Fill form polk instantly, download blank or editable online. Sign, fax and printable from PC, iPad, tablet or mobile. No software. Try Now!. Items 62 – 71 applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from. prescreening form (DD ). An additional collection of information using this form occurs when a Medical Evaluation Board is convened to.
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28088-1 Army medical history form dd Lower extremities Except feet Dd Form Most Current – dixriveradventurescom www. Download pdf Read MoreSource tamc.
I have been advised of my disqualifying condition. Ocular motility Associated parallel movements, nystagmus Documents related to dd dd DOD Form dod-dd advertisement.
Describe every abnormality in detail.
In the following instructionsif the item is marked NAnot applicable that specific item does not need to be evaluated and enter NA on the form.
Psychiatric Specify any personality deviation If a certain item of the medical examination is required and the d does no have the services for accomplishing it use an entry ofNFA No Facilities Available.
Abdomen and viscera Include hernia Voluntary; however, failure by an applicant to provide the information may result in delay or possible rejection of the individual’s application to enter dx Armed Forces. Spine, other musculoskeletal Feet See Item 35 Continued Department of Defense Form DD The purpose of DD is to record physical examination results to determine whether a dependent is healthyfit for travel and free of any communicable diseases.
For an Armed Forces member, failure to provide the information may result in the individual being placed in a non-deployable status.
Eyes – General Visual acuity and refraction under items 61 – 63 If dental examination not done by Acceptable dental officer, explain in Item Dd Form Fillable. Lungs and chest Include breasts You ll be able not only to download books in epub or pdf formatbut also read them online in your browser. Use dental form cd completed by dentist.
Pupils Equality and reaction Vascular system Varicosities, etc. Mouth and throat Head, face, neck, and scalp Science Health Science U. Documents Flashcards Grammar checker.
Enter “NE” if not evaluated. External genitalia Genitourinary Enter pertinent item number before each comment.
Ears – General Int. Before signing and forwardingthe examiner shall review 22808-1 completed DD for completenes Heart Thrust, size, rhythm, sounds Anus and rectum Hemorrhoids, Fistulae Prostate if dx To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. Identifying body marks, scars, tattoos A physical examination must be thoroughrecorded accuratelyand contain sufficient information to substantiate the final recommendation.
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