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The DA 3349 form plays a crucial role in the U.S. Army's health and readiness system by providing a comprehensive physical profile for soldiers. This form is primarily aimed at detailing a service member's medical condition, whether it stems from an injury or an illness. It is essential for determining a soldier's ability to fulfill their military duties and functions effectively. The form is divided into various sections, including codes that categorize the soldier's medical status, allowing for both temporary and permanent profiles. Temporary profiles are usually valid for a maximum of three months, while permanent profiles require regular reviews to ensure they are up to date. Depending on the assessment, the soldier may be classified as capable or may need referral to a Medical Evaluation Board (MEB) if they cannot perform specific critical functional activities that are mandatory for all soldiers, regardless of their Military Occupational Specialty (MOS). Some of these functional activities include the ability to carry and fire individual weapons, endure extended periods in protective gear, and operate effectively in austere environments. It is critical to document all aspects, including functional limitations and capabilities, which guides commanders in making informed decisions about a soldier's retention and overall fitness for duty. Ultimately, the DA 3349 form serves not only as a medical document but as a key component in maintaining operational efficiency and soldier health within the military framework.

Da 3349 Example

PHYSICAL PROFILE

For use of this form, see AR 40-501; the proponent agency is the Office of the Surgeon General.

1.

MEDICAL CONDITION: (Description in lay terminology)

 

INJURY? Or

 

ILLNESS/DISEASE?

2. CODES (Table

3.

 

P

U

L

H

E

S

 

 

 

 

 

 

7-2 AR 40-501)

 

Temporary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

PROFILE TYPE

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. TEMPORARY PROFILE (Expiration date YYYYMMDD)

 

 

(Limited to 3 months duration)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. PERMANENT PROFILE (Reviewed and validated with every periodic health assessment or after 5 years from the date of issue)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.FUNCTIONAL ACTIVITIES THAT EVERY SOLDIER REGARDLESS OF MOS MUST BE ABLE TO PERFORM. IF SOLDIER CANNOT PERFORM ANY ONE OF THESE TASKS, THEN THE PULHES MUST CONTAIN AT LEAST ONE "3" AND SOLDIER MUST BE REFERRED TO A MEB. CAN THE SOLDIER:

FUNCTIONAL ACTIVITY:

 

 

 

 

YES

NO

 

 

 

 

 

 

 

a. Carry and fire individual assigned weapon?

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Evade direct and indirect fire?

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Ride in a military vehicle for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

d. Wear a helmet for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Wear body armor for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

 

f. Wear load bearing equipment (LBE) for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

g. Wear military boots and uniform for at least 12 hours per day?

 

 

 

 

 

 

 

 

h. Wear protective mask and MOPP 4 for at least 2 continuous hours per day?

 

 

 

 

 

 

 

i. Move 40lbs (for example, duffle bag) while wearing usual protective gear (helmet, weapon, body armor and LBE) at least 100 yards?

 

 

 

 

 

 

 

j. Live in an austere environment without worsening the medical condition?

 

 

 

 

 

 

 

 

 

 

6. APFT

YES

NO

ALTERNATE APFT (Fill out if unable to do APFT run otherwise N/A)

N/A

YES

NO

 

 

 

 

 

 

 

2 MILE RUN

 

 

APFT WALK

 

 

 

 

 

 

 

 

 

 

APFT SIT-UPS

 

 

APFT SWIM

 

 

 

 

 

 

 

 

 

 

APFT PUSH UPS

 

 

APFT BIKE

 

 

 

 

 

 

 

 

 

 

7. DOES THE SOLDIER MEET RETENTION STANDARDS IAW CHAPTER 3 AR 40-501?

YES NEEDS MMRB

NO

NEEDS MEB

8. FUNCTIONAL LIMITATIONS AND CAPABILITIES AND OTHER COMMENTS:

This temporary profile is an extension of a temporary profile first issued on

9. NAME, GRADE & TITLE OF PROFILING OFFICER

10. SIGNATURE

11. DATE (YYYYMMDD)

12. NAME & GRADE OF APPROVING AUTHORITY

13. SIGNATURE

14.DATE (YYYYMMDD)

15.Commanders can access the electronic profiles of Soldiers in their unit(s) by going to http://www.mods.army.mil/ and clicking on eProfile in the list of applications. Commanders will be required to register and be approved in eProfile before they can gain access to profiles.

