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The DD Form 2492 plays a crucial role in the medical evaluation process for individuals seeking admission to U.S. military academies, receiving ROTC scholarships, or applying to the Uniformed Services University of the Health Sciences. This form is primarily used by the Department of Defense Medical Examination Review Board (DODMERB) to gather comprehensive medical histories that are pivotal in determining an applicant's medical suitability for military service. It meticulously outlines the medical background of the applicant, requiring detailed answers to a series of health-related questions, which cover a wide array of potential medical issues ranging from allergies to mental health conditions. The form underscores the importance of honesty, as any false information could not only hinder the selection process but also later affect the applicant’s candidacy for military roles. Both applicants and examiners have specific responsibilities, from providing a thorough history to reviewing the details for accuracy. Important privacy considerations are also emphasized throughout the process, ensuring that personal medical data is handled with the utmost confidentiality. The information collected may even be shared with other service academies where applicable, affirming the form’s reach beyond just one specific institution. Overall, the DD Form 2492 is indispensable in aligning the health standards required for the demanding environment of military service, while also safeguarding the rights of the individuals undergoing evaluation.

Dd 2492 Example

 

 

 

DOD MEDICAL EXAMINATION REVIEW BOARD (DODMERB)

 

 

 

 

OMB No. 0704-0396

 

 

 

 

 

 

 

REPORT OF MEDICAL HISTORY

 

 

 

 

OMB approval expires

 

 

(This information is for official and medically confidential use only and will not be released to unauthorized persons.)

NOV 30, 2009

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,

including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155

(0704-0396). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not

display a currently valid OMB control number.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO DODMERB/DR, 8034

EDGERTON DRIVE, SUITE 132, USAF ACADEMY CO 80840-2200.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

 

 

 

 

 

 

 

 

 

AUTHORITY: Title 10, USC 133, 3012, 5031, 8013, and Executive Order 9397.

 

 

 

 

 

 

 

 

 

PRINCIPAL PURPOSE: To determine medical acceptability or update a medical file as part of the application process to a United States Service Academy,

 

Reserve Officer Training Corps (ROTC) Scholarship Program, or the Uniformed Services University of the Health Sciences (USUHS).

 

 

 

 

 

ROUTINE USES: This information may be disclosed to the Coast Guard Academy and Merchant Marine Academy for applications to their Academies.

 

 

DISCLOSURE: Voluntary; however, failure to furnish the requested information will impede the selection process and hamper your candidacy. Use of the Social

 

Security Number (SSN) is used for positive identification of records.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. NAME (Last, First, Middle Initial)

 

 

 

 

 

 

 

 

 

2. SOCIAL SECURITY NUMBER

 

3. TELEPHONE NO. (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. PURPOSE OF EXAMINATION

 

 

5. EXAMINATION FACILITY OR EXAMINER AND ADDRESS (Include ZIP Code)

6. DATE OF EXAMINATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mark each item "Yes" or "No". EVERY QUESTION MUST BE ANSWERED, OR PROCESSING DELAYS WILL OCCUR. Every "Yes" must be

explained in Block 83, REMARKS, on the back of the form. Mark and explain each item to the best of your ability. Be perfectly honest! Your medical records may be

requested to clarify your medical history.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. HAVE YOU EVER OR DO

 

YES

 

NO

 

 

 

YES

NO

DO YOU

9a. If you wear contact lenses, how many days have they

YOU NOW USE ANY OF

 

 

 

 

Marijuana

 

 

 

8. Wear glasses

 

been removed prior to this examination?

YES

NO

THE FOLLOWING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amphetamines

 

 

 

 

Alcohol (Amount,

 

 

 

9. Wear contact lenses or

 

Less than 3

 

3 - 20

 

 

21 or over

 

 

 

 

 

 

 

 

frequency, treatment,

 

 

 

corneal eye retainers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Barbiturates

 

 

 

 

if any)

 

 

 

(If Yes, complete 9a.)

 

Type lens:

 

Hard

 

 

Soft

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cocaine

 

 

 

 

Chemical Inhalants

 

 

 

10. HAVE YOU EVER HAD YOUR VISION IMPROVED BY METHODS OTHER THAN STATED IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Narcotic Drugs

 

 

 

 

Hallucinogens

 

 

 

QUESTIONS 8 OR 9?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

HAVE YOU EVER HAD OR DO YOU NOW HAVE:

YES

NO

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

11.

Eye trouble (exclude glasses, contact lenses)

 

 

40.

Gallbladder trouble or gallstones

 

 

66. Sleepwalking episodes after age 12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Have fluctuating vision or double vision

 

 

41.

