Form Approved OMB No. 0704-0396 Expires Aug 31, 2003 DOD MEDICAL EXAMINATION REVIEW BOARD (DODMERB) STATEMENT OF PRESENT HEALTH The public reporting burden for this collection of information is estimated.
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How to fill out the Pesent Nomber 2372 Form online
Filling out the Pesent Nomber 2372 Form is an essential step in ensuring that your medical information is accurately reported for your application to a United States Service Academy or related programs. This guide provides clear, step-by-step instructions to assist you in completing the form online efficiently.
Follow the steps to complete the form accurately
- Click ‘Get Form’ button to obtain the form and open it in the online document editor.
- You will need to enter your typed or printed name in the specified field, ensuring your last name, first name, and middle initial are clearly indicated.
- Next, input your Social Security Number (SSN) to establish your identity within the Department of Defense's records.
- Indicate the name of the program or programs you are applying for in the designated section.
- In the statement of present health section, provide accurate details regarding your current health status.
- If applicable, list any medications you are currently taking along with the reasons for their use. If no medications are taken, state 'NONE'.
- In the remarks section, add any additional information that may be relevant to your health status or application.
- Select the appropriate certification option by placing an 'X' in the corresponding block based on your medical care received since your last examination.
- If your certification is not totally accurate, provide a detailed explanation in the space provided or attach additional pages if necessary.
- Sign the form in the designated area to confirm that the information provided is correct to the best of your knowledge.
- Finally, enter the date you signed the form before submission.
- After completing the form, you can save your changes, download a copy for your records, print it, or share the completed form as needed.
Ensure your application is complete by filling out your documents online today.
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