16. PATIENT'S IDENTIFICATION

17.

HOSPITAL OR MEDICAL FACILITY

a. NAME: (Last, First)

 

 

 

 

 

 

b. GRADE/RANK:

 

 

 

 

 

 

c. SSN:

 

 

 

 

 

 

 

 

18.

PROFILING OFFICER E-MAIL

d. UNIT:

 

 

 

 

 

 

 

 

 

 

DA FORM 3349, SEP 2010

PREVIOUS EDITIONS ARE OBSOLETE

Page 1 of 2

 

 

APD PE v1.00ES

PHYSICAL PROFILE - PAGE 2 (OPTIONAL)

PATIENT'S NAME

DATE (YYYYMMDD)

CONTINUATION (From page 1, Item 8)

DA FORM 3349, SEP 2010

Page 2 of 2

APD PE v1.00ES

Form Characteristics

Fact Name Description
Governing Regulation The DA Form 3349 is governed by AR 40-501, which outlines standards for medical fitness in the U.S. Army.
Medical Condition Reporting The form requires soldiers to describe their medical condition using lay terminology, indicating whether it is due to an injury or illness/disease.
Profile Types Profiles can be temporary or permanent. A temporary profile lasts up to three months, while a permanent profile is reviewed regularly.
Functional Activities Solders must demonstrate the ability to perform certain essential tasks; failure to do so results in a PULHES score containing a "3" and a referral to a Medical Evaluation Board (MEB).
Assessment of Retention Standards The form assesses whether a soldier meets retention standards based on criteria in Chapter 3 of AR 40-501.
Electronic Access Commanders can access electronic profiles via a specific Army website, requiring registration and approval to view profiles.
Patient Identification Patient identification includes fields for name, grade, SSN, and medical facility information to ensure accurate record-keeping.

Guidelines on Utilizing Da 3349

Completing the DA 3349 form involves providing detailed information about the soldier's medical condition and capabilities. Accurate and thorough completion ensures that the soldier's health can be properly monitored and that appropriate accommodations can be made as necessary.

  1. Section 1 - Medical Condition: Clearly describe the soldier’s medical condition using simple language. Indicate whether it is an injury or an illness/disease.
  2. Section 2 - Codes: Refer to Table 3, PULHES 7-2, from AR 40-501 and provide the necessary codes that correspond to the soldier’s physical profile ratings.
  3. Section 4 - Profile Type: Check “YES” or “NO” for the type of profile. If there is a temporary profile, enter the expiration date in the format YYYYMMDD. If it is permanent, confirm that it will be reviewed in accordance with health assessments.
  4. Section 5 - Functional Activities: Read each functional activity question and indicate “YES” or “NO” for whether the soldier can perform them. Ensure that if the soldier cannot perform any tasks, it is accurately reflected in the PULHES codes.
  5. Section 6 - APFT: Indicate “YES” or “NO” for each APFT event listed (2-mile run, walk, sit-ups, swim, push-ups, bike), or mark N/A as needed for alternate APFT if the soldier cannot complete the run.
  6. Section 7 - Retention Standards: Answer whether the soldier meets retention standards per Chapter 3 of AR 40-501. Choose between “YES,” “NEEDS MMRB,” or “NEEDS MEB.”
  7. Section 8 - Limitations and Comments: Detail any functional limitations, capabilities, or additional comments that may be relevant to the soldier's medical condition.
  8. Section 9 - Profiling Officer Information: Provide the name, grade, and title of the profiling officer who is completing the form.
  9. Section 10 - Signature and Date: Include the officer's signature and the date in the format YYYYMMDD.
  10. Section 12 - Approving Authority: Enter the name and grade of the approving authority and obtain their signature. Also, write the date in the format YYYYMMDD.
  11. Section 16 & 17 - Patient's Identification: Fill in the patient's identifying information, including a name (last, first), grade/rank, SSN, and unit information.
  12. Section 18 - Profiling Officer Email: Include the email address of the profiling officer.

