Year old ( ) male ( ) female reports for an annual PHA which includes record review/verification, assessment and counseling of health risk factors, clinical preventive services, deployment health history, and individual medical readiness (IMR) assessment. Allergies (Medication and other): See Block 1 on DD 2766 Chronic Illnesses: See Block 2 on DD 2766 Medications (Rx / OTC / herbals / supplements / performance enhancers): See Block 3 on DD 2766 Hospitalizations/Surgeries since last PHA: See Bl.

How it works
  • Open form

    Open form follow the instructions

  • Easily sign form

    Easily sign the form with your finger

  • Share form

    Send filled & signed form or save

How to fill out the Periodic Health Assessment online

Completing the Periodic Health Assessment (PHA) online is a critical step in managing your health and readiness. This guide will provide you with clear, step-by-step instructions to help you accurately fill out this important document.

Follow the steps to complete your Periodic Health Assessment online.

  1. Press the ‘Get Form’ button to download the form and open it in your preferred online editor.
  2. Begin by filling in the date at the top of the form. This is essential for keeping your health records up to date.
  3. In the screening section, enter your height in inches, weight in pounds, BMI, temperature, pulse, respirations, and blood pressure. If any data is deferred, mark it accordingly.
  4. Proceed to the 'Subjective' section. Enter your age, choose your gender, and summarize relevant health details. Refer to DD 2766 for allergies, chronic illnesses, medications, hospitalizations, family history, and occupational history.
  5. In the 'Objective' section, note any vital signs and assessments. Indicate whether your health record, dental readiness, immunization record, lab/path results, clinical preventive services, and occupational health records are reviewed or not available.
  6. Move to the 'Assessment' section. Confirm that your health risk assessment was completed. Fill in the assessment level and any current health concerns you may have.
  7. In the 'Plan/Prevention' section, document the updates made in the DD 2766 sections and whether health counseling was performed. Note any labs or immunizations that were ordered.
  8. Add any referrals needed for services or specialist consultations, ensuring that all indicated referrals are documented accurately.
  9. At the end of the form, ensure to review your information, and confirm that all necessary signatures are included for acknowledgment.
  10. Finally, save your changes, and choose to download, print, or share the completed form as necessary.

Complete your Periodic Health Assessment online today to ensure your health readiness.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.

Related content

periodic health assessment - Defense.gov

male female. The Periodic Health Assessment (PHA) is a screening tool used by the Coast...

Learn more
Physical Health Assessment (PHA) - Naval Medical...

Physical Health Assessments. The Periodic Health Assessment (PHA) is a screening tool used...

Learn more
Risk assessment - Wikipedia

Jump to General health — Also, medical, hospital, social service, and food industries...

Learn more
Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

Do they drug test at Army PHA?

The PHA is not a drug test. Keeping this in consideration, what happens at army PHA? The Periodic Health Assessment (PHA) is a screening tool used by the armed forces to evaluate the individual medical readiness of their Service members.

The Periodic Health Assessment (PHA) is a screening tool used by the armed forces to evaluate the individual medical readiness of their Service members. It can be conducted alone or can be combined with other individual medical readiness needs (e.g., dental exam and immunizations).

Log in to AKO with your CAC card or using your Logon ID and password. On the AKO Home Page, go to "My Medical Readiness Status" Click on MORE Select Periodic Health Assessment Additionally, what is Army Medpros? ... To access e-Profile, you must have an active AKO account and Common Access Card.

Soldiers can call 1-877-437-6313 for LHI to assist them in making an appointment free of charge. LHI will verify treatment needs and schedule the right appointment for you! TPU SMs can also contact an Active Duty (AD) Dental Clinic.

Completed annually, the PHA consists of the following components for the Service member: A self-reported health status. Measurement and documentation of vitals (height, weight, BP) Vision screening.

The Personal Health Assessment (PHA) provides a snapshot of your health through laboratory screenings, medical history and physical factors. The PHA is not a drug test.

Periodic Health Assessment Completed annually, the PHA consists of the following components for the Service member: A self-reported health status. Measurement and documentation of vitals (height, weight, BP) Vision screening.

PHA is a four part assessment including a self-reported health assessment, record review, mental health review, and a face-to-face or person-to-person consultation with a certified PHA health care provider.

STEP 1: The first part of the PHA process is unchanged: service member completes an online questionnaire via Army Knowledge Online (AKO). To complete the online questionnaire, Soldiers should visit www.us.army.mil and then go to "Self Service" and then click on "My Medical Readiness."

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.

If you believe that this page should be taken down, please follow our DMCA take down process here.

Get Periodic Health Assessment