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OCCUPATIONAL INFORMATION OCC 1. a. What is your military occupational code for example MOS AOC AFSC NEC or Designator Code 1. III. PERIODIC HEALTH ASSESSMENT PHA PROVIDER INFORMATION 14. Date HCP Review Initiated dd/mmm/yyyy 1. Last Name 2. First Name 3. Middle Name 4. Today s Date dd/mmm/yyyy 5. Date of Birth dd/mmm/yyyy 7. Social Security Number 8. 02E Comprehensive Health Surveillance DoDI 6025. 19 Individual Medical Readiness IMR DoDI 6490. 03 Deployment Health DoDI 6490. Clinical...
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How to fill out dd form 3024
How to fill out dd 3024:
01
Ensure you have a copy of the dd 3024 form.
02
Read the instructions provided on the form carefully to understand the required information.
03
Begin by entering the necessary personal details, such as your full name, date of birth, and contact information.
04
Provide the required information about your military service, including branch, rank, and dates of service.
05
Fill out any additional sections or questions on the form as applicable.
06
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07
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Submit the filled-out dd 3024 form to the designated authority, following any specific submission instructions provided.
Who needs dd 3024:
01
Military personnel who are required to provide their personal information and details about their military service.
02
Veterans who may need to furnish this form for various reasons, such as applying for benefits or updating their records.
03
Any individual or organization that has a legitimate need for the information contained in the dd 3024 form, upon authorized request.
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People Also Ask about
What is a DD form?
The report of separation form issued in most recent years is the DD Form 214, Certificate of Release or Discharge from Active Duty.
Can I do a PHA on a personal computer?
Navy, Marine Corps, or Coast Guard service member will need to register for an account on the electronic PHA website in order to complete their PHA self-assessment. The following are instructions on how to create your electronic PHA account. This can be done via personal computer and smartphone.
What is a DD Form 3024?
Privacy Act Statement: DD Form 3024 will collect PII that is stored in active duty and reserve servicemembers' medical and military personnel. records, a system of records, and retrieved by a personal identifier. Therefore, the Privacy Act applies, and a Privacy Act Statement is required.
What is included in periodic health assessment?
PHA is a four part assessment including a self-reported health assessment, record review, mental health review, and a face-to-face or person-to-person consultation with a certified PHA health care provider.
What is the Air Force PHA phone number?
Preventative Health Assessment (PHA) Upon completing the PHAQ, it should direct you on how to complete your MHA. Once this is complete, the IR should contact the PHA cell at their servicing MTF to schedule the appointment or please call 877-437-6313 (LHI Scheduling) to schedule your MH Assessment.
What is a dd3024?
Privacy Act Statement: DD Form 3024 will collect PII that is stored in active duty and reserve servicemembers' medical and military personnel. records, a system of records, and retrieved by a personal identifier. Therefore, the Privacy Act applies, and a Privacy Act Statement is required.
What is the Army Medpros website?
MEDPROS provides for the data entry and reporting/tracking of medical and dental readiness information for Soldiers, Units, and Task Forces.
What is a DD Form 3024?
DD Form 3024 includes the required annual mental health assessment (MHA) and requires a person-to-person review of the MHA with a provider per the 2015 National Defense Authorization Act (NDAA).
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What is dd 3024?
DD Form 3024 is a document used by the U.S. Department of Defense for reporting and tracking hazardous condition reports in military facilities.
Who is required to file dd 3024?
Individuals or units within the Department of Defense that identify hazardous conditions or safety issues are required to file DD Form 3024.
How to fill out dd 3024?
To fill out DD Form 3024, you must provide detailed information about the hazardous condition, including the location, description of the issue, and any immediate actions taken.
What is the purpose of dd 3024?
The purpose of DD Form 3024 is to document hazardous conditions and ensure that they are addressed to maintain safety and compliance with military safety regulations.
What information must be reported on dd 3024?
The information that must be reported includes the date of the report, details of the hazardous condition, the location, the person reporting, and any corrective actions taken or recommended.
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