, Report of Medical History) Service Member Name (Last, First, MI) Present Station UIC Rate / Rank SSN Deployment AOR Anticipated Duties PART I - RECORD SCREENING (Completed by the Designated Medical Department Representative) Items marked with ( ) indicate requirements for CONUS and ADSW Mobilizations. Shaded area responses require explanation in comment sections. A. MEDICAL READINESS NOTE: Reserve Component (RC) members have TRICARE benefits 90 days before report date of orders Dat.
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How to use or fill out the NPPSC 1300/4 (formerly 1320/2) online
Filling out the NPPSC 1300/4 (formerly 1320/2) online is a crucial step for individuals preparing for deployment. This guide provides clear and supportive instructions to assist users, regardless of their legal experience, in completing the form accurately and efficiently.
Follow the steps to successfully complete the NPPSC 1300/4 online.
- Click ‘Get Form’ button to obtain the NPPSC 1300/4 and open it in your editor.
- Begin by filling in the service member's information, including their name, present station, UIC, rank, SSN, deployment AOR, and anticipated duties.
- Move to Part I - Record Screening, where the designated medical department representative will complete the required medical readiness checks.
- Answer the questions regarding the member's medical readiness, including whether they have a medical record, are on a Limited Duty Board, or have any allergies documented.
- Ensure all immunization requirements are met by checking documentation for vaccinations as specified in Part C, and record any missing vaccinations.
- Proceed to Part II - Medical Screening, where a medical provider will respond to questions about the member’s medical history and current health condition.
- For Part III - Dental Screening, ensure that the dental provider completes the dental exam and confirms that any necessary dental work is up to date.
- Review and certify the information provided in Part IV, ensuring that all required signatures are obtained from both the member and relevant authorities.
- Finally, save the completed form, and choose to download, print, or share it as needed to keep for medical records.
Complete the NPPSC 1300/4 online to ensure all necessary medical documentation is ready for your deployment.
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