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Get DA 3349 2010

UNIT DA FORM 3349 SEP 2010 18. PROFILING OFFICER E-MAIL PREVIOUS EDITIONS ARE OBSOLETE Page 1 of 2 APD PE v1.00ES PATIENT S NAME CONTINUATION From page 1 Item 8. PHYSICAL PROFILE For use of this form see AR 40-501 the proponent agency is the Office of the Surgeon General* ILLNESS/DISEASE 2. CODES Table INJURY Or 1. MEDICAL CONDITION Description in lay terminology 7-2 AR 40-501 P U L H E S Temporary Permanent 4. PROFILE TYPE YES a* TEMPORARY PROFILE Expiration date YYYYMMDD NO Limited to 3 months duration b. PERMANENT PROFILE Reviewed and validated with every periodic health assessment or after 5 years from the date of issue 5. FUNCTIONAL ACTIVITIES THAT EVERY SOLDIER REGARDLESS OF MOS MUST BE ABLE TO PERFORM. IF SOLDIER CANNOT PERFORM ANY ONE OF THESE TASKS THEN THE PULHES MUST CONTAIN AT LEAST ONE 3 AND SOLDIER MUST BE REFERRED TO A MEB. CAN THE SOLDIER a* Carry and fire individual assigned weapon b. Evade direct and indirect fire c* Ride in a military vehicle for at least 12 hours per day d. Wear a helmet for at least 12 hours per day e. Wear body armor for at least 12 hours per day f* Wear load bearing equipment LBE for at least 12 hours per day g. Wear military boots and uniform for at least 12 hours per day h. Wear protective mask and MOPP 4 for at least 2 continuous hours per day i. Move 40lbs for example duffle bag while wearing usual protective gear helmet weapon body armor and LBE at least 100 yards j. Live in an austere environment without worsening the medical condition 6. APFT ALTERNATE APFT Fill out if unable to do APFT run otherwise N/A 2 MILE RUN APFT SIT-UPS APFT SWIM APFT PUSH UPS N/A APFT WALK APFT BIKE 7. DOES THE SOLDIER MEET RETENTION STANDARDS IAW CHAPTER 3 AR 40-501 NEEDS MMRB 8. FUNCTIONAL LIMITATIONS AND CAPABILITIES AND OTHER COMMENTS This temporary profile is an extension of a temporary profile first issued on 9. NAME GRADE TITLE OF PROFILING OFFICER 10. SIGNATURE 11. DATE YYYYMMDD 12. NAME GRADE OF APPROVING AUTHORITY 15. Commanders can access the electronic profiles of Soldiers in their unit s by going to http //www. mods. army. mil/ and clicking on eProfile in the list of applications. Commanders will be required to register and be approved in eProfile before they can gain access to profiles. 16. PATIENT S IDENTIFICATION 17. HOSPITAL OR MEDICAL FACILITY a* NAME Last First b. GRADE/RANK c* SSN d. PHYSICAL PROFILE For use of this form see AR 40-501 the proponent agency is the Office of the Surgeon General* ILLNESS/DISEASE 2. CODES Table INJURY Or 1. MEDICAL CONDITION Description in lay terminology 7-2 AR 40-501 P U L H E S Temporary Permanent 4. CODES Table INJURY Or 1. MEDICAL CONDITION Description in lay terminology 7-2 AR 40-501 P U L H E S Temporary Permanent 4. PROFILE TYPE YES a* TEMPORARY PROFILE Expiration date YYYYMMDD NO Limited to 3 months duration b. PERMANENT PROFILE Reviewed and validated with every periodic health assessment or after 5 years from the date of issue 5. PROFILE TYPE YES a* TEMPORARY PROFILE Expiration date YYYYMMDD NO Limited to 3 months duration b. PERMANENT PROFILE Reviewed and validated with every periodic health assessment or after 5 years from the date of issue 5. FUNCTIONAL ACTIVITIES THAT EVERY SOLDIER REGARDLESS OF MOS MUST BE ABLE TO PERFORM. IF SOLDIER CANNOT PERFORM ANY ONE OF THESE TASKS THEN THE PULHES MUST CONTAIN AT LEAST ONE 3 AND SOLDIER MUST BE REFERRED TO A MEB. .

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