Follow the steps to successfully complete your screening form

1. Click ‘Get Form’ button to access the screening form and open it in your chosen editor.
2. In Block 1, enter the name of the sponsor. Ensure the spelling is accurate, as this is critical for identification purposes.
3. Proceed to Block 2 and input the sponsor's rate or rank, providing the correct designation to avoid any processing issues.
4. In Block 3, fill in the present unit of the sponsor. This information helps in determining the correct assignment location.
5. Enter the dependent's name in Block 4. This should be the full legal name as it appears on identification documents.
6. Provide the age of the dependent in Block 5. Ensure this number reflects the current age accurately.
7. In Block 6, specify the relationship of the dependent to the sponsor, using standard terms such as partner, child, or other.
8. For Block 7, input the projected location or unit where the sponsor will be assigned, as this affects suitability of location.
9. In Block 8, provide the local Primary Care Manager's (PCM) medical name and number to ensure healthcare continuity.
10. Fill in Block 9 with the PCM's dental name and number. This is crucial for dental health management overseas.
11. Enter any specialty provider's name and number in Block 10 to keep comprehensive medical details in the record.
12. In Blocks 11-18, the HSWL Screener will fill in important medical questions, responding accurately to ensure a complete assessment.
13. Blocks 19-26 require signatures. The HSWL Screener and the dependent or guardian must sign and date to confirm the truthfulness of the information provided.
14. Review all entered information for accuracy and completeness before finalizing the form. Make any necessary corrections.
15. Once all blocks are filled, you can save changes, download a copy for your records, or print it for submission.

Begin filling out the Coast Guard Overseas Screening online today to ensure timely processing of your application.