Get the free DA FORM 3349

This form is used to document the physical profile of soldiers, including medical conditions, limitations, and capabilities based on the Army Regulation 40-501. It helps assess the soldiers' ability

How to fill out da form 3349

How to fill out DA FORM 3349

1. Obtain a copy of DA FORM 3349 from your unit or the official Army website.
2. Fill in the appropriate personal information in Section I, including name, rank, and social security number.
3. Indicate the type of duty limitation in Section II, specifying the reason for the limitations.
4. Provide detailed medical information in Section III, including diagnosis and treatment recommendations.
5. Obtain required signatures from the healthcare provider, unit commander, and other necessary officials in Section IV.
6. Review the completed form for accuracy and completeness.
7. Submit the completed DA FORM 3349 to the appropriate personnel office or retain for personal records.

Who needs DA FORM 3349?

1. Military personnel who have medical conditions requiring duty limitations.
2. Soldiers seeking accommodations for physical or mental health issues.
3. Individuals in the Army who are applying for a medical evaluation or have a temporary physical profile.

People Also Ask about

What DA form is used to record profiles?

The DA Form 3349 is a document used by the U.S. Army to assess and record the physical profile of its service members.

What DA form is used to record profiles for both permanent and temporary conditions?

The physical profile (PULHES) is a system for classifying individuals ing to functional abilities as defined by Accession Medicine standards. The letter designators are to be considered for the following factors: P—Physical capacity or stamina.

What is DA form 3349 used for?

DA Form 3349 is a Department of the Army (DA) form used to document a physical examination. It assesses the health of an individual and helps determine whether or not they are qualified to perform military duties.

Do I have to show my army profile?

Any leader has the right to look at your profile to ensure they are not giving you an order in violation of that profile. Profiles are governed under AR 40-501. You should carry your profile on you at all times.

What is a DA form 3349?

The number of days a soldier is on a temporary profile after an acute MSI varies but typically ranges from 7 to 90 days. Medical providers may extend a temporary profile up to 12 months.

For pdfFiller’s FAQs

What is DA FORM 3349?

DA FORM 3349, also known as the Physical Profile, is a document used by the U.S. Army to record an individual's physical fitness or medical condition that may affect their duty performance.

Who is required to file DA FORM 3349?

Service members who have a medical condition or an injury that impacts their physical capabilities are required to file DA FORM 3349.

How to fill out DA FORM 3349?

DA FORM 3349 should be filled out by a qualified medical professional who evaluates the service member's physical condition. The form must include the member's details, diagnosis, restrictions, and any recommended accommodations.

What is the purpose of DA FORM 3349?

The purpose of DA FORM 3349 is to provide a documented assessment of a soldier's medical fitness for duty and to outline any physical limitations, ensuring that appropriate accommodations and assignments are made.

What information must be reported on DA FORM 3349?

The information reported on DA FORM 3349 includes personal details of the service member, medical diagnoses, specific physical limitations or restrictions, the duration of those limitations, and the recommendations from the medical provider.