3 Jun DOD has replaced the use of the SF 93 with the DD Form and DD Form is used by recruiters to pre-screen applicants. A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service. The form is used by military. Commissioned Corps of the U.S. Public Health Service. General Instructions for Completing Medical Examination Forms. DD “Report of Medical History” .

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If you answer yes to any question in boxes 10 through 19, you must provide an explanation 28007-1 the medical condition in the provided space in box 29 or attach additional sheets explaining each yes answer. The DD Form is now ready for submission to the Department of Defense for review of your medical history.

Provide the information required in boxes 6 through 9, stating the military branch you are applying for, component, and purpose of the form. Boxes 10 through 19 ask you to indicate whether you have a history of specific medical conditions or illnesses.


The form is used by military physicians to determine if an applicant can be accepted or should be disqualified on medical grounds. Before filling out the DD Formyou must first read the disclaimer and understand that you must answer truthfully to all questions or face criminal charges.

Go through each medical issue and answer yes or no for each. The physician may provide additional comments in box 30, adding additional information that they feel is important. Next provide your position, usual occupation, current medication, and allergies.

Put the examining location on box 5, giving the address of the location. A DD Form is a Department of Defense form is used for gathering medical information for applicants to military service.

fillable dd form 1 defense technical information

A physician must attest to your answers in boxes 10 through The examiner must sign and date the second page. First, fill out your basic information in boxes 1 through 4, providing your name, social security number, and contact information.


Do not leave any answers blank, you must answer yes or no to each issue. You must fill in the corresponding bubble for each medical issue. 28071 Window Loading, Please Wait!

DD Form Report of Medical History – Military Forms – |

This may take a second or two. On the second page, provide your name and social security number at the top. Questions 20 through 28 ask additional personal questions, which you must answer yes or no for each question. The DD Form is available on the Department of Defense documentation vorm or can be supplied through the chain of command.