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The DD Form 2792 and its addenda are used to identify family members with special medical needs, outlining the procedures for completion and the necessary authorizations for medical information disclosure.
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How to fill out us dod form dod-dd-2792
How to fill out U.S. DOD Form dod-dd-2792
01
Obtain the U.S. DOD Form dod-dd-2792 from the official website or a military office.
02
Begin by filling out the 'Section I - Family Member Information' with details such as name, social security number, and date of birth.
03
Proceed to 'Section II - Purpose of the Form' and select the appropriate reason for filling out the form.
04
In 'Section III - Medical History', provide accurate medical information regarding the family member.
05
Complete 'Section IV - Eligibility Criteria' by indicating the relevant eligibility information.
06
Ensure all information is current and accurately reflects the family member’s status.
07
Review the completed form for any errors or omissions.
08
Submit the form to the designated authority within your military installation.
Who needs U.S. DOD Form dod-dd-2792?
01
Family members of Department of Defense (DOD) service members who seek medical care or services.
02
Individuals requiring documentation for eligibility regarding special needs programs provided by the DOD.
03
Personnel involved in assessing the health and support needs for dependents of military members.
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What is dd form 2792?
The DD Form 2792 is completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy.
What is the difference between a DA form and a DD form?
DD 368 is used by all branches for enlisted service members to be released early for their contracts to switch to another branch. DA Form 160 is used from Reserve Officer to switch over to Active Duty.
What is a DD93 form?
This form is used by the Department of Defense (DoD) to expedite notification in the case of emergencies or death. It does not have a legal impact on other forms you may have completed with the DoD or your employer.
What does the DD form stand for?
This web site provides the “Official” edition of Department of Defense (DD) and Secretary of Defense (SD) forms.
What does the family member prefix mean?
Family Member Prefix (FMP). Applies to Miliitary medical beneficiary only. The Family Member Prefix is assigned when the family member is enrolled in DEERS.
What is a DD form 2792?
The DD Form 2792 is completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy.
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What is U.S. DOD Form dod-dd-2792?
U.S. DOD Form dod-dd-2792, also known as the 'Family Member Medical History Report', is a form used by the Department of Defense to collect medical history information about family members of military personnel.
Who is required to file U.S. DOD Form dod-dd-2792?
Service members who are enrolling their family members in the Exceptional Family Member Program (EFMP), or those seeking certain medical services and benefits, are required to file U.S. DOD Form dod-dd-2792.
How to fill out U.S. DOD Form dod-dd-2792?
To fill out U.S. DOD Form dod-dd-2792, you need to provide detailed information about each family member's medical history, including any physical or mental health conditions, developmental issues, and any related medical treatment received.
What is the purpose of U.S. DOD Form dod-dd-2792?
The purpose of U.S. DOD Form dod-dd-2792 is to ensure that the medical needs of family members are accurately documented so that appropriate support and resources can be provided under the Exceptional Family Member Program.
What information must be reported on U.S. DOD Form dod-dd-2792?
Information that must be reported on U.S. DOD Form dod-dd-2792 includes the family member's name, date of birth, medical conditions, diagnosis, treatments, and any special needs related to their health.
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