Get Txmf Form 3349 R

The Txmf Form 3349 R is essential for providing medical information regarding a service member's capabilities. This guide will walk you through the steps needed to complete the form online efficiently and effectively.

Follow the steps to fill out the Txmf Form 3349 R online.

1. Use the ‘Get Form’ button to access the Txmf Form 3349 R and open it for editing.
2. Begin filling out Section I, which includes patient data. Enter the last name, first name, and middle initial of the service member, their date of birth in the YYYYMMDD format, and the EDIPN (CAC ID number). Specify the unit (UIC) and the date(s) of military assessment or profile, as provided by the military provider.
3. In Section II, provide detailed medical conditions of the service member, starting with Condition #1. Include the ICD-10 diagnosis code and provide a narrative description if needed. Repeat this process for Condition #2 and Condition #3, if applicable.
4. Complete Section III by detailing the treatment plan for each listed medical condition. Ensure to include any necessary laboratory tests or results from imaging studies pertinent to the service member's care.
5. In Section IV, outline your medical prognosis and any limitations for the service member. Answer questions regarding recovery expectations and optimal return dates, noting any specific restrictions related to weight, time, or distance.
6. Proceed to Section V, where you evaluate the service member’s ability to participate in physical fitness testing. Answer questions about various physical readiness tests and indicate alternate event options if necessary.
7. In Section VI, assess the service member's ability to perform military common tasks in relation to their medical conditions. Answer all questions about physical and mental capabilities and indicate any permanent limitations.
8. Finally, complete Section VII with the provider's information and signature, including the date signed. Ensure all parts of the form are complete and accurate.
9. Once you have filled in all sections, save your changes, and download the completed form. You can also print or share it as required.

Get started on filling out the Txmf Form 3349 R online today.