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DD 2492 -03 - relevance 2 2008-2024 free printable template

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If additional space is required continue on a separate sheet and attach to this form. 86. EXAMINER DD FORM 2492 BACK MAR 2008 87. Tumor growth cyst or cancer 82. Date of last menstrual period YYYYMMDD 39. Stomach liver or intestinal trouble DD FORM 2492 MAR 2008 65. DOD MEDICAL EXAMINATION REVIEW BOARD DODMERB REPORT OF MEDICAL HISTORY OMB No* 0704-0396 OMB approval expires Nov 30 2009 This information is for official and medically confidential use only and will not be released to...
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01
To fill out the dodmerb physical exam form, start by obtaining the form from the appropriate source. This could be your medical provider, military recruiter, or the official dodmerb website.
02
Carefully read all the instructions and requirements mentioned on the form. Make sure you understand each section and the information that needs to be provided.
03
Begin by filling out your personal details such as your name, contact information, and date of birth. Ensure that all information is accurate and up to date.
04
The form may require you to provide information about any medical conditions or illnesses you have had in the past. Be thorough and honest in disclosing all relevant information, as this will help the medical professionals assess your health accurately.
05
You may be asked to provide details about any medications you are currently taking or have taken in the past. Include the name of the medication, dosage, and duration of use.
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The form may also require you to provide information about any previous surgeries or medical procedures you have undergone. Include the date, type of surgery, and the name of the medical professional who performed it.
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If you have any allergies, make sure to mention them in the appropriate section of the form. Include the specific allergen and your reaction to it.
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Some forms may ask about your family's medical history. Provide details about any hereditary diseases or conditions that run in your family, such as heart disease, diabetes, or cancer.
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After completing all the necessary sections of the form, review your answers to ensure accuracy and completeness. Make sure you have signed and dated the form if required.
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Once you have filled out the dodmerb physical exam form, submit it to the designated authority or follow the instructions provided with the form to ensure it reaches the appropriate destination.

Who needs dodmerb physical exam form?

01
Individuals who are seeking to join the military or participate in military programs, such as ROTC or service academies, may need to fill out the dodmerb physical exam form.
02
High school or college students who have received a scholarship offer from a military branch may also be required to complete this form.
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In some cases, individuals who wish to enroll in military-related professions, such as physicians, nurses, or physical therapists, may need to submit the dodmerb physical exam form.
Note: The specific requirements and circumstances under which the dodmerb physical exam form is required may vary, so it is essential to consult with your recruiter or the official guidelines to determine if you need to fill out this form.

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DODMERB is an acronym for the Department of Defense Medical Examination Review Board. The DODMERB Physical Exam Form is a document that is filled out by a military appointee's physician when they are undergoing a physical examination. The form is used to provide information on the appointee's medical history, physical condition, and any other medical issues that might affect their ability to serve in the military.
The information required on the DoDMERB physical exam form includes: demographics, medical history, physical examination results, immunization records, laboratory results, vision and hearing tests, and any other relevant medical information.
There is no penalty for the late filing of DODMERB physical exam forms. However, depending on the circumstances, the applicant's DODMERB eligibility may be delayed, or their application to the military service may be denied.
The Department of Defense Medical Examination Review Board (DoDMERB) physical exam form is typically required to be filed by individuals who are seeking to join the United States military or participate in a military service academy. This includes applicants for the United States Army, Navy, Air Force, and Marine Corps, as well as those seeking admission to the United States Military Academy (West Point), United States Naval Academy, United States Air Force Academy, or United States Coast Guard Academy.
To fill out a DoDMERB (Department of Defense Medical Examination Review Board) physical exam form, follow these steps: 1. Obtain the form: You can visit the DoDMERB website or contact the appropriate authority to request the physical exam form. 2. Read the instructions: Go through the instructions provided with the form carefully to understand the requirements and procedures. 3. Personal details: Fill in your personal information such as your full name, Social Security number, date of birth, address, contact information, etc. 4. Medical history: Provide your complete medical history, including any previous illnesses, injuries, surgeries, hospitalizations, medications, allergies, and ongoing medical conditions. Be thorough and accurate when providing this information. 5. Family medical history: Indicate any significant medical conditions or hereditary diseases that exist in your family. 6. Immunization record: Fill in your immunization history, including dates and types of vaccines received. Ensure that all required immunizations are up to date. 7. Physical examination: Schedule a physical examination with a licensed medical professional who will fill out the examination portion of the form. They will assess your physical fitness, perform necessary tests, and record their observations and findings on the form. The medical provider will examine various aspects such as vision, hearing, cardiovascular health, respiratory health, musculoskeletal system, etc. 8. Signature and certification: Once the physical examination is complete, the medical professional will sign and certify the form to confirm your fitness or provide any necessary recommendations or restrictions. 9. Submitting the form: Review the completed form for accuracy and completeness. Make copies for your records, and submit the original form to the appropriate authority as instructed. This will typically involve sending it to the DoDMERB or the relevant military recruitment/selection office. Remember to follow any specific instructions provided by the DoDMERB and ensure all sections of the form are properly filled out. It is essential to be honest and accurate while providing medical information to avoid any issues in the future.
The purpose of the Department of Defense Medical Examination Review Board (DODMERB) physical exam form is to determine the medical eligibility of individuals who are seeking to join the United States Armed Forces or participate in military programs, such as ROTC scholarships or military academies. It assesses the physical and mental health of applicants to ensure they meet the medical standards required for military service. The form includes a comprehensive medical history questionnaire, physical examination, and, if necessary, additional specialized medical tests or evaluations. The results of the DODMERB physical exam form help determine an individual's medical qualifications for military service.
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