Hepatitis (yellow jaundice)

 

 

67. Easily fatigued

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

Have any allergies

 

 

 

 

 

 

42.

Hemorrhoids or rectal disease

 

 

68. Motion sickness (car, train, sea, or air)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Take any medications regularly

 

 

43.

Black or bloody stools

 

 

69. X-ray or other radiation therapy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

Stutter or stammer

 

 

 

 

 

 

44.

Frequent or painful urination

 

 

70. Sensitivity to chemicals, dust, sunlight, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Frequent, severe, or migraine headaches

 

 

45.

Bed wetting after age 12

 

 

71. Learning disabilities or speech problems

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

Fainting or dizzy spells

 

 

 

 

 

 

46.

Blood, protein, or sugar in urine

YES

NO

HAVE YOU EVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

Periods of unconsciousness

 

 

 

 

47.

History of diabetes

 

 

72. Been refused employment or been unable to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

Head injury or skull fracture

 

 

 

 

48.

Kidney stone

 

 

hold a job or stay in school because of:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Epilepsy, seizures or convulsions

 

 

49.

Hernia or rupture

 

 

a. Inability to perform certain movements?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

Loss of memory (AMNESIA)

 

 

 

 

50.

Any bone or joint problem, injuries, surgery

 

 

b. Inability to assume certain positions?

 

 

 

 

 

 

 

 

 

 

 

 

or medical treatment

 

 

 

 

 

 

 

 

 

 

22.

Depression, anxiety, excessive worry, or

 

 

 

 

 

c. Other medical reasons?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

nervousness

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51.

Steel pins, plates, or staples in any bones

 

 

73. Been rejected for or discharged from military

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

service because of physical, mental or other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Any mental condition or illness

 

 

52.

Wear a bone or joint brace or support

 

 

 

 

 

 

 

 

reasons?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24.

Frequent trouble sleeping

 

 

 

 

53.

Back pain or trouble

 

 

74. Been denied or rated up for life insurance?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.

Hearing loss

 

 

 

 

 

 

54.

Paralysis or weakness

 

 

75. Received or applied for pension or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

Ear, nose, or throat trouble

 

 

 

 

55.

Foot trouble/use orthotics

 

 

compensation for existing disability?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

Sinusitis or sinus trouble

 

 

 

 

56.

Rheumatic fever

 

 

76. Had or been advised to have, any surgical

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28.

Hay fever or allergic rhinitis

 

 

 

 

57.

Tuberculosis or positive TB test

 

 

operations?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29.

Tooth/gum trouble, or current orthodontics

 

 

58.

Sexually transmitted disease (syphilis,

 

 

77. Consulted, or been treated by clinics,

 

 

 

 

 

 

hospitals, physicians, healers, or other

 

 

 

 

 

 

 

 

 

 

 

 

gonorrhea, herpes)

 

 

 

 

30.

Thyroid trouble

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

practitioners for other than minor illnesses?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31.

Chronic cough or lung disease

 

 

59.

Skin conditions such as acne, psoriasis,

 

 

78. Had any injury or illness other than those

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32.

Asthma or wheezing

 

 

 

 

 

 

 

hand or foot rashes, eczema, or dry skin

 

 

already noted?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.

Unusual shortness of breath

 

 

 

 

60.

Adverse reaction to vaccines, drugs,

YES

NO

FEMALES ONLY (Complete Items 79 - 82)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.

Pain or pressure in chest

 

 

 

 

 

medicines, foods, insect bites or stings

 

 

79. Been treated for a female disorder, painful

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35.

Palpitation or pounding heart

 

 

 

 

61.

Eating disorder

 

 

periods, or cramps

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

Heart trouble or heart murmur

 

 

 

 

62.

Recent gain or loss of weight

 

 

80. Had a change in menstrual pattern

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37.

High blood pressure

 

 

 

 

 

 

63.

Excessive bleeding or easy bruising

 

 

81. Are you now pregnant?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38.

Coughed up or vomited blood

 

 

 

 

64.

Tumor, growth, cyst, or cancer

 

 

82. Date of last menstrual period (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39.

Stomach, liver, or intestinal trouble

 

 

65.

Considered or attempted suicide

 

 

 

 

 

 

 

 

DD FORM 2492, MAR 2008

 

 

PREVIOUS EDITION IS OBSOLETE.

DoD Exception to SF93 approved by GSA/IRMS (8-91)

Adobe Professional 7.0

83.REMARKS. Applicant use only. Every "yes" response in items 7 through 81 must be explained in the space provided. Give specific dates and details including names of physicians and hospitals or clinics and the current status of the condition. If additional space is required, continue on a separate sheet and attach to this form.

