Form Information

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FORM NUMBER:

DD2796

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TITLE:

POST-DEPLOYMENT HEALTH ASSESSMENT

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EDITION DATE:

20120901

CANCELLATION DATE:

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FORMATS:

PLEASE BE ADVISED:

PDF	No link under "FORMATS:" indicates no electronic format is available.

To obtain copies of forms, contact YOUR Military Service or Component Forms Manager

click here.

Cancelled forms are not available.

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REMARKS:

The form is completed on-line in Service-specific systems. Individuals will receive instructions and gain

access to the appropriate system at the time of their assessment.

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ISSUANCES:

DODI 6490.03

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SPONSOR / POC:

HA

SUB-SPONSOR:

FHP&R

NUMBER OF PAGES:

10

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USERS*:

A N AF MC CG PHS

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PRESCRIBED OR ADOPTED?:

P

DISPOSITION:

S

SUBJECT GROUP:

6490

FORM CONTROLLED:

N

MANDATORY PRINT SPECIFICATIONS:

N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS:

Y

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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.