Get the free DD Form 2792 Exceptional Family Member Medical Summary

Department of Pediatrics ... If your patient does NOT meet any of the criteria for enrollment in EMP, please complete a ... A PDF fillable version of the DD 2792 (Aug 2014) can be found at http://www.wrnmmc.capmed.mil

How to fill out dd form 2792 exceptional

How to Fill Out DD Form 2792 Exceptional:

1. Start by carefully reviewing the instructions provided on the form. It is crucial to have a clear understanding of the purpose and requirements of the form before filling it out.
2. Begin with Section I - Personal Information. Provide your name, date of birth, SSN, contact information, and any other required details accurately and legibly.
3. Move on to Section II - Service Member Information. Fill in this section if you are the service member. Include your rank, branch of service, and other relevant information.
4. If you are not the service member, proceed to Section III - Family Member Information. Fill in the required details for the family member who requires exceptional family member (EFM) status.
5. Section IV - Special Education/Early Intervention Services is to be completed if the individual needing exceptional family member status requires educational or intervention services. Provide accurate information about the specific needs and services required.
6. If applicable, complete Section V - Medical Summary. Include relevant medical information, any diagnoses, treatments, medications, and any other necessary details pertaining to the individual requiring EFM status.
7. Finally, obtain the appropriate signatures in Section VI. Ensure the service member or the family member signing the form understands the information provided and agrees to its accuracy.
8. Make copies of the completed form for your records before submitting it to the appropriate authority or office.

Who Needs DD Form 2792 Exceptional:

1. Active duty service members who have a family member with special educational or medical needs may need to fill out DD Form 2792 Exceptional.
2. This form is required to establish the exceptional family member (EFM) program eligibility for service members, ensuring appropriate support and resources are available for their family members with special needs.
3. By filling out this form, the military can make informed decisions about assignment and deployment so that the necessary resources are accessible to accommodate the unique requirements of the service member's EFM.

Note: It is important to consult the most recent instructions and guidelines for filling out DD Form 2792 Exceptional, as they may be subject to change.

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