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Forms and Measures

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


File Description
DD Form 2795: Pre-Deployment Health Assessment This form is used to collect information on your physical and mental health status before a deployment.
DD Form 2796: Post-Deployment Health Assessment This form is completed at the end of a deployment. All forms are submitted electronically.
DD Form 2802: Report of Medical Examination To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from the Armed Forces.
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
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.

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

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