What You Should Know About This Form

What is the purpose of the DA 3349 form?

The DA 3349 form is used primarily to create a Physical Profile for soldiers, assessing their medical condition and functional capabilities. This profile helps determine whether a soldier can perform essential military duties, ensuring that they meet retention standards as established by Army regulations.

Who can fill out the DA 3349 form?

The DA 3349 form should be completed by a qualified profiling officer, typically a medical professional who understands the soldier's medical condition. This officer must accurately describe the soldier's injury or illness, following the guidelines provided in Army regulations.

What types of profiles can be issued using the DA 3349 form?

The form allows for two types of profiles: Temporary and Permanent. A temporary profile is limited to three months, while a permanent profile is reviewed and validated during periodic health assessments or every five years from the date of issuance. The duration of the profile depends on the soldier's condition and needs.

What functional activities are assessed on the DA 3349 form?

The DA 3349 examines whether the soldier can efficiently perform essential military tasks. These include carrying and firing an assigned weapon, riding in a military vehicle, and wearing protective gear for extended periods. If a soldier cannot perform any of these, they may receive a PULHES code that indicates limitations.

What is a PULHES code, and how is it used?

A PULHES code is a system that rates a soldier’s physical and mental capabilities across six categories, ranging from "1" (highly fit) to "4" (considered unfit). If a soldier has a "3" in any area, they may need to be referred to a Medical Evaluation Board (MEB) for further assessment regarding their fitness for service.

How does the form determine if a soldier can meet retention standards?

The form asks specific questions regarding physical capabilities and limitations. Based on the answers provided, a soldier may be classified as meeting or not meeting the retention standards as outlined in chapter 3 of AR 40-501. If they do not meet these standards, they may require a MEB evaluation.

What additional information is required on the DA 3349 form?

Along with the soldier’s medical assessment, the form requires the profiling officer's details, including name, grade, and signature, as well as the approving authority's information. This helps ensure that all assessments are documented and authorized properly.

How can commanders access the DA 3349 profiles for their unit?

Commanders can access their soldiers' electronic profiles through the MODS portal by visiting http://www.mods.army.mil/ and selecting the eProfile application. To gain access, commanders must register and be approved in the system, which allows for efficient management of soldier profiles.

What should I do if I believe my DA 3349 profile is incorrect?

If there are concerns regarding the accuracy of your DA 3349 profile, it is essential to address them promptly. Speak with your profiling officer or seek a second opinion from another medical professional. Documentation and communication are key to ensuring your profile reflects your true medical condition.

Common mistakes

Filling out the DA 3349 form, which serves as a physical profile for soldiers, can be tricky. Many individuals make mistakes that could lead to delays or inaccuracies in the profiling process. One common mistake is failing to provide a clear description of the medical condition in lay terms. Soldiers often use technical medical jargon or terms that may not be widely understood. This can confuse the reviewing authority, making it crucial to describe injuries or illnesses in straightforward language.

Another frequent oversight occurs when individuals do not thoroughly assess functional activities. The form explicitly states that if a soldier cannot perform even one listed functional activity, it is essential to indicate a "3" in the PULHES code and refer the individual to a Medical Evaluation Board (MEB). However, some may mistakenly skip this step, believing it might not be necessary. This can lead to significant consequences for the soldier's future roles and responsibilities.

Additionally, many individuals neglect the expiration dates for temporary profiles. Temporary profiles have a strict limit of three months, and failing to specify the expiration date can render the profile invalid. This mistake can leave soldiers without the accommodations they need for their conditions and create unnecessary challenges for both the soldiers and their commanding officers.

