DD Form 2492, DoDMERB Report of Medical History, is a form used to update a medical file of Coast Guard Academy and Merchant Marine Academy applicants and for determining the applicant's medical acceptability. The form is used when applying for the Reserve Officer Training Corps (ROTC) Scholarship Program, a United States Service Academy, or the Uniformed Services University of the Health Sciences (USUHS).
The form is sometimes incorrectly referred to as the DA Form 2492 and was released by the Department of Defense (DoD) on March 1, 2008, with all previous editions obsolete. An up-to-date DD Form 2492 fillable version is available for digital filing and download below or can be found through the Executive Services Directorate website.
The DD 2492 is used strictly within the DoD as a replacement for the General Services Administration-approved SF Form 93, Report of Medical History. Completing the report is voluntary. However, failure to provide the necessary information may hamper the applicant's candidacy and negatively impact their chances of qualifying for the selected program.
Completed forms must be mailed to DoDMERB/DR at 8034 Edgerton Drive, Suite 132, USAF Academy, CO 80840-2200. DD Form 2492 instructions are as follows:
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