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INSTRUCTIONS The DD Form 2792-1 is completed to identify a family member with special educational/early intervention needs. Self-explanatory. category. Mark only one. Codes are for Army coding only. services provided and indicate total time services are provided. Items 7. a. - c. Signature of sponsor or spouse who completed the form. Self-explanatory. Items 8. a. - f. Administrative Review. Completed by EFMP/Special Needs Office resonsible for sc...

How to fill out dd 2792 1 form

How to fill out navmed 2792 form?

1. Gather all necessary information, including personal details, medical history, and current medical conditions.
2. Review the form instructions to ensure all sections are completed accurately.
3. Start by filling out the patient's personal information, such as name, date of birth, and contact details.
4. Provide information about the patient's eligibility status for medical care.
5. Complete the medical condition history section, including any previous diagnoses, medications, and treatments.
6. Document any current medical conditions, allergies, and chronic illnesses.
7. Fill out the section for special needs or medical equipment required by the patient.
8. If applicable, specify any dental conditions or requirements.
9. Include information about the patient's living conditions and any ongoing support or assistance needed.
10. If the patient is a military sponsor, provide the necessary documentation and details about their military service.
11. Ensure that the form is signed and dated by both the patient or sponsor and the healthcare provider.
12. Submit the completed navmed 2792 form to the appropriate medical facility or administrative office.

Who needs navmed 2792 form?

1. Active duty military personnel who require medical treatment.
2. Dependents of active duty military personnel who need medical care.
3. Retired military personnel and their dependents who are eligible for Tricare benefits.
4. Reservists and National Guard members and their dependents.
5. Individuals receiving care through the Veterans Affairs (VA) system.
6. Civilian employees of the Department of Defense and their dependents who are eligible for medical care.
7. Generally, anyone who seeks medical services within the military healthcare system may need to complete the navmed 2792 form.

People Also Ask about

What is a DD 2792 form for?

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 a DD Form 2792-1?

The DD Form 2792-1 is completed to identify a family member with early intervention / special education needs. DEMOGRAPHICS. Items 1 - 7. To be completed by sponsor, spouse, legal guardian, or student who has reached the age of majority.

What forms do I need for EFMP?

Forms referenced on this web site: DA Form 5888 - Family Member Deployment Screening Sheet. DA Form 5888-1 - Screening of Family Member in Remote OCONUS Areas. DA Form 7246 - EFMP Screening Questionnaire. DD Form 2792 - Family Member Medical Summary. DD Form 2792-1 - Special Education/Early Intervention Summary.

What qualifies you for EFMP?

An Exceptional Family Member (EFM) is an active duty family member (adult or child) with any physical, emotional, developmental, or intellectual disorder that requires special treatment, therapy, education, training or counseling.

What is DD Form 2792 used for?

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 a Efmp form?

Home Service Providers & Leaders EFMP/Special Needs. DD Form 2792, “Family Member Medical Summary,” January 2021 This form is used to document a family member's special medical needs and for enrollment in the Exceptional Family Member Program.

What do I need for EFMP?

To enroll, service members should complete and submit: DD Form 2792, the Family Member Medical Summary, and/or. DD Form 2792-1, the Family Member Special Education/Early Intervention Summary to their installation EFMP office.

Who fills out DD Form 2792?

This information will be coordinated with the gaining FMTS Office to determine the availability of medical services at the projected duty location. Who completes the DD Form 2792: ✓ The Sponsor, Parent or Guardian, or Person of Majority Age completes the demographics requested on the form.

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What is navmed 2792 form?

The navmed 2792 form is the Physical Health Assessment form used by the United States military to evaluate the medical readiness of service members.

Who is required to file navmed 2792 form?

All active duty service members are required to file the navmed 2792 form.

How to fill out navmed 2792 form?

To fill out the navmed 2792 form, you need to provide information about your medical history, current medications, allergies, immunizations, and any physical limitations.

What is the purpose of navmed 2792 form?

The purpose of the navmed 2792 form is to assess the medical readiness of service members and ensure their ability to perform their duties without health-related limitations.

What information must be reported on navmed 2792 form?

The navmed 2792 form requires reporting of medical history, current medications, allergies, immunizations, and any physical limitations or conditions.