84.CERTIFICATION. I certify that I have reviewed the foregoing information supplied by me and that it is true and complete to the best of my knowledge. I authorize any of the physicians, hospitals, or clinics mentioned above to furnish the Government a complete transcript of my medical record for purposes of processing my application for this employment or service.

TYPED OR PRINTED NAME OF EXAMINEE/APPLICANT

SIGNATURE OF EXAMINEE/APPLICANT

DATE SIGNED

(YYYYMMDD)

85.EXAMINER'S SUMMARY AND ELABORATION OF ALL PERTINENT DATA. Examiner shall comment on all "Yes" and blank answers, indicating the item number before each comment. Develop by interview any additional medical history deemed important, and record significant findings here. If additional space is required, continue on a separate sheet and attach to this form.

86. EXAMINER

TYPED OR PRINTED NAME OF EXAMINER

SIGNATURE OF EXAMINER

DATE SIGNED

(YYYYMMDD)

87.NUMBER OF ATTACHED SHEETS

DD FORM 2492 (BACK), MAR 2008

Form Characteristics

Fact Name Description
Form Purpose The DD Form 2492 is used to report medical history as part of the application process for service academies, ROTC scholarships, or the Uniformed Services University.
Authority The collection of information in this form is authorized under Title 10, USC sections 133, 3012, 5031, and 8013, along with Executive Order 9397.
Privacy Act Compliance The information provided is confidential and protected under the Privacy Act. Disclosure of this information is governed by routine uses, including possible disclosure to the Coast Guard Academy and Merchant Marine Academy.
Required Responses Respondents must answer every question to avoid delays. Each "Yes" answer must be elaborated upon in the remarks section.
Estimated Response Time It is estimated that completing the form takes approximately 15 minutes, including necessary review and collection of information.
Where to Submit Completed forms should be returned to DODMERB/DR, 8034 Edgerton Drive, Suite 132, USAF Academy, CO 80840-2200.

Guidelines on Utilizing Dd 2492

Completing the DD 2492 form can be a vital step in your application process for a United States Service Academy, ROTC Scholarship Program, or Uniformed Services University of the Health Sciences. It’s essential to fill this out accurately and thoroughly, as any inaccuracies could lead to delays in the evaluation of your application. Here’s what you need to do to complete the form.

  1. Start with your name. Enter your last name, first name, and middle initial in the designated fields.
  2. Next, provide your Social Security Number. This helps to identify your records accurately.
  3. Input your telephone number, including the area code, so that you can be easily contacted if necessary.
  4. State the purpose of your examination. Be clear about why you are filling out this form.
  5. Fill in the examination facility or examiner and their address, including ZIP Code. Make sure this is correct to avoid miscommunication.
  6. Clearly write the date of your examination using the format YYYYMMDD.
  7. Answer all the questions in the medical history section. Mark each item as "Yes" or "No". You must answer every question to avoid processing delays.
  8. If you answer “Yes” to any question, provide detailed explanations in Block 83 (REMARKS) on the back of the form. Include specific dates, the names of medical professionals, and conditions related to your medical history.
  9. Certify that you have reviewed all the information you provided. Type or print your name and sign the form.
  10. Once completed, make sure to return the form to DODMERB at the specified address: 8034 Edgerton Drive, Suite 132, USAF Academy, CO 80840-2200. Do not send it to the address on the form: that is for comments only.

Preparation is key to a successful application, and ensuring that the DD 2492 is filled out correctly will put you on the right path. Take your time, double-check your entries, and make sure you provide complete and honest information.

What You Should Know About This Form

What is the DD 2492 form used for?

The DD 2492 form, or the Report of Medical History, is primarily used to assess a candidate's medical acceptability for various military service programs. This includes applications to U.S. Service Academies, ROTC Scholarship Programs, and the Uniformed Services University of the Health Sciences. It helps in updating medical files and ensuring that potential candidates meet the health requirements for these programs.

Who needs to complete the DD 2492 form?

Candidates applying to the U.S. Service Academies, ROTC Scholarship Programs, and similar military health programs must fill out the DD 2492 form. This form collects crucial medical information to evaluate the applicant's fitness for military service and related training.

What kind of information is required on the form?

The form requests personal details, such as name, social security number, and contact information. Additionally, candidates must provide extensive medical history, including any previous health conditions, treatments, and current medications. Each question must be answered honestly, as inaccuracies may lead to delays in the processing of the application.

What happens if I answer "Yes" to a medical question?

If an applicant answers "Yes" to any of the medical inquiry questions, they must provide further explanation in the remarks section. This includes details such as the dates of conditions, treatment received, and current status of health issues. This additional context is critical for the examiners to understand any potential concerns.

