Get Cg4920.pdf. Evaluee's Statement Regarding The Finding Of The Medical Board Report

The CG4920.PDF form is an important document that allows individuals to respond to the findings of the Medical Board Report. Accurately filling out this form is crucial for ensuring that all personal circumstances and preferences are properly documented.

Follow the steps to accurately complete the CG4920.PDF form.

1. Click the ‘Get Form’ button to obtain the CG4920.PDF form and open it in your chosen editing tool.
2. Begin by filling in your full name at the top of the form where indicated. Ensure your name matches the records held by the Medical Board.
3. Next, provide the date on which the Medical Board convened in your case. This information is essential for the context of your statement.
4. Proceed to the diagnoses section. You will list the medical diagnoses provided by the Medical Board. If there are four diagnoses, ensure you enter them in the correct order.
5. In the recommendations section, select the appropriate option that reflects your situation. This could either be 'Satisfies Medical Retention Standards,' or 'Does Not Satisfy Medical Retention Standards, Refer to Commander, Personnel Command (CGPC-adm),' or another option as applicable.
6. Express your acknowledgment regarding the evaluation of your impairments by the Medical Board Report. This section reinforces your understanding of the findings.
7. Choose one of the three statements regarding your desire to submit a rebuttal or consent to release your records. Only one should be marked to indicate your intention.
8. Sign and date the form at the designated signature section, marking both your signature and the date clearly.
9. After completing the form, ensure a witness signs it and includes the date. This is required for the validation of your statement.
10. Once all sections of the form are filled out and signed, save any changes made to the document, and choose to download, print, or share the completed form as necessary.

Ensure your responses and documentation are submitted accurately by filling out your CG4920.PDF form online today.