Inaccurate signatures and dates are also a common source of errors when completing the form. Each section requires precise signatures and dates from both the profiling officer and the approving authority. Forgetting to sign or incorrectly dating the form may lead to administrative complications, and forms can be returned or rejected without proper validation.

Finally, soldiers sometimes overlook the importance of including their complete identification information and the relevant details of the medical facility. Not providing a comprehensive patient identification, including name, grade, rank, and Social Security Number (SSN), can hinder the ability to process the profile effectively. Ensuring all information is complete and accurate helps facilitate a smoother and more efficient process for everyone involved.

Documents used along the form

The DA 3349 form, which serves as a Physical Profile for military personnel, is typically used in conjunction with various other forms and documents. Understanding these related materials is essential to navigate the military medical evaluation process effectively. Below is a list of essential documents often encountered alongside the DA 3349, along with a brief explanation of each.

  • DA Form 3348: This form is used for a physical profile update or change. It provides a comprehensive record of a soldier's medical status and tracks any modifications made to their profile over time.
  • DA Form 5889: This document functions as a request for a Medical Evaluation Board (MEB) and outlines a soldier’s medical conditions. It assists in the initiation of the MEB process, crucial for those experiencing significant health issues.
  • DA Form 4187: Commonly known as the Personnel Action form, this document is used to request various personnel changes, which may include medical evaluations or modifications to duty status based on health conditions.
  • DA Form 705: This is the Army Physical Fitness Test (APFT) scorecard, documenting a soldier's results. It is often included to demonstrate a soldier’s physical capabilities in light of their medical profile.
  • DA Form 3349-1: This is a continuation or additional sheet for the DA 3349, allowing for extended comments and observations about a soldier's medical condition or functional limitations.
  • AF Form 170: Used primarily in the Air Force, this form can also play a role where joint operations are concerned. It documents a member's medical history and provides insights into their deployment capabilities.
  • MEB Results Document: Upon completion of a Medical Evaluation Board process, the results document outlines recommendations regarding a servicemember's fitness for duty. This is crucial in determining a soldier's future role within the military.

Being familiar with these forms enhances awareness of the processes and procedures associated with military medical evaluations. Each document plays an integral role in ensuring that military personnel receive the appropriate support and considerations for their unique health circumstances.

Similar forms

The DA Form 3349, commonly known as the Physical Profile, is used to evaluate and document a soldier's medical conditions and their ability to perform various essential duties. Several other documents serve similar purposes within the military and organizational contexts. Here are seven documents that are comparable to the DA Form 3349, along with a brief explanation of their similarities:

  • DA Form 3348: This document is used for leave requests but also incorporates medical evaluations in certain cases. Just like the DA Form 3349, it requires a review of the soldier’s medical status when leave involves health considerations.
  • DA Form 4991: The Certificate of Competence is designed to assess soldiers' readiness for specific tasks after medical challenges. It parallels the DA Form 3349 by documenting the functional capabilities of soldiers in relation to their health issues.
  • MEB Documentation: The Medical Evaluation Board reports analyze the soldier's health to determine fitness for duty. Similar to the DA Form 3349, it outlines necessary medical evaluations and makes recommendations for ongoing medical issues.
  • DD Form 2808: The Report of Medical Examination provides a comprehensive medical assessment. Both this form and the DA Form 3349 include medical condition descriptions and functional assessments, allowing for a clear overview of the soldier's capabilities.
  • DD Form 214: This document records military service and may include medical discharge information. It holds similarities to the DA Form 3349 in that it may indicate whether medical conditions affected the soldier’s ability to serve.
  • AF Form 422: The Air Force’s Duty Restriction/Medical Evaluation form assesses a service member’s medical qualifications to perform their duties. Like the DA Form 3349, it records the medical findings and their implications for job performance.
  • SOFA Agreement: The Status of Forces Agreement sometimes includes health considerations for deployed military personnel. Similar to the DA Form 3349, it evaluates soldiers' readiness and outlines their rights concerning health care and physical capacity.

