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How to fill out da form 2792 1
How to fill out DA Form 2792-1:
01
Start by familiarizing yourself with the purpose of DA Form 2792-1. This form, also known as the Family Member Medical Summary, is used to record the medical history of family members of military personnel. It is important to accurately fill out this form to ensure that necessary medical services are provided to family members.
02
Begin by entering the date at the top of the form, followed by your personal information. Fill in your full name, social security number, date of birth, and the sponsor's name. This information is essential for identification purposes.
03
The next section of the form requires you to provide a medical history for each family member listed. Start by entering each family member's name, date of birth, relationship to the sponsor, and social security number (if available).
04
Proceed to provide the medical history information for each family member. This includes documenting any known medical conditions, illnesses, surgeries, allergies, and medications currently being taken. Be as thorough as possible in disclosing all relevant medical information.
05
If any family member has a disability, indicate so in the corresponding section. Provide details about the disability, including any limitations or special needs that arise from it.
06
The next section deals with mental health history. If any family member has a mental health disorder or has received mental health treatment, provide the necessary information as requested on the form.
07
In the last section, sign and date the form to confirm that all the information provided is accurate and complete. By signing, you acknowledge that you understand the consequences of providing false or misleading information.
Who needs DA Form 2792-1:
01
Military Personnel: The primary individuals who require DA Form 2792-1 are military personnel serving in the Armed Forces. They need this form to provide detailed medical information about their family members.
02
Dependents: Dependents of military personnel, including spouses and children, may also need DA Form 2792-1. This form helps document their medical history and ensures they receive appropriate medical care.
03
Healthcare Providers: Healthcare providers, such as military clinics, hospitals, and medical professionals, may require DA Form 2792-1 to have a comprehensive understanding of a family member's medical background. This information can be crucial in determining appropriate healthcare services and treatments.
Overall, it is important to accurately fill out DA Form 2792-1 to ensure that relevant medical information is documented and available to healthcare providers, ultimately facilitating the provision of appropriate medical care.
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What is da form 2792 1?
Da form 2792 1 is a Department of the Army form used for official reporting of medical examination for retirees.
Who is required to file da form 2792 1?
Retirees are required to file da form 2792 1.
How to fill out da form 2792 1?
Da form 2792 1 must be completed by a qualified medical professional during a retiree's medical examination.
What is the purpose of da form 2792 1?
The purpose of da form 2792 1 is to document the results of a retiree's medical examination.
What information must be reported on da form 2792 1?
Da form 2792 1 must include the retiree's personal information, medical history, and the results of the medical examination.
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