Is it mandatory to provide my Social Security Number?

Yes, the Social Security Number (SSN) is required on the DD 2492 form. It serves as a vital tool for verifying identity and locating medical records accurately. However, respondents should note that disclosing their SSN is voluntary, but not providing it can complicate the processing of their application.

What should I do if I have more medical history information than space provided?

If an applicant requires more space to provide their medical history than what is allotted on the form, they can attach additional sheets. It is important to continue numbering the responses and make sure all details are included to maintain clarity and facilitate the review process.

What is the privacy policy regarding the information on the DD 2492 form?

The information on the DD 2492 form is considered confidential and is for official use only. The Privacy Act Statement included in the form indicates that the information may be shared with specific entities, such as the Coast Guard Academy or Merchant Marine Academy, but is protected against unauthorized disclosure. Failure to provide the requested information could hinder the candidate's selection process.

How should I submit the completed DD 2492 form?

Once the DD 2492 form is satisfactorily completed, it should not be sent to the Department of Defense address mentioned in the form. Instead, candidates must submit the completed form directly to DODMERB at their designated address in Colorado. Ensuring correct submission is crucial to avoid any processing delays.

Common mistakes

Filling out the DD 2492 form requires attention to detail, and mistakes can delay the evaluation process. One common error is leaving questions unanswered. Every question in this form must be marked "Yes" or "No." Failing to respond can lead to processing delays, which can impact candidacy seriously.

Another common oversight involves the explanations for "Yes" responses. Whenever an applicant answers "Yes," further details must be provided in Block 83. Many applicants forget this step or provide vague answers, leaving important questions unanswered regarding their medical history. Clear and comprehensive explanations are necessary to ensure full understanding by the reviewing boards.

Inaccurate personal information is yet another frequent mistake. It is crucial to double-check that details like name, telephone number, and Social Security number are entered correctly. Mistakes in this section can lead to complications in identifying medical records, thus prolonging the review process.

Some applicants underestimate the importance of honesty. It's essential to report all medical conditions accurately, even those that seem minor. Omitting past conditions, treatments, or medications can lead to complications later on. The review board may request medical records for clarification, and inconsistencies can hinder an application.

Additionally, misunderstanding the requirements for specific questions is a mistake that many people make. Questions regarding medical history can be complex, and misinterpreting them leads to errors. Familiarizing oneself with the medical terminology and listed conditions prior to filling out the form can help in avoiding this pitfall.

Lastly, ignoring the instructions about submitting the form is a critical error. It's essential to send the completed form to the correct address, which is DODMERB/DR, 8034 Edgerton Drive, Suite 132, USAF Academy, CO 80840-2200. Collecting all necessary documentation and ensuring it's included with the form should also be prioritized to prevent delays.

Documents used along the form

The DD Form 2492 is essential for individuals undergoing a medical evaluation for service academies or ROTC scholarships. A variety of other documents are often required to complete this process. Here’s a brief overview of additional forms that may be needed.

  • DD Form 2807-1: This is a Report of Medical History. It collects detailed information about an individual's medical history, including past surgeries, medications, and personal health issues.
  • DD Form 2808: This is the Report of Medical Examination. It provides a summary of the findings from the medical exam performed by a qualified medical professional.
  • SF 93: The Report of Medical History form is similar to the DD Form 2807-1, but it's required for other federal purposes. It documents an applicant's health history for various government-related agencies.
  • DD Form 1966: This form is used to determine eligibility for enlistment in the Armed Forces. It collects personal information, education history, and prior service records.
  • SF 601: This is the Immunization Record. It verifies that an individual has received the necessary vaccinations required for military service and training.
  • DD Form 4: This is the Enlistment/Reenlistment Document. It outlines the terms of enlistment and is a critical part of the process for those joining the military.
  • VA Form 21-526EZ: This is an Application for Disability Compensation and Related Compensation Benefits. It may be necessary for applicants with prior medical conditions seeking related benefits.
  • HIPAA Form: The Health Insurance Portability and Accountability Act authorization form allows medical providers to share an individual's health information with authorized entities during the evaluation process.

Gathering these documents can seem daunting, but each one serves a specific purpose in ensuring a comprehensive evaluation. It's important to complete them accurately and thoroughly to avoid delays in your application process. Taking the time to prepare these forms will help facilitate a smoother transition into service academies or ROTC programs.

Similar forms

  • DD Form 2807-1: This is the "Report of Medical History," which is also used to gather detailed medical information from applicants seeking military service. Like the DD 2492, it requires honest responses about one's medical history and current conditions.

