DD Form 2795 1999-2025 free printable template

I certify that this review process has been completed. Provider's signature and stamp: D t (DDL /). An e mm YYY. / /. 33823. — DD FORM 2795, MAY 1999 ASD (HA) ...

How to fill out dod dd 2795 form

How to fill out DD Form 2795

1. Obtain a copy of DD Form 2795 from the official Department of Defense website or your unit.
2. Fill out the personal information section, including your name, rank, and Social Security number.
3. Provide your unit information, including the unit name and address.
4. Indicate the purpose of the form, specifically for a pre-deployment health assessment.
5. Answer all health questions honestly and thoroughly, including any medical history relevant to deployment.
6. Ensure to sign and date the form at the designated sections.
7. Submit the completed form to your unit's medical facility or designated health official.

Who needs DD Form 2795?

1. Military personnel preparing for deployment.
2. Department of Defense civilians who may be deploying.
3. Members of National Guard and Reserves prior to deployment.

Video instructions and help with filling out and completing 2795 fillable form

Instructions and Help about form pre deployment

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People Also Ask about dd2795

What is a 2795?

What is it? The Pre-Deployment Health Assessment (DD Form 2795), commonly known as the Pre-DHA is the first in a series of health assessments administered to Soldiers and Department of the Army (DA) Civilians during the deployment cycle.

What is a pre-deployment health assessment?

The Deployment Health Assessment Program (DHAP) allows you to take proactive steps to protect your health and well-being and to ensure your military readiness. DHAP provides early identification of emerging deployment related health conditions and serves as a gateway to care and treatment.

What is a DD Form 2796?

PURPOSE: To collect information on your physical and mental health status after a deployment in a combat, contingency, or other operation outside of the United States, and to assist health care providers in administering present or future care.

How long is a pre-deployment health assessment good for?

Phase 1: The Pre-Deployment Health Assessment (Pre-DHA) is taken within 120 days and must be re-validated by a health care provider within 60 days before your deployment. The Pre- DHA provides a snapshot of your health to see whether you are physically and emotionally fit to deploy.

How do I check my Army medical readiness?

MEDPROS also provides every Soldier with alerts as to their Individual Medical Readiness status. If you have difficulty accessing or using this system, contact MEDPROS at (877) 256-6477 or via email at usarmy.ncr.hqda-otsg.mbx.mods-helpdesk@mail.mil.

How do I access pre-deployment health assessment?

Participate in a confidential, one-on-one conversation with a health care provider by calling 1-888-PDHRA-99 (1-888-734-7299). During the private conversation, individuals are encouraged to be honest and discuss any symptoms, physical and emotional concerns that may need proper care and attention.

How to do pre-deployment health assessment?

Participate in a confidential, one-on-one conversation with a health care provider by calling 1-888-PDHRA-99 (1-888-734-7299). During the private conversation, individuals are encouraged to be honest and discuss any symptoms, physical and emotional concerns that may need proper care and attention.

What is a DD Form 2697?

This Report of Medical Assessment is to be used by the Medical Services to provide a comprehensive medical assessment for active and reserve component service members separating or retiring from active duty.

What is a DD Form 2795?

DD Form 2795: Pre-Deployment Health Assessment. This form is used to collect information on your physical and mental health status before a deployment.

What is pre-deployment assessment?

The Pre-deployment Health Assessment Form (DD 2795) is a required form that allows military personnel to record information about their general health and share any concerns they have before deployment. It also helps healthcare providers identify issues and provide medical care before, during, and after deployment.

What is a pre-deployment health assessment?

The Pre-DHA provides early identification of emerging physical, mental and behavioral concerns prior to deployment. Once the Soldier completes the DD Form 2795, the unit will schedule a one-on-one appointment with a health care provider (HCP) to discuss their responses in a confidential and private setting.

How many days before deployment must the CC 2795 pre-deployment health assessment be completed?

In order to synchronize timing of the pre-deployment health assessment with the pre-deployment mental health screening process, DD Form 2795 may be administered to deployers up to 120 days prior to their estimated deployment departure date.

What is a deployment health assessment?

The DOD Deployment Health Assessment program ensures that all Service members who were deployed for more than 30 days boots on ground are monitored periodically for both physical and mental health concerns.

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What is DD Form 2795?

DD Form 2795 is a Department of Defense (DoD) form used for the Post-Deployment Health Assessment to evaluate the health of service members returning from deployment.

Who is required to file DD Form 2795?

All active duty and reserve component service members who are returning from deployment are required to file DD Form 2795.

How to fill out DD Form 2795?

DD Form 2795 should be completed by the service member upon their return from deployment. The form includes sections for personal information, deployment history, and health-related questions.

What is the purpose of DD Form 2795?

The purpose of DD Form 2795 is to assess and document the health status of service members returning from deployment, identifying potential health risks associated with their service.

What information must be reported on DD Form 2795?

Information to be reported on DD Form 2795 includes the service member's personal details, deployment location and duration, health concerns experienced during deployment, and any medical treatment received.