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Health Readiness Forms & Records

PHA & Deployment-Health Suite Demonstration environment

Digital DD-form suite spanning the Periodic Health Assessment, the longitudinal health record, and the deployment-health cycle. Select a form to open its interactive view.

Periodic Health Assessment

Annual assessment & longitudinal record
DD 3024Live
Annual Periodic Health Assessment
Member self-assessment, record review, and provider determination — all eleven sections.
Open
DD 2766Live
Adult Preventive & Chronic Care Flowsheet
Longitudinal problem list, medications, screenings, immunizations, and readiness markers.
Open
DD 2766CLive
Flowsheet Continuation Sheet
Continuation of the DD 2766 screening and immunization flowsheet.
Open

Deployment Health

Pre-, post-, and mental-health assessments
DD 2795Live
Pre-Deployment Health Assessment
Pre-deployment screen completed no earlier than 120 days before theater entry.
Open
DD 2796Live
Post-Deployment Health Assessment
Member self-assessment on redeployment, with PHQ-15, AUDIT-C, PC-PTSD, and PHQ-2 screeners routed to provider review.
Open
DD 2900Live
Post-Deployment Health Reassessment
Reassessment completed 90–180 days after return from theater.
Open
DD 2978Live
Deployment Mental Health Assessment
Mental-health assessment across the deployment cycle; may be met by the PHA in-window.
Open

Examination & Readiness

Physical exam & dental readiness
DD 2808Live
Report of Medical Examination
Provider-completed physical exam for accession, retention, boards, and separation.
Open
DD 2813Live
Dental Examination
Annual dental readiness classification feeding the PHA DEN readiness element.
Open