DA Form 2453-R or the "Statement Of Health And Medical Examination" is a Department of the Army-issued form used by and within the United States Military.
The form - often incorrectly referred to as the DD form 2453-R - was last revised on September 1, 1961. Download an up-to-date fillable DA Form 2453-R down below in PDF-format or look it up on the Army Publishing Directorate website.
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