DD Form 2808 Report of Medical Examination

What Is a DD Form 2808?

DD Form 2808 or the Report of Medical Examination is a form used by the Military Entrance Processing Station (MEPS) Medical Staff to obtain the health-related data required to determine the medical fitness of applicants and current members of the Armed Forces.

This form - sometimes referred to as DA Form 2808, DD Form 2808 1, and DD Form 2808 2 - was previously reviewed by the Department of Defense (DoD) in October 2005. An up-to-date fillable version of form DD 2808 can be downloaded below or obtained through the Executive Services Directorate website.

The form is filled during the physical examination. The data provided within the form is used during enlistment, induction, appointment, and retention, as well as for medical boards and separation of service members from the Armed Forces.

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1. DATE OF EXAMINATION
2. SOCIAL SECURITY NUMBER
REPORT OF MEDICAL EXAMINATION
(YYYYMMDD)
PRIVACY ACT STATEMENT
AUTHORITY: 10 USC 504, 505, 507, 532, 978, 1201, 1202, and 4346; and E.O. 9397.
PRINCIPAL PURPOSE(S): To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for
applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from
the Armed Forces.
ROUTINE USE(S): None.
DISCLOSURE: Voluntary; however, failure by an applicant to provide the information may result in delay or possible rejection of the
individual's application to enter the Armed Forces. For an Armed Forces member, failure to provide the information may result in the individual
being placed in a non-deployable status.
4. HOME ADDRESS (Street, Apartment Number, City, State and ZIP Code)
5. HOME TELEPHONE
3. LAST NAME - FIRST NAME - MIDDLE NAME
NUMBER
(SUFFIX)
(Include Area Code)
6. GRADE
7. DATE OF BIRTH
8. AGE
9. SEX
10.a. RACIAL CATEGORY (X one or more)
b. ETHNIC CATEGORY
(YYYYMMDD)
American Indian or
Black or African
Native Hawaiian or
Hispanic/Latino
Female
Alaska Native
American
Other Pacific Islander
Not Hispanic/
Male
Asian
White
Latino
11. TOTAL YEARS GOVERNMENT
12. AGENCY (Non-Service Members Only)
13. ORGANIZATION UNIT AND UIC/CODE
SERVICE
b. CIVILIAN
a. MILITARY
14.a. RATING OR SPECIALTY (Aviators Only)
b. TOTAL FLYING TIME
c. LAST SIX MONTHS
16. NAME OF EXAMINING LOCATION, AND ADDRESS
15.a. SERVICE
b. COMPONENT
c. PURPOSE OF EXAMINATION
(Include ZIP Code)
Coast
Army
Enlistment
Medical Board
Other
Active Duty
Guard
Navy
Commission
Retirement
Reserve
Marine Corps
Retention
U.S. Service Academy
National Guard
Air Force
Separation
ROTC Scholarship Program
CLINICAL EVALUATION
(Check each item in appropriate column. Enter "NE" if not evaluated.)
Nor-
Ab-
44. NOTES: (Describe every abnormality in detail. Enter pertinent item
NE
mal
norm
number before each comment. Continue in item 73 and use additional
17. Head, face, neck, and scalp
sheets if necessary.)
18. Nose
19. Sinuses
20. Mouth and throat
21. Ears - General (Int. and ext. canals/Auditory acuity under item 71)
22. Drums (Perforation)
23. Eyes - General (Visual acuity and refraction under items 61 - 63)
24. Ophthalmoscopic
25. Pupils (Equality and reaction)
26. Ocular motility (Associated parallel movements, nystagmus)
27. Heart (Thrust, size, rhythm, sounds)
28. Lungs and chest (Include breasts)
29. Vascular system (Varicosities, etc.)
30. Anus and rectum (Hemorrhoids, Fistulae) (Prostate if indicated)
31. Abdomen and viscera (Include hernia)
32. External genitalia (Genitourinary)
33. Upper extremities
34. Lower extremities (Except feet)
35. Feet (See Item 35 Continued)
36. Spine, other musculoskeletal
37. Identifying body marks, scars, tattoos
38. Skin, lymphatics
39. Neurologic
40. Psychiatric (Specify any personality deviation)
41. Pelvic (Females only)
35. FEET (Continued) (Circle category)
42. Endocrine
43. DENTAL DEFECTS AND DISEASE
(Please explain. Use dental form if completed
Normal Arch
Mild
Asymptomatic
