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Get D D Form 26 97, Report Of Medical Assessment, February 19 95.
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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.
- Click the 'Get Form' button to access the form and open it in your editor.
- Begin with Section I, where you will provide your personal information. Fill in your name, social security number, rank, and service component.
- Continue providing your unit of assignment, home street address, city, state, and ZIP code. Ensure that your home telephone number includes the area code.
- 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).
- 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.
- 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.
- 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.
- Indicate your intent regarding Department of Veterans Affairs disability by selecting 'Yes,' 'No,' or 'Uncertain' and listing any conditions if applicable.
- 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.
- 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.
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.
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