Get Dd 2215

The Dd 2215 form is vital for recording initial audiometric test results, helping to establish a reference for future evaluations. This guide will provide clear steps to complete the form online effectively.

Follow the steps to accurately fill out the Dd 2215 online.

1. Press the ‘Get Form’ button to access the form and open it in your editor.
2. Begin by entering your ZIP code, APO, FPO, or PAS in the designated field at the top of the form.
3. Identify your DOD component by selecting the appropriate letter corresponding to your major organizational subdivision.
4. Fill out your service component by entering the relevant letter that reflects your military branch.
5. Input your Social Security Number in the specified space.
6. Enter your name, ensuring you provide your last name followed by your first name and middle initial.
7. Provide your date of birth in the YYYYMMDD format.
8. Input your sex by selecting 'M' for male or 'F' for female.
9. Indicate your pay grade in the Uniformed Services, entering the appropriate code based on your classification.
10. If applicable, fill in your civilian pay grade information.
11. Complete the duty telephone field with your contact number, including the area code.
12. Specify your location of assignment with a complete mailing address.
13. Record the reason for conducting the audiogram by selecting the appropriate option that reflects your situation.
14. Enter the audiometric data, detailing your threshold levels at designated frequencies for both ears.
15. Document the date of the audiogram in YYYYMMDD format.
16. Answer whether the results meet referral criteria by selecting yes or no.
17. If preferred, enter the military time of day when the audiogram was completed.
18. Record hours since your last noise exposure before the audiogram.
19. Indicate any ear, nose, and throat problems at the time of the test.
20. Provide the examiner's name and their training certification number.
21. Enter details about the audiometer used, including type, model, manufacturer, and serial number.
22. If applicable, specify personal hearing protection details and sizes for earplugs.
23. Complete any additional remarks or information in the final section.
24. Once all fields are filled, save changes, download, print, or share the form as needed.

Start filling out your Dd 2215 form online today to ensure your audiometric results are properly recorded.