by dentist. If dental examination not done by
Moderate
Acceptable
Pes Cavus
dental officer, explain in Item 44.)
Symptomatic
Not Acceptable
Class
Pes Planus
Severe
DD FORM 2808, OCT 2005
Page 1 of 3 Pages
DoD exception to SF 88 approved by ICMR, August 3, 2000.
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional
1. DATE OF EXAMINATION
2. SOCIAL SECURITY NUMBER
REPORT OF MEDICAL EXAMINATION
(YYYYMMDD)
PRIVACY ACT STATEMENT
AUTHORITY: 10 USC 504, 505, 507, 532, 978, 1201, 1202, and 4346; and E.O. 9397.
PRINCIPAL PURPOSE(S): To obtain medical data for determination of medical fitness for enlistment, induction, appointment and retention for
applicants and members of the Armed Forces. The information will also be used for medical boards and separation of Service members from
the Armed Forces.
ROUTINE USE(S): None.
DISCLOSURE: Voluntary; however, failure by an applicant to provide the information may result in delay or possible rejection of the
individual's application to enter the Armed Forces. For an Armed Forces member, failure to provide the information may result in the individual
being placed in a non-deployable status.
4. HOME ADDRESS (Street, Apartment Number, City, State and ZIP Code)
5. HOME TELEPHONE
3. LAST NAME - FIRST NAME - MIDDLE NAME
NUMBER
(SUFFIX)
(Include Area Code)
6. GRADE
7. DATE OF BIRTH
8. AGE
9. SEX
10.a. RACIAL CATEGORY (X one or more)
b. ETHNIC CATEGORY
(YYYYMMDD)
American Indian or
Black or African
Native Hawaiian or
Hispanic/Latino
Female
Alaska Native
American
Other Pacific Islander
Not Hispanic/
Male
Asian
White
Latino
11. TOTAL YEARS GOVERNMENT
12. AGENCY (Non-Service Members Only)
13. ORGANIZATION UNIT AND UIC/CODE
SERVICE
b. CIVILIAN
a. MILITARY
14.a. RATING OR SPECIALTY (Aviators Only)
b. TOTAL FLYING TIME
c. LAST SIX MONTHS
16. NAME OF EXAMINING LOCATION, AND ADDRESS
15.a. SERVICE
b. COMPONENT
c. PURPOSE OF EXAMINATION
(Include ZIP Code)
Coast
Army
Enlistment
Medical Board
Other
Active Duty
Guard
Navy
Commission
Retirement
Reserve
Marine Corps
Retention
U.S. Service Academy
National Guard
Air Force
Separation
ROTC Scholarship Program
CLINICAL EVALUATION
(Check each item in appropriate column. Enter "NE" if not evaluated.)
Nor-
Ab-
44. NOTES: (Describe every abnormality in detail. Enter pertinent item
NE
mal
norm
number before each comment. Continue in item 73 and use additional
17. Head, face, neck, and scalp
sheets if necessary.)
18. Nose
19. Sinuses
20. Mouth and throat
21. Ears - General (Int. and ext. canals/Auditory acuity under item 71)
22. Drums (Perforation)
23. Eyes - General (Visual acuity and refraction under items 61 - 63)
24. Ophthalmoscopic
25. Pupils (Equality and reaction)
26. Ocular motility (Associated parallel movements, nystagmus)
27. Heart (Thrust, size, rhythm, sounds)
28. Lungs and chest (Include breasts)
29. Vascular system (Varicosities, etc.)
30. Anus and rectum (Hemorrhoids, Fistulae) (Prostate if indicated)
31. Abdomen and viscera (Include hernia)
32. External genitalia (Genitourinary)
33. Upper extremities
34. Lower extremities (Except feet)
35. Feet (See Item 35 Continued)
36. Spine, other musculoskeletal
37. Identifying body marks, scars, tattoos
38. Skin, lymphatics
39. Neurologic
40. Psychiatric (Specify any personality deviation)
41. Pelvic (Females only)
35. FEET (Continued) (Circle category)
42. Endocrine
43. DENTAL DEFECTS AND DISEASE
(Please explain. Use dental form if completed
Normal Arch
Mild
Asymptomatic
by dentist. If dental examination not done by
Moderate
Acceptable
Pes Cavus
dental officer, explain in Item 44.)
Symptomatic
Not Acceptable
Class
Pes Planus
Severe
DD FORM 2808, OCT 2005
Page 1 of 3 Pages
DoD exception to SF 88 approved by ICMR, August 3, 2000.
PREVIOUS EDITION IS OBSOLETE.
Adobe Professional
LAST NAME - FIRST NAME - MIDDLE NAME (SUFFIX)
SOCIAL SECURITY NUMBER
LABORATORY FINDINGS
45. URINALYSIS
46. URINE HCG
47. H/H
48. BLOOD TYPE
a. Albumin
b. Sugar
TESTS
