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  • D D Form 26 97, Report Of Medical Assessment, February 19 95.

Get D D Form 26 97, Report Of Medical Assessment, February 19 95.

REPORT CONTROL SYMBOL REPORT OF MEDICAL ASSESSMENT DD-HA(AR)1939 PRIVACY ACT STATEMENT AUTHORITY: PL 103-160, EO 9397. PRINCIPAL PURPOSE: To be used by the Medical Services to provide a comprehensive.

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How to fill out the D D Form 26 97, Report Of Medical Assessment, February 19 95, online

Filling out the D D Form 26 97, Report Of Medical Assessment, is an important step for service members preparing for separation or retirement. This guide provides clear, step-by-step instructions on how to accurately complete the form online.

Follow the steps to effectively complete your Report of Medical Assessment.

  1. Click the 'Get Form' button to access the form and open it in your editor.
  2. Begin with Section I, where you will provide your personal information. Fill in your name, social security number, rank, and service component.
  3. Continue providing your unit of assignment, home street address, city, state, and ZIP code. Ensure that your home telephone number includes the area code.
  4. Indicate the date of your last physical examination by the military and the date you entered on current active duty, using the correct format (YYMMDD).
  5. Evaluate your overall health compared to your last medical assessment by selecting an option: 'Same,' 'Better,' or 'Worse.' If you choose 'Worse,' provide an explanation.
  6. Answer questions regarding any illnesses or injuries that caused you to miss duty for longer than three days and any treatment received since your last examination. Be ready to explain if you answer 'Yes' to these questions.
  7. Continue to answer the remaining questions regarding medications, work limitations, dental issues, and any other health concerns, ensuring to explain if you indicate any 'Yes' responses.
  8. Indicate your intent regarding Department of Veterans Affairs disability by selecting 'Yes,' 'No,' or 'Uncertain' and listing any conditions if applicable.
  9. Complete the certification section by signing and dating the form to confirm that the information is true and complete to the best of your knowledge.
  10. Once all fields are completed, you can save, download, print, or share your filled-out form as needed.

Complete your D D Form 26 97 online today to ensure a smooth transition.

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A: The purpose of the SHPE is to capture a complete medical history and conduct a complete medical examination, when required, in order to document the Service Members (SMs) current health status prior to separation from Active Duty.

180-90 days prior to separation/retirement: Not filing a VA claim: SHPE will be conducted at Medical Treatment Facility (MTF).

The SHPE includes a review of a Soldier's Medical History, documented on a DD Form 2807-1 (Report of Medical History) and a physical examination, documented on a DD Form 2808 (Report of Medical Examination).

Who Conducts the Exam? VA conducts the exam when the Service member applying for disability compensation has at least 90 days remaining on active duty. DoD conducts the exam for Service members who aren't filing a disability compensation claim or have less than 90 days remaining on active duty.

DD FORM 2697, FEB 95 (BACK) SECTION II - TO BE COMPLETED BY INDIVIDUALLY PRIVILEGED HEALTH CARE PROVIDER. This Report of Medical Assessment is to be used by the Medical Services to provide a comprehensive medical assessment for active and reserve component service members separating or retiring from active duty.

Schedule your exam at a military hospital or clinic or VA facility well in advance of your scheduled separation date. If you're filing a VA claim, schedule it no later than 90 days before your separation date. If you're taking extended terminal leave, it's best that you schedule at an military hospital or clinic.

Resources and support. Call us. 800-698-2411. Visit a medical center or regional office. Find a VA location.

The SHPE includes a review of a Soldier's Medical History, documented on a DD Form 2807-1 (Report of Medical History) and a physical examination, documented on a DD Form 2808 (Report of Medical Examination).

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232