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Forms and Measures

Please select from the following forms needed for deployments and possible DU exposure.

File Description
Depleted Uranium Questionnaire This form is used to assess your state of health after deployment or for any deployment related concern and to assist military health care providers in identifying and providing present and future medical care.
Health Survey, DD Form 2872-1 Test This form is used to assess your state of health after deployment or for any deployment related concern and to assist military health care providers in identifying and providing present and future medical care to you.
OIF DU Exposure Semi-Annual Progress Report This form is used to record DU Bioassay/Fragment Testing and Results Information
Post Deployment Medical Assessment ,DD Form 2844 The DD Form 2844 is a prescribed form to be used when evaluating a patient with post-deployment health concerns when referred for care subsequent to screening using DD Form 2796, Post-Deployment Health Assessment Questionnaire, or when self-referred.
Post-Deployment Health Assessment - Sample This form is completed at the end of a deployment. All forms are submitted electronically.
Pre-Deployment Health Assessment, DD Form 2795 This form is used to collect information on your physical and mental health status before a deployment.
Report of Medical Assessment, DD Form 2697 This form is used by the Medical Services to provide a comprehensive medical assessment for active and reserve component service members separating or retiring from active duty.
Report of Medical Examination, DD Form 2808 This form is used to obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces.

DHA Address: 7700 Arlington Boulevard | Suite 5101 | Falls Church, VA | 22042-5101

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