HIV SPECIMEN ID LABEL
DRUG TEST SPECIMEN ID LABEL
RESULTS
49. HIV
50. DRUGS
51. ALCOHOL
52. OTHER
a. PAP SMEAR
b.
c.
MEASUREMENTS AND OTHER FINDINGS
53. HEIGHT
54. WEIGHT
55. MIN WGT - MAX WGT
MAX BF %
56. TEMPERATURE
57. PULSE
lbs.
59. RED/GREEN (Army Only)
60. OTHER VISION TEST
58. BLOOD PRESSURE
a. 1ST
b. 2ND
c. 3RD
SYS.
SYS.
SYS.
DIAS.
DIAS.
DIAS.
61. DISTANT VISION
62. REFRACTION BY AUTOREFRACTION OR MANIFEST
63. NEAR VISION
Right 20/
Corr. to 20/
By
S.
CX
Right 20/
Corr. to 20/
by
Left 20/
Corr. to 20/
By
S.
CX
Left 20/
Corr. to 20/
by
64. HETEROPHORIA (Specify distance)
Prism Conv
ES
EX
R.H.
L.H.
Prism div.
NPR
PD
CT
65. ACCOMMODATION
66. COLOR VISION (Test used and result)
67. DEPTH PERCEPTION (Test used and score) AFVT
Right
Left
PIP
/14
Uncorrected
Corrected
68. FIELD OF VISION
69. NIGHT VISION (Test used and score)
70. INTRAOCULAR TENSION
O.D.
O.S.
72a. READING ALOUD
71a. AUDIOMETER
Unit Serial Number
71b. Unit Serial Number
TEST
Date Calibrated (YYYYMMDD)
Date Calibrated (YYYYMMDD)
500
1000
2000
3000
4000
6000
500
1000
2000
3000
4000
6000
SAT
UNSAT
HZ
HZ
Right
Right
72b. VALSALVA
SAT
UNSAT
Left
Left
73. NOTES (Continued) AND SIGNIFICANT OR INTERVAL HISTORY (Use additional sheets if necessary.)
DD FORM 2808, OCT 2005
Page 2 of 3 Pages
LAST NAME - FIRST NAME - MIDDLE NAME (SUFFIX)
SOCIAL SECURITY NUMBER
74.a. EXAMINEE/APPLICANT (check one)
75. I have been advised of my disqualifying condition.
a. SIGNATURE OF EXAMINEE
b. DATE
IS QUALIFIED FOR SERVICE
(YYYYMMDD)
IS NOT QUALIFIED FOR SERVICE
b. PHYSICAL PROFILE
P
U
L
H
E
S
X
PROFILER INITIALS
DATE (YYYYMMDD)
76. SIGNIFICANT OR DISQUALIFYING DEFECTS
WAIVER RECEIVED
DIS-
ITEM
ICD
PROFILE
RBJ DATE
EXAMINER
QUALI-
MEDICAL CONDITION/DIAGNOSIS
QUALI-
FIED
NO.
CODE
SERIAL
INITIALS
(YYYYMMDD)
FIED
SERVICE
DATE
(YYYYMMDD)
77. SUMMARY OF DEFECTS AND DIAGNOSES (List diagnoses with item numbers) (Use additional sheets if necessary.)
78. RECOMMENDATIONS - FURTHER SPECIALIST EXAMINATIONS INDICATED (Specify) (Use additional sheets if necessary.)
79. MEPS WORKLOAD (For MEPS use only)
WKID
ST
DATE
INITIAL
WKID
ST
DATE
INITIAL
(YYYYMMDD)
(YYYYMMDD)
80. MEDICAL INSPECTION DATE
HT
WT
%BF
MAX WT
HCG
QUAL
DISQ
PHYSICIAN'S SIGNATURE
81.a. TYPED OR PRINTED NAME OF PHYSICIAN OR EXAMINER
b. SIGNATURE
82.a. TYPED OR PRINTED NAME OF PHYSICIAN OR EXAMINER
b. SIGNATURE
83.a. TYPED OR PRINTED NAME OF DENTIST OR PHYSICIAN (Indicate which)
b. SIGNATURE
84.a. TYPED OR PRINTED NAME OF REVIEWING OFFICER/APPROVING AUTHORITY
b. SIGNATURE
85. This examination has been administratively reviewed for completeness and accuracy.
a. SIGNATURE
b. GRADE
c. DATE (YYYYMMDD)
87. NUMBER OF
86. WAIVER GRANTED (If yes, date and by whom)
ATTACHED SHEETS
YES
NO
DD FORM 2808, OCT 2005
Page 3 of 3 Pages

Download DD Form 2808 Report of Medical Examination

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DD Form 2808 Instructions

Prior to the medical examination and filling the first section of the form, the applicant must fast for 8 hours - only drinking water is allowed.

  1. The applicant must fill out Boxes 1 through 16, which require personal information and general data about the applicant. Pay close attention to Box 12, Agency, which is filled only by non-service members - all other individuals must leave it blank. Boxes 14a. 14b and 14c are for aviators only.
  2. Boxes 15a through 15c are used for providing information an the branch of service, component (Active Duty, Reserve or National Guard) and the purpose of examination.
  3. The "Clinical Evaluation", "Laboratory Findings" and "Measurements and Other Findings" sections are completed by the applicant's provider. More than one provider can fill the form if necessary.
  4. After the examination, the applicant must make sure that their name, EMPLID and PHS SERNO are stated on every page submitted to the Medical Affairs' physical exam section.

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