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