Get Da Form 4497

The Da Form 4497 is a crucial document used for interim flying duty medical examination. This guide will provide clear and detailed instructions on how to complete this form online, ensuring a smooth and efficient process for all users.

Follow the steps to successfully complete the Da Form 4497 online.

1. Click the ‘Get Form’ button to access and open the form in your preferred editor.
2. Enter the exam date in the 'EXAM DATE (DD/MM/YY)' field. Make sure to use the correct format.
3. Input your Social Security Number (SSN) in the designated field to maintain identification.
4. Fill out your name by writing your last name first, followed by your first name and middle initial.
5. Indicate your rank in the corresponding section to provide your military identification.
6. Add your birth date in the 'BIRTH DATE (DD/MM/YY)' field using the correct format.
7. In the 'COMPONENT' section, check the box for your appropriate status: AD-RA, AD-USAR, ARNG-AGR.
8. Select your aviation duty by checking one of the available options in the 'AVIATION DUTY' section.
9. Provide the complete unit address and name of your unit of assignment.
10. Enter your unit phone number and your home phone number in the respective fields.
11. List any medications you are currently taking along with their dosages as requested.
12. Detail any existing aeromedical waivers in the specified field.
13. Acknowledge the statement regarding clearance by a flight surgeon by marking it appropriately.
14. Fill in the exam facility address where the medical examination took place.
15. Provide your blood pressure reading in the specified field.
16. Input your pulse rate in the designated area.
17. Enter your height in inches as required.
18. Record your weight in pounds.
19. Detail your body fat percentage as needed.
20. Complete the vision and hearing examinations by filling in the respective results.
21. If applicable, enter findings from the electrocardiogram in the appropriate section.
22. Provide any pertinent history and examination details as stated in 'HISTORY AND EXAMINATION'.
23. Finally, review all entries for accuracy and completeness before proceeding.
24. Once finished, save your changes, and choose to download, print, or share the form as required.

Start filling out the Da Form 4497 online now to expedite your medical examination process.