These documents, like the DA Form 3349, play essential roles in maintaining the health and readiness of military personnel. Each serves as a formal means to document a soldier's medical condition and its impact on their duties.

Dos and Don'ts

When filling out the DA 3349 form, it's important to follow some best practices to ensure accuracy and compliance with military guidelines. Here are six things to consider:

  • Clearly describe the medical condition. Use lay terminology to avoid confusion for readers who may not have a medical background.
  • Specify whether the condition is temporary or permanent. Indicate the expiration date for temporary profiles to maintain clarity.
  • Check all functional activity boxes. Make sure to evaluate each activity and mark whether the soldier can perform them.
  • Obtain necessary signatures. Ensure that both the profiling officer and the approving authority sign the form before submission.
  • Fill out all required personal identification fields. Include the soldier's name, grade, SSN, and other pertinent details to avoid delays in processing.
  • Review the form for errors. Double-check all sections for accuracy and completeness.

Conversely, there are several things you should avoid when completing the form:

  • Do not leave any mandatory fields blank. Incomplete information can lead to processing issues.
  • Avoid using technical medical jargon. This can lead to misunderstandings or misinterpretations of the soldier's condition.
  • Do not forget to include the date. Failing to date the document may cause confusion regarding its validity.
  • Do not ignore the need for periodic reviews. Permanent profiles require regular validation, so be aware of the 5-year review policy.
  • Avoid making assumptions about the soldier’s capabilities. Assess their abilities thoroughly to complete the functional activity section accurately.
  • Do not rush through the process. Take the time to ensure everything is filled out correctly to avoid delays down the line.

Misconceptions

Misconceptions about the DA 3349 form often lead to confusion regarding its purpose and use. Here are five common misconceptions along with clarifications:

  • Only medical professionals can complete the DA 3349 form.
  • This is incorrect. Although medical personnel are responsible for providing the medical assessments, the form can be initiated by anyone, including supervisors, who identify a change in a soldier's physical capability.

  • A temporary profile on the DA 3349 remains valid indefinitely.
  • In fact, temporary profiles have a specific expiration date, limited to three months. After this time, a re-evaluation is necessary to determine any further needs for physical limitations.

  • The DA 3349 form is only used for physical injuries.
  • This form addresses both injuries and illnesses or diseases. It is designed to evaluate all medical conditions that may impact a soldier's performance, not just physical injuries.

  • A soldier who receives a "3" rating does not need to be referred to a Medical Evaluation Board (MEB).
  • If a soldier is unable to perform certain fundamental activities, the DA 3349 must reflect at least one "3" in the PULHES code, which will trigger a referral to a MEB for further evaluation.

  • The DA 3349 form is only relevant during initial enlistment.
  • This is misleading. The form is utilized throughout a soldier's career, especially during periodic health assessments or when there is a change in medical status that affects physical capabilities.

Key takeaways

Understanding the DA 3349 form is crucial for military personnel dealing with medical profiles. This document outlines the physical condition of a soldier and is intended to ensure that they meet necessary standards. Here are four key takeaways regarding its completion and use:

  • Medical Condition Specification: The form requires an accurate description of the soldier's medical condition, categorizing it as an injury, illness, or disease. Clarity in language fosters better communication of the soldier's health status.
  • Temporary vs. Permanent Profile: The form identifies whether a military profile is temporary or permanent. Temporary profiles are limited to three months and should indicate an expiration date, while permanent profiles undergo routine reviews.
  • Functional Activity Assessment: The soldier’s ability to perform essential tasks, such as carrying and firing an assigned weapon or wearing protective gear, is assessed on the form. If the soldier cannot perform one of these activities, it may necessitate a referral to a Medical Evaluation Board (MEB).
  • Accessing Electronic Profiles: Commanders are able to access the electronic profiles of soldiers in their unit through a designated military web portal. It is essential for commanders to register and gain approval for access to ensure timely and accurate management of soldiers’ profiles.