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This form is used to evaluate heart murmurs as part of the medical examination process for applicants to United States Service Academies and related programs.
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How to fill out dodmerb heart murmur evaluation

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How to fill out DODMERB Heart Murmur Evaluation

01
Obtain the DODMERB Heart Murmur Evaluation form from the official DODMERB website or your physician.
02
Fill in personal information at the top of the form, including name, date of birth, and any identification numbers required.
03
Complete the medical history section, providing detailed information about any previous heart-related issues or symptoms.
04
Schedule a physical examination with an authorized healthcare provider, ensuring they are familiar with DODMERB requirements.
05
During the examination, the healthcare provider will assess the heart murmur using a stethoscope and may conduct additional tests such as an ECG or echocardiogram.
06
Record the findings in the appropriate section of the evaluation form, ensuring clarity and accuracy.
07
Review the completed form with your healthcare provider for any necessary corrections or clarifications.
08
Submit the DODMERB Heart Murmur Evaluation form along with any required medical records to DODMERB.

Who needs DODMERB Heart Murmur Evaluation?

01
Individuals applying for military service who have been diagnosed with a heart murmur.
02
Candidates seeking waivers for disqualification based on a heart condition.
03
Prospective students for military academies who require a comprehensive physical examination.
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People Also Ask about

Heart murmur tests may include: Echocardiogram. This is the main test used to determine the cause of a heart murmur. Chest X-ray. A chest X-ray is a picture of the heart and lungs. Electrocardiogram (ECG or EKG). This quick and painless test measures the electrical activity of the heart. Cardiac catheterization.
How long can you live with a heart murmur? A heart murmur doesn't necessarily have any bearing on your life expectancy. Even if you have heart disease or heart valve failure, finding the right treatment can mean living for many years. Heart murmurs are not a predictor of how long you will live.
While a simple listen through a stethoscope is usually enough to detect heart murmurs, our team of cardiologists can employ a number of techniques to discover the underlying cause, including X-rays, echocardiogram, or cardiac catheterization.
Heart murmur tests may include: Echocardiogram. This is the main test used to determine the cause of a heart murmur. Chest X-ray. A chest X-ray is a picture of the heart and lungs. Electrocardiogram (ECG or EKG). This quick and painless test measures the electrical activity of the heart. Cardiac catheterization.
Heart murmur grading It ranges from 1 to 6: Grade 1 is so faint that your doctor can barely hear it with a stethoscope in a quiet room. Grade 2 is faint, but your doctor can hear it with a stethoscope. Grade 3 is loud enough for your doctor to hear easily with a stethoscope.
How long can you live with a heart murmur? A heart murmur doesn't necessarily have any bearing on your life expectancy. Even if you have heart disease or heart valve failure, finding the right treatment can mean living for many years. Heart murmurs are not a predictor of how long you will live.
Murmurs have seven main characteristics. These include timing, shape, location, radiation, intensity, pitch and quality.
If there is any reason to suspect a heart murmur may be abnormal, one or more tests will be used to diagnose the condition. These may include: Electrocardiogram, which measures electrical activity within the heart and can determine where the abnormal activity may be located.

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DODMERB Heart Murmur Evaluation is a medical assessment process conducted by the Department of Defense Medical Examination Review Board (DODMERB) to evaluate individuals with detected heart murmurs to determine their eligibility for military service.
Individuals who have been identified with a heart murmur during their medical examinations for military enlistment or commissioning are required to file a DODMERB Heart Murmur Evaluation.
To fill out a DODMERB Heart Murmur Evaluation, the individual must complete the required medical history forms, provide any relevant medical records related to the heart murmur, and have a qualified medical professional conduct a thorough examination.
The purpose of the DODMERB Heart Murmur Evaluation is to assess the nature and significance of the heart murmur, ensuring that it does not pose a risk to the individual’s health or operational readiness within military service.
The DODMERB Heart Murmur Evaluation must report detailed findings of the auscultation, any relevant history of cardiovascular issues, diagnostic test results (if applicable), and the medical professional's recommendations regarding the individual's fitness for military service.
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