NAME OF MEDICAL TREATMENT FACILITY EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) SCREENING QUESTIONNAIRE For use of this form, see AR 60875; the proponent agency is OACSIM DATA REQUIRED BY THE PRIVACY.
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How to fill out the DA 7246 online
The DA 7246 form is an essential document for evaluating the special education and medical needs of family members under the Exceptional Family Member Program. This guide will provide you with clear instructions on completing the form online, ensuring that you submit accurate and complete information.
Follow the steps to fill out the DA 7246 comprehensively.
- Press the ‘Get Form’ button to obtain the DA 7246 form and open it for editing.
- Provide the service member's details in the designated fields. This includes their name, rank, social security number, branch, unit, and contact information such as duty phone and home address.
- Under the section labeled 'List all family members,' input the required data, including the family member's prefix, sex, and date of birth.
- Carefully answer the medical questions regarding each family member's medical history. Be specific about any conditions, services received, and the name or address of the medical provider as needed.
- Provide information on the mental health and educational background of family members as requested in the relevant sections, ensuring accuracy and completeness.
- Confirm all statements and information provided on the form are true and complete. The printed name and signature of the military sponsor or spouse must be included, along with the date.
- After completing the form, you can save your changes, download a copy, print it for your records, or share it with relevant parties as needed.
Complete your DA 7246 form online today to support your family's needs.
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Can EFMP go overseas?
Overseas Screening. Soldiers who want authorization for accompanied travel to overseas areas must have their Family members screened. However, Army regulations do not require screening for Permanent Change of Station (PCS) moves in the continental United States.
What is a DA 7246 form?
Soldier should obtain a DA Form 7246, Exceptional Family Member Program Screening Questionnaire. It is suggested that the Soldier and spouse complete the form as directed. This questionnaire is about the health and education history of the Family members and helps the EFMP staff conduct the review process.
What is a DA Form 5888?
The EFMP office directs the Soldier to complete DA Form 5888, Family Member Deployment Screening Sheet, and complete blocks 1-7 in consultation with his or her Personnel Representative. The Military Personnel Division (MPD) must verify the Soldier's dependents by completing block 8 (to include a signature).
What happens at an EFMP screening?
Generally, at your EFMP appointment, the Exceptional Family Member Program (EFMP) practitioner will review your screening questionnaire, outpatient medical records, education records, and any supporting documentation to determine if any family member meets criteria for enrollment into EFMP.
What is EFMP army?
EFMP Overview. Military Families with a special needs Family member, also known as an Exceptional Family Member (EFM), often require additional help in meeting the EFM's needs. To support Families with special needs, the Army created the Exceptional Family Member Program (EFMP) in the early 1980's.
What are the reasons for EFMP denial?
Reasons for denial could include services required for the exceptional family member are not available at the gaining installation. "If they get denied, they can request a reconsideration, they can go unaccompanied or they can ask for a new assignment," Sprecher said.
How do I get an EFMP screening?
Appointment for Screening. The Soldier contacts the local military Medical Treatment Facility (MTF) EFMP office for an appointment for the Family members to complete the EFMP screening packet.
How long does the EFMP process take?
The EFMP process can take up to 14 business days.
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