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NAME OF MEDICAL TREATMENT FACILITY EXCEPTIONAL FAMILY MEMBER PROGRAM (EMP) SCREENING QUESTIONNAIRE For use of this form, see AR 608-75; the proponent agency is OASIS DATA REQUIRED BY THE PRIVACY ACT.

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How to fill out the DA 7246 online

The DA 7246 form is an essential document used in the Exceptional Family Member Program (EFMP) to assess the medical and educational needs of family members. Completing this form accurately ensures appropriate support and consideration during military assignments.

Follow the steps to fill out the DA 7246 online effectively.

  1. Click ‘Get Form’ button to obtain the DA 7246 form and open it in your editor.
  2. Begin by filling in the service member’s name, rank, date, branch, unit, duty phone, projected PCS assignment, DSN, home phone, home address, duty address, and projected PCS date. Ensure all details are accurate.
  3. List all family members by filling in their prefix, sex, date of birth, and check if they are enrolled in the EFMP.
  4. Answer the medical questions for each family member. For instance, if any family member has medical records beyond those already provided, indicate 'yes' or 'no' and provide details as required.
  5. For questions related to medical treatments, ensure to input any relevant information regarding hospitalization, prescribed medications, and any medical conditions that may apply. Use the provided fields to elaborate as necessary.
  6. Move on to mental health inquiries, carefully detailing if any family member has experienced mental health issues or required therapy. Again, ensure accuracy in responses.
  7. Complete the education section by indicating whether any children have learning difficulties, developmental concerns, or are receiving special education assistance.
  8. Review all entries for accuracy and completeness before signing the form. Confirm that you understand your responsibility to update any changes regarding medical or educational status before moving.
  9. Print your name, sign, and date the form as a military sponsor or spouse. Should there be a supervising physician, ensure they also sign and date the document.
  10. Finally, save changes, download, print, or share the completed DA 7246 form as necessary.

Complete your documents online today for a streamlined process.

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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.

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.

DA FORM 5888 for AIT students are sent directly to the EFMP office. These forms can be submitted via email, fax or in person. The EFMP process can take up to 14 business days. All DA5888 must be sent encrypted to a government email address.

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.

The DODD 1342.17 establishes policies, assigns responsibilities, and prescribes procedures on Family policy for DOD personnel (military personnel in an Active, National Guard, Reserve, or retired status and civilian personnel) and their Families.

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.

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).

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.

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