Get Da 4497 2002-2025

The DA 4497 form, known as the Interim Flying Duty Medical Examination, is crucial for personnel involved in aviation duties. This guide provides a clear, step-by-step approach to completing the form online, ensuring all necessary information is accurately provided.

Follow the steps to fill out the DA 4497 online efficiently.

1. Click the ‘Get Form’ button to obtain the form and open it in the editing interface.
2. In the 'Exam Date' field, enter the date of your examination using the format DD/MM/YY.
3. In the 'Name' section, provide your last name, first name, and middle initial.
4. Fill in your Social Security Number (SSN) in the designated field.
5. Input your birth date in the 'Birth Date' field, formatted as DD/MM/YY.
6. Indicate your military component by checking one or more options: Active Duty Regular Army (AD-RA), Active Duty U.S. Army Reserve (AD-USAR), or other applicable categories.
7. Select your aviation duty status by checking one of the options available.
8. Enter your rank in the corresponding field.
9. Provide your unit of assignment and complete unit address in the specified section.
10. Include the phone number for your unit and your home phone number in the relevant fields.
11. List any medications you are currently taking along with the dosages.
12. Indicate any aeromedical waivers that are currently in effect.
13. Read the statements regarding medical history and treatment, then sign to confirm your understanding.
14. Fill in the exam facility address along with its phone number.
15. Input your blood pressure readings.
16. Record your pulse rate.
17. Provide your height in inches.
18. Complete the vision and depth perception tests as indicated on the form.
19. Fill out the audiometric screening results in decibels for various frequencies.
20. Document your weight in pounds.
21. Include any significant medical history in the history and examination section.
22. Review and confirm any electrocardiogram findings as necessary.
23. Select a recommendation option regarding your medical qualification.
24. Obtain the necessary stamps and signatures from authorized personnel.
25. Once all sections are completed, save your changes, download, print, or share the DA 4497 as needed.

Complete your documents online today for a streamlined process.