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This form must be completed electronically. Handwritten forms will not be accepted. PRE-DEPLOYMENT HEALTH ASSESSMENT PRIVACY ACT STATEMENT This statement serves to inform you of the purpose for collecting
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How to fill out DD Form 2795:

01
Start by reading the instructions provided on the form. These instructions will guide you through the entire process of filling out the form correctly.
02
Begin with the general information section. Fill in your personal details such as your name, rank, social security number, and contact information.
03
Proceed to the medical information section. This section requires you to provide details about your medical history, current medical conditions, and any medications you are currently taking.
04
If applicable, provide information about any allergies or adverse reactions to medications.
05
In the next section, provide information about your immunizations and vaccinations. You may need to refer to your medical records or consult with your healthcare provider to accurately fill out this section.
06
If you have any specific medical requirements, such as the need for special equipment or accommodations, provide those details in the special medical requirements section.
07
Lastly, review the form to ensure that all the information provided is accurate and complete. Sign and date the form where required.
08
Submit the filled form to the appropriate authority or healthcare provider as instructed.

Who needs DD Form 2795:

01
Active duty military personnel: The DD Form 2795 is mainly used by active duty military personnel to document their medical history and immunizations.
02
Deploying or deploying service members: This form is essential for service members who are deploying or being deployed, as it helps ensure they are medically prepared for their assignment.
03
Healthcare providers: Medical professionals often require the information on the DD Form 2795 to provide appropriate healthcare and medical services to service members.
It is important to note that the specific requirements for the DD Form 2795 may vary depending on the branch of service and individual circumstances. Therefore, it is crucial to follow any additional instructions provided by the appropriate authorities when filling out this form.
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DD Form 2795 is a Department of Defense form used for reporting certain medical events, including potential adverse health effects related to military service.
Any military service member who has experienced a medical event that may be related to their military service is required to file DD Form 2795.
DD Form 2795 can be filled out by providing information about the individual's personal details, the medical event experienced, and any relevant medical treatment received.
The purpose of DD Form 2795 is to document and report medical events that may be related to military service in order to ensure appropriate medical care and follow-up.
Information such as the individual's personal details, the medical event experienced, and any relevant medical treatment received must be reported on DD Form 2795.
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