DD 2792 2014 free printable template
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INSTRUCTIONS FOR COMPLETING DD FORM 2792 FAMILY MEMBER MEDICAL SUMMARY GENERAL. The DD Form 2792 and attached addenda are completed to identify a family member with special medical needs. DD FORM 2792 INSTRUCTIONS AUG 2014 Items 10. a. - c. To be completed by the administrator in consultation with the family. DD FORM 2792 ADDENDUM 1 AUG 2014 1. DIAGNOSIS ES. Please complete as accurately as possible using ICD-9-CM or when approved ICD-10-CM. Parent/ guardian or person of majority age...
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How to fill out DD 2792
How to fill out DD 2792
01
Obtain the DD Form 2792 (Exceptional Family Member Medical Summary) from a military installation or online.
02
Fill out Section I with the sponsor's personal information, including name, rank, and contact information.
03
Complete Section II by providing details about the family member's exceptional needs, including diagnoses and treatment plans.
04
In Section III, provide information about the healthcare providers currently involved in the family member's care.
05
Section IV should be filled out by a qualified healthcare provider, detailing the family member's medical condition and needs.
06
Review the form for accuracy and completeness before submission.
07
Submit the completed form to the appropriate military personnel office or Exceptional Family Member Program (EFMP) coordinator.
Who needs DD 2792?
01
Military families with a family member who has a medical condition requiring special attention or services.
02
Service members who are enrolled in the Exceptional Family Member Program (EFMP).
03
Individuals applying for certain benefits or accommodations related to exceptional family member status.
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People Also Ask about
What is the family member prefix for deers?
Family Member Prefix (FMP). Applies to Miliitary medical beneficiary only. The Family Member Prefix is assigned when the family member is enrolled in DEERS.
What is form dd2792?
GENERAL. The DD Form 2792 is completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy.
Who fills out EFMP paperwork?
Every Navy Military Treatment Facility (MTF) appoints an EFMP Coordinator to facilitate the enrollment process. Coordinators provide enrollment forms, offer help in the preparation of the forms, review completed forms for accuracy, and forward the enrollment package to the Central Screening Committee (CSC) via NFAAS.
What is a DD 2792 form for?
The DD Form 2792 is completed to identify a family member with special medical needs. There is a Certification Section on page 3 that should be signed AFTER the entire form is completed by medical provider(s) and the form has been reviewed for completeness and accuracy.
What is DD Form 2792-1?
The DD Form 2792-1 is completed to identify a family member with early intervention / special education needs. DEMOGRAPHICS. Items 1 - 7. To be completed by sponsor, spouse, legal guardian, or student who has reached the age of majority.
What is a dd2792 1 for?
The DD Form 2792-1 is completed to identify a family member with special educational/early intervention needs.
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What is DD 2792?
DD Form 2792 is a Department of Defense (DoD) form used for the Exceptional Family Member Program (EFMP), which helps to identify family members with special needs.
Who is required to file DD 2792?
Service members who have family members with special needs are required to file DD 2792 to ensure they receive the necessary services and support.
How to fill out DD 2792?
To fill out DD 2792, individuals must provide accurate information about the family member's special needs, including medical history, diagnosis, and necessary services.
What is the purpose of DD 2792?
The purpose of DD 2792 is to document the special needs of family members, ensuring that appropriate support and resources are available through the EFMP.
What information must be reported on DD 2792?
The information that must be reported on DD 2792 includes personal details of the family member, the nature of their special needs, and any required medical or educational services.
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