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Get DA 3349 1986

OTHER TYPED NAME AND GRADE OF PROFILING OFFICER SIGNATURE DATE ACTION BY APPROVING AUTHORITY APPROVED PERMANENT CHANGE OF PROFILE TYPED NAME GRADE TITLE OF APPROVING AUTHORITY ACTION BY UNIT COMMANDER THIS PERMANENT CHANGE IN PROFILE SERIAL MILITARY OCCUPATIONAL SPECIALTY DOES DOES NOT REQUIRE A CHANGE IN MEMBER S DUTY ASSIGNMENT BECAUSE PATIENT S IDENTIFICATION For typed or written entries give Name last first middle grade SSN hospital or medical facility UNIT ISSUING CLINIC AND PHONE NUMBER DISTRIBUTION UNIT COMMANDER - ORIGINAL 1 COPY HEALTH RECORD JACKET - 1 COPY CLINIC FILE - 1 COPY MILPO - 1 COPY DA FORM 3349 MAY 86 REPLACES DA FORM 5302-R TEST DATED FEB 84 AND DA FORM 3349 DATED 1 JUN 80 WHICH ARE OBSOLETE USAPPC V1. PHYSICAL PROFILE For use of this form see AR 40-501 the proponent agency is the Office of The Surgeon General 1. MEDICAL CONDITION P U L H 3. ASSIGNMENT LIMITATIONS ARE AS FOLLOWS 4. THIS PROFILE IS E S CODES TEMPORARY EXPIRATION DATE PERMANENT 5. THE ABOVE STATED MEDICAL CONDITION SHOULD NOT PREVENT THE INDIVIDUAL FROM DOING THE FOLLOWING ACTIVITIES Groin Stretch Hip Raise Knee Bender Side-Straddle Hop High Jump Jogging in Place 6. AEROBIC CONDITIONING EXERCISES 8. TRAINING HEART RATE FORMULA Wear Backpack 40 Lbs. Wear Helmet MALES 220 Carry Rifle FEMALES 225 Fire Rifle MINUS Lift Up to X INTENSITY PLUS Pounds - RESTING HEART RATE TIMES Miles Marching Up to - AGE With Hearing Protection KP/Mopping/Mowing Grass Walking Running Bicycling Swimming All PHYSICAL FITNESS TEST Run at Training Heart Rate for Bicycle at Training Heart Rate for Swim at Training Heart Rate for Neck Stretch Ankle Stretch Hip Stretch Upper Body Wt Tng Lower Body Wt Tng Neck Shoulder Stretch Upper Back Stretch Chest Stretch One-Arm Side Stretch Two-Arm Side Stretch Side Bender 7. FUNCTIONAL ACTIVITIES Walk at Own Pace and Distance Run at Own Pace and Distance Bicycle at Own Pace and Distance Swim at Own Pace and Distance Walk or Run in Pool at Own Pace Unlimited Lower Back Stretch Single Knee to Chest Straight Leg Raise Elongation Stretch Turn and Bounce Turn and Bend Thigh Stretch Quads Stretch Bal* Calf Stretch Long Sit Hamstring Stretch Hams. Calf Stretch Min* Two Mile Run Walk Push-Ups Swim Sit-Ups EXTREMELY POOR CONDITION HEALTHY SEDENTARY INDIVIDUAL MODERATELY ACTIVE MAINTENANCE WELL TRAINED INDIVIDUAL Bicycle 9. PHYSICAL PROFILE For use of this form see AR 40-501 the proponent agency is the Office of The Surgeon General 1. MEDICAL CONDITION P U L H 3. ASSIGNMENT LIMITATIONS ARE AS FOLLOWS 4. THIS PROFILE IS E S CODES TEMPORARY EXPIRATION DATE PERMANENT 5. MEDICAL CONDITION P U L H 3. ASSIGNMENT LIMITATIONS ARE AS FOLLOWS 4. THIS PROFILE IS E S CODES TEMPORARY EXPIRATION DATE PERMANENT 5. THE ABOVE STATED MEDICAL CONDITION SHOULD NOT PREVENT THE INDIVIDUAL FROM DOING THE FOLLOWING ACTIVITIES Groin Stretch Hip Raise Knee Bender Side-Straddle Hop High Jump Jogging in Place 6. THE ABOVE STATED MEDICAL CONDITION SHOULD NOT PREVENT THE INDIVIDUAL FROM DOING THE FOLLOWING ACTIVITIES Groin Stretch Hip Raise Knee Bender Side-Straddle Hop High Jump Jogging in Place 6. AEROBIC CONDITIONING EXERCISES 8. TRAINING HEART RATE FORMULA Wear Backpack 40 Lbs. Wear Helmet MALES 220 Carry Rifle FEMALES 225 Fire Rifle MINUS Lift Up to X INTENSITY PLUS Pounds - RESTING HEART RATE TIMES Miles Marching Up to - AGE With Hearing Protection KP/Mopping/Mowing Grass Walking Running Bicycling Swimming All PHYSICAL FITNESS TEST Run at Training Heart Rate for Bicycle at Training Heart Rate for Swim at Training Heart Rate for Neck Stretch Ankle Stretch Hip Stretch Upper Body Wt Tng Lower Body Wt Tng Neck Shoulder Stretch Upper Back Stretch Chest Stretch One-Arm Side Stretch Two-Arm Side Stretch Side Bender 7. .

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