  • SF 86: The "Questionnaire for National Security Positions" is another document collecting personal and medical information. It focuses on security clearance, but similar to the DD 2492, it emphasizes the importance of complete and truthful answers.

  • DD Form 214: Known as the "Certificate of Release or Discharge from Active Duty," this document summarizes service member history, including medical care. Its purpose aligns with keeping track of military service and health records.

  • DA Form 4824-R: This form is the "Health Screening Questionnaire." It assesses various health aspects, like the DD 2492, and helps in determining a candidate’s medical fitness for service.

  • VA Form 21-526EZ: This is the "Application for Disability Compensation and Related Compensation Benefits" form, which seeks medical history information to assess disabilities. Like the DD 2492, it plays a crucial role in establishing eligibility based on health conditions.

  • DD Form 149: This is the "Application for Correction of Military Records." While it focuses on correcting information, it often requires an update on medical history, connecting it back to aspects covered in the DD 2492.

  • SF 93: The "Report of Medical History" serves a similar function in providing a thorough medical background for those applying to military service. As with the DD 2492, it captures vital health information to support candidacy.

Dos and Don'ts

Filling out the DD 2492 form can seem overwhelming. Here are six important do's and don'ts to consider while completing it.

  • Do answer every question honestly. Your truthfulness ensures that your medical records accurately reflect your health status.
  • Don't leave any questions blank. Every question must be answered to avoid delays in processing.
  • Do explain any "Yes" answers in detail within the Remarks section. Include dates and names of healthcare providers if possible.
  • Don't withhold information about your medical history. It's better to provide full disclosure than to risk complications later.
  • Do double-check all your entries for accuracy before submitting. Mistakes can lead to processing delays and confusion.
  • Don't forget to sign and date the form. Your signature indicates that you've reviewed all information provided and that it's accurate.

Misconceptions

There are several misconceptions regarding the DD 2492 form, which is a critical document used in the medical examination process for candidates applying to military academies or ROTC scholarships. Understanding these misconceptions can help individuals navigate the form more effectively.

  1. It is only for military applicants. Many believe the DD 2492 is exclusive to military personnel. In reality, it is also necessary for those applying to the Coast Guard Academy and Merchant Marine Academy.
  2. Completing the form is optional. Some applicants think they can ignore the DD 2492 without consequence. However, filling out this form is essential for determining medical acceptability, and failure to do so may hinder the application process.
  3. All questions must be answered with “Yes” or “No”. While the form requires these responses, it also mandates explanations for any “Yes” answers. Clarifying medical conditions is crucial for accurate assessment.
  4. Privacy is not respected in this process. A common misconception is that the information provided will be freely shared. The form emphasizes confidentiality and indicates that responses will not be released to unauthorized persons.
  5. Social Security Numbers are unnecessary. Some may believe that providing a Social Security Number (SSN) is not important. In fact, the SSN is vital for identifying medical records accurately.
  6. Past medical history is not important on this form. Applicants might think that their current health status is the only concern. However, a comprehensive medical history is required, and failure to provide details can lead to delays.
  7. Answering “No” to all health questions is a good strategy. Some individuals believe that if they claim to have no health issues, there will be no additional scrutiny. This approach can backfire, as discrepancies can lead to further evaluations.
  8. The form can be filled out quickly with minimal care. Many applicants underestimate the time needed to complete the form thoroughly. Each response should be carefully considered, as incomplete information will cause processing delays.
  9. Doctors can help fill out the form on behalf of applicants. Although doctors can provide valuable information, the responsibility for accuracy lies with the applicant. It is essential for candidates to understand their own medical history.
  10. Once submitted, the form cannot be changed. Some individuals think that after sending the form, they lose the ability to make corrections. However, if new information arises, it can be communicated to the relevant authorities as necessary.

Key takeaways

Filling out the DD 2492 form is an essential step in the application process for those seeking admission to a United States Service Academy or other military-related programs. Here are some key takeaways to keep in mind:

  • Honesty is Crucial: It's important to answer every question accurately and truthfully. This means marking every item with “Yes” or “No” and providing detailed explanations for any “Yes” responses in the designated space. Your medical history may be verified, so discrepancies could not only cause delays but potentially impact your application.
  • Ensure Completeness: Each response on the form must be filled out. Leaving items blank can lead to processing delays. Attention to detail helps keep your application on track.
  • Return Instructions: Don’t send the completed form to the address listed on the top. Instead, ensure it goes to DODMERB at the specified address in Colorado. This step is vital to avoid misdirection of your application.
  • Protect Your Privacy: The information provided is confidential and used solely for the necessary medical evaluations. Your Social Security number is for identification purposes; safeguarding this data is important.