DA Form 5195 Health Data

DA Form 5195 Health Data

What Is DA Form 5195?

This is a military form that was released by the U.S. Department of the Army (DA) on October 1, 2003. The form, often mistakenly referred to as the DD Form 5195, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is DA Form 5195?A: DA Form 5195 is a Health Data form used by the U.S. Army.

Q: What information does DA Form 5195 collect?A: DA Form 5195 collects basic health data such as height, weight, blood pressure, and other relevant information.

Q: Who is required to fill out DA Form 5195?A: DA Form 5195 is typically filled out by military personnel as part of their health assessment.

Q: What is the purpose of DA Form 5195?A: The purpose of DA Form 5195 is to gather health data for medical evaluation and to maintain individual health records for military personnel.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 5195 down below{class="scroll_to"} in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5195 Health Data

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  • DA Form 5195 Health Data, Page 1
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