Dd Form 2792. The addenda to the medical summary are completed only if noted in item. Web dd form 2792, “family member medical summary,” january 2021 this form is used to document a family member’s special medical needs and for enrollment in the exceptional family member program.
DD FORM 2792
Provider name, address, telephone numbers, and fax number. This information assists military assignment personnel in matching the family member’s special medical needs against the availability of medical. The addenda to the medical summary are completed only if noted in item 10 of the demographics/certification section (p.3). Web dd form 2792 instructions, nov 2006 instructions for completing dd form 2792, exceptional family member medical summary general. Web forms referenced on this web site: Web the dd form 2792 and attached addenda are completed to identify a family member with special medical needs. Web dd form 2792, “family member medical summary,” january 2021 this form is used to document a family member’s special medical needs and for enrollment in the exceptional family member program. The addenda to the medical summary are completed only if noted in item. Web completed for children ages 3 to 21 only. Web the dd form 2792 and attached addenda are completed to identify a family member with special medical needs.
Unit of issue (s) pdf. Web completed for children ages 3 to 21 only. The dd form 2792 and attached addenda are completed to identify a family member with special medical needs. Web the dd form 2792 and attached addenda are completed to identify a family member with special medical needs. Web dd form 2792 instructions (back), sep 2003 instructions for completing dd form 2792 (continued) medical summary. The addenda to the medical summary are completed only if noted in item 10 of the demographics/certification section (p.3). Unit of issue (s) pdf. 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. This information assists military assignment personnel in matching the family member’s special medical needs against the availability of medical. Web dd form 2792, “family member medical summary,” january 2021 this form is used to document a family member’s special medical needs and for enrollment in the exceptional family member program. Sponsor must sign release authorization before summary is completed.
