Get the free DD Form 2792, Family Member Medical Summary, April 2011

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How to fill out dd form 2792 family

How to fill out DD Form 2792 Family:

1. Start by obtaining the DD Form 2792 Family from the appropriate source, such as your military healthcare provider or online from the Department of Defense website.
2. Begin filling out the form by providing the necessary personal details, including the military service member's name, rank, branch, and social security number.
3. Next, enter all the requested information for the family member for whom the form is being filled out, including their full name, date of birth, relationship to the service member, and social security number.
4. Proceed to the next section of the form where you will need to verify the sponsor's active duty status and provide information on their duty station, assigned unit, and contact information.
5. In the subsequent sections, indicate whether the family member has a medical condition that may require special medical treatment or assistance and provide a brief description of the condition.
6. If the family member is currently receiving medical care, indicate the name of the healthcare provider and provide their contact information.
7. If the family member requires special education services or early intervention services, mark the appropriate box and provide additional details as required.
8. Lastly, sign and date the form, and ensure that any physician or healthcare provider involved also sign, attesting to the correctness of the information provided.

Who needs DD Form 2792 Family:

1. Military service members who have family members with medical conditions or special education needs that may require additional support or resources.
2. This form is also required for military families who are applying for the Extended Care Health Option (ECHO) program, which provides additional benefits for qualifying family members with specific medical conditions.
3. In general, any military member who wants to ensure their family members receive appropriate medical care and support should complete the DD Form 2792 Family.

Remember to follow the instructions provided with the form and ensure all required information is accurately filled out to facilitate the proper assessment and determination of eligibility for additional support and benefits.

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What is dd form 2792 family?

DD Form 2792 Family Member Medical Summary is a form used by military families to report medical information for family members.

Who is required to file dd form 2792 family?

Military personnel and their dependents are required to file DD Form 2792 Family Member Medical Summary.

How to fill out dd form 2792 family?

DD Form 2792 Family Member Medical Summary should be filled out with accurate medical information for each family member listed.

What is the purpose of dd form 2792 family?

The purpose of DD Form 2792 Family Member Medical Summary is to provide medical information for military families to ensure proper healthcare services.

What information must be reported on dd form 2792 family?

Medical history, current medications, allergies, and other relevant medical information for each family member must be reported on DD Form 2792 Family Member Medical Summary.