dd form 2807 1 from the official Department of Defense website.
02
Carefully read and understand the instructions provided on the form and any accompanying guidance.
03
Fill in your personal information accurately, including your name, date of birth, social security number, and contact details.
04
Provide detailed information about your medical history, including any past illnesses, injuries, surgeries, or ongoing medical conditions.
05
Answer all the questions regarding your mental health, drug or alcohol abuse history, and any previous counseling or treatment received.
06
If you have any current medications, list them along with the dosages and their purpose.
07
Indicate whether there are any limitations to your physical activities or if you have any mobility impairments.
08
Sign and date the form once you have completed all the required sections.
09
Submit the completed form to the appropriate personnel or agency, as instructed by the specific requirements you are fulfilling.

Who needs dd form 2807 1:

01
Individuals who are joining the United States Armed Forces are required to fill out dd form 2807 1 as part of the enlistment process.
02
Current military personnel may also need to complete this form if they are undergoing a medical evaluation or seeking medical treatment.
03
Individuals applying for military retirement benefits or disability compensation may be required to fill out this form to provide necessary medical information.

Who needs a DD Form 2807-1?

A person wishing to enter military service should complete DD Form 2807 1 known as the Report of Medical History in order to pass a review of their medical history.

What is DD Form 2807-1 for?

A DD Form 2807-1 is a Department of Defense form is used for gathering medical information for applicants to military service. 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 takes place when a Medical Evaluation Board is convened to determine the medical fitness of a current member and if separation is warranted.

Is DD Form 2807-1 accompanied by other forms?

The fillable form DD 2807 1 does not require the support of other documents and can be submitted as it is.

When is DD Form 2807-1 due?

The DD 2807 1 form does not have a deadline for the submission and can be submitted at any time when a person wanted to join the ranks of the armed forces.

How do I fill out DD Form 2807-1?

The submitter must answer a question on the following topics:

  • Applicant’s personal information;
  • Service to be applied and purpose of examination;
  • Questionnaire designed to compile all available information on the health status and previous diseases;
  • Written comments on the questionnaire, if positive answers were given;
  • Examiner’s summary (should be filled out by the examiner only).

Where do I send DD Form 2807-1?

Completed and signed by the examiner, this form remains in the Department of Defense office to which this form was submitted.

Video instructions and help with filling out and completing dd form 2807 1

Instructions and Help about form report medical history

Laws calm legal forms guide a DD form 2807 — one is a Department of Defense form used for gathering medical information for applicants to military service the form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds the DD Form 2807 — one is available on the Department of Defense documentation website or can be supplied to the chain of command before filling out the DD form 2807 – 1 you must first read the disclaimer and understand that you must answer truthfully to all questions or face criminal charges first fill out your basic information in boxes one through four providing your name social security number and contact information put the examining location in box 5 giving the address of the location provide the information required in boxes 6 through 9 stating the military branch you are applying for component and purpose of the form next provide your position usual occupation current medication and allergies boxes 10 through 19 asks you to indicate whether you have a history of specific medical conditions or illnesses go through each medical issue and answer yes or no for each you must fill in the corresponding bubble for each medical issue do not leave any answers blank you must answer yes or no to each issue if you answer yes to any question in boxes 10 through 19 you must provide an explanation of the medical condition in the provided space in box 29 or attach additional sheets explaining each yes answer questions 20 through 28 ask additional personal questions which you must answer yes or no for each question on the second page provide your name and social security number at the top a physician must attest to your answers in boxes 10 through 28 the physician may provide additional comments in box 30 adding additional information that they feel is important the examiner must sign and date the second page the DD Form 2807 — one is now ready for submission to the Department of Defense for review of your medical history to watch more videos please make sure to visit dot-com

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DD Form 2807-1 is a Department of Defense form used to certify medical fitness for entry into the military. It is a medical examination worksheet for use by an examiner to record medical information about a potential recruit. It includes sections for general medical history, physical examination, mental status, laboratory results, and other pertinent medical information.
DD Form 2807-1, also known as the "Report of Medical History," is required to be filed by individuals who are enlisting in the United States military or applying for military benefits. It is used to document an individual's medical history and can help determine their medical and physical suitability for military service. Additionally, it may also be required for certain military personnel who undergo periodic medical examinations or need to provide updated medical information.
To fill out DD Form 2807-1, you need to follow these steps: 1. Start by downloading a blank copy of the form from the official Department of Defense website. 2. Begin by providing your personal information in Block 1, including your name, Social Security Number, and date of birth. 3. In Block 2, provide your contact information, such as your current address, home and cell phone numbers, and email address. 4. Block 3 requires you to disclose your marital status and provide information about your spouse if applicable. 5. In Block 4, provide details about your dependents, including the number of children you have. 6. Next, in Block 5, document any previous military service, including branch, rank, and dates of service. 7. Block 6 deals with your medical history. Answer the questions truthfully, and disclose any medical conditions or treatments you have received. 8. In Block 7, you will be asked about any previous hospitalizations, surgeries, or ongoing medical treatments. 9. Block 8 is dedicated to psychiatric and psychological information. Answer the questions regarding these topics honestly. 10. In Block 9, you will be required to disclose any alcohol or drug-related problems you have experienced. 11. Block 10 requires you to provide your education, including high school and college information, if applicable. 12. Block 11 pertains to any criminal history you may have. Answer the questions truthfully, and provide any necessary details. 13. In Block 12, you will be asked about any current or previous significant medical conditions. Be thorough in your responses. 14. Finally, review the entire form, making sure you have answered all the questions truthfully and accurately. 15. Sign and date the form in Block 13 to certify your responses. Remember to closely follow the instructions provided with the form and seek assistance if you are unsure about any particular section.
The purpose of DD Form 2807-1, also known as the Report of Medical History, is to collect essential medical and dental history information from individuals seeking medical qualification for military service, or for individuals who require medical evaluation for other purposes within the Department of Defense (DoD) system. This form assists in determining an individual's medical fitness and eligibility to perform military duties. It helps healthcare providers gain a comprehensive understanding of an individual's previous and current medical conditions, medications, surgeries, allergies, and family medical history, among other relevant factors.
The DD Form 2807-1, also known as the Report of Medical History, is used to gather information about an individual's medical history. The information that must be reported on this form includes: 1. Personal Information: Name, Social Security Number (optional), Date of Birth, and other identification details. 2. Contact Information: Current address, phone number, and email address. 3. Military Information: Branch of Service, rank, and service number (if applicable). 4. Medical History: The form requires the applicant to provide information about any previous and current medical conditions, surgeries, hospitalizations, injuries, and treatments. 5. Medications: The form will ask for details about the current medications being taken, including dosage and frequency. 6. Allergies: Any known allergies to medications, food, or other substances should be reported. 7. Family Medical History: Information regarding any significant medical conditions that run in the immediate family. 8. Social History: This section collects information related to personal habits such as smoking, alcohol, and drug use. 9. Mental Health History: Any history of mental health conditions or counseling should be reported. 10. Military History: The form requests information related to military service, such as dates served, locations, deployments, and any combat-related experiences. It is important to provide accurate and complete information on the DD Form 2807-1 to ensure proper assessment and evaluation of the individual's medical history.
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