Dd Form 2792. Early intervention / special education summary. Web dd form 2792 instructions, nov 2006 instructions for completing dd form 2792, exceptional family member medical summary general.
DD FORM 2792
Unit of issue (s) pdf. Early intervention / special education summary. The dd form 2792 and attached addenda are completed to identify a family member with special medical needs. 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. 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. 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. Sponsor must sign release authorization before summary is completed. Provider name, address, telephone numbers, and fax number.
Web forms referenced on this web site: Web dd form 2792 instructions, nov 2006 instructions for completing dd form 2792, exceptional family member medical summary general. The addenda to the medical summary are completed only if noted in item 10 of the demographics/certification section (p.3). 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. Early intervention / special education summary. The addenda to the medical summary are completed only if noted in item. Provider name, address, telephone numbers, and fax number. Web dd form 2792 instructions (back), sep 2003 instructions for completing dd form 2792 (continued) medical summary. The exceptional family member program (efmp)/ special needs identification and clearance (sniac) screening. Web completed for children ages 3 to 21 only.
