Get Da 7625-1 2009-2026

The DA 7625-1 form is essential for collecting health information regarding children and youth participating in Army Child and Youth Services. This guide offers step-by-step instructions to ensure users can effectively complete the form online.

Follow the steps to easily fill out the DA 7625-1 form online.

1. Press the ‘Get Form’ button to access the DA 7625-1 document and open it in your browser.
2. Begin with Part A, where you will provide General Information. Fill in the child's name, date of birth in the format YYYYMMDD, family member prefix, type of placement requested, date, sponsor's name, spouse's name, and contact numbers (home, duty, and cell phone).
3. In Part B, you will identify any conditions or restrictions the child may have. Check 'yes' or 'no' for each listed condition, and provide explanations where needed.
4. Move to Part C and note whether the child is on any regular medications. If yes, provide the names of these medications and indicate if any need to be administered during childcare hours.
5. In Part D, indicate whether the child has an Individualized Family Service Plan (IFSP), Individualized Education Plan (IEP), or a 504 plan by checking the appropriate box.
6. For Part E, confirm enrollment in the Exceptional Family Member Program (EFMP). Provide the necessary authorization for your child’s medical information to be shared with Child Youth Services personnel as outlined.
7. Complete the Signature section indicating your name or that of a personal representative, sign, and date the form in the format YYYYMMDD.
8. Upon completing all sections, save your changes, download the form, or print it for your records. You may also share it with necessary parties.

Complete your documents online today to ensure a smooth process for your child's health screening.