DA Form 7351 Exceptional Family Member Program (EFMP) Assessment Guide

DA Form 7351 or the "Exceptional Family Member Program (efmp) Assessment Guide" 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 7351 - was last revised on September 1, 2002. Download an up-to-date fillable DA Form 7351 down below in PDF-format or look it up on the Army Publishing Directorate website.

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EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSESSMENT GUIDE
For use of this form, see AR 608-75; the proponent agency is OACSIM
AGENCY: ARMY COMMUNITY SERVICE (ACS)
Y
RESPONSIBLE
COMPLETION DATE
N
ITEM
E
COMMENTS (Include required action)
O
INDIVIDUAL/AGENCY
(YYYYMMDD)
S
1. Full time EFMP manager has been
designated to manage the installation
EFMP. If not, indicate percentage of
time manager devotes to EFMP.
2. EFMP manager participates in
training.
3. EFMP manager's office is
accessible to persons with disabilities.
4. EFMP manager submits annual
budget request to ACS director.
5. Installation EFMP committee meets
at least quarterly.
6. Comprehensive EFMP committee
minutes are presented to the installation
commander for approval.
7. A copy of EFMP minutes is
furnished to medical treatment facility
(MTF) commander.
8. EFMP committee minutes are on
file.
9. EFMP committee representation is
appropriate.
EDITION OF MARCH 2000, IS OBSOLETE.
DA FORM 7351, SEP 2002
APD LC v1.00
EXCEPTIONAL FAMILY MEMBER PROGRAM (EFMP) ASSESSMENT GUIDE
For use of this form, see AR 608-75; the proponent agency is OACSIM
AGENCY: ARMY COMMUNITY SERVICE (ACS)
Y
RESPONSIBLE
COMPLETION DATE
N
ITEM
E
COMMENTS (Include required action)
O
INDIVIDUAL/AGENCY
(YYYYMMDD)
S
1. Full time EFMP manager has been
designated to manage the installation
EFMP. If not, indicate percentage of
time manager devotes to EFMP.
2. EFMP manager participates in
training.
3. EFMP manager's office is
accessible to persons with disabilities.
4. EFMP manager submits annual
budget request to ACS director.
5. Installation EFMP committee meets
at least quarterly.
6. Comprehensive EFMP committee
minutes are presented to the installation
commander for approval.
7. A copy of EFMP minutes is
furnished to medical treatment facility
(MTF) commander.
8. EFMP committee minutes are on
file.
9. EFMP committee representation is
appropriate.
EDITION OF MARCH 2000, IS OBSOLETE.
DA FORM 7351, SEP 2002
APD LC v1.00
AGENCY: ARMY COMMUNITY SERVICE (ACS)
Y
RESPONSIBLE
COMPLETION DATE
N
ITEM
COMMENTS (Include required action)
E
O
INDIVIDUAL/AGENCY
(YYYYMMDD)
S
10. Special Needs Resource Team
(SNRT) is a subcommittee of
installation EFMP committee.
11. SNRT membership is appropriate.
12. Installation EFMP standing
operating procedure is on file.
13. EFMP roster is established.
14. Installation EFMP committee
meets at least quarterly.
15. Relocating soldier's EFM needs are
shared with gaining command prior to
arrival.
16. EFMP families are assisted in
developing solutions to EFMP issues
and problems.
17. EFMP is monitored per AR
608-75.
18. Special education information is
updated annually from existing
information sources.
19. Families are informed about military
and civilian community support services.
Page 2 of 14
DA FORM 7351, SEP 2002
APD LC v1.00
AGENCY: ARMY COMMUNITY SERVICE (ACS)
Y
RESPONSIBLE
COMPLETION DATE
N
ITEM
E
COMMENTS (Include required action)
O
INDIVIDUAL/AGENCY
(YYYYMMDD)
S
20. Family members are provided with
information about rights and
responsibilities under laws.
21. ACS facilities EFMP support
groups.
22. Relocating families of exceptional
school age children obtain information
for transitioning to the new school per
para 2-5b(2), AR 608-75.
23. Relocating families with exceptional
school age children are linked with
school officials and medical providers.
24. ACS assists in the IEP process
upon request of parents.
25. Family-find activities are
implemented.
26. Respite care is provided for
children.
27. Respite care is provided for adults.
28. Recreational and cultural activities
are provided for exceptional family
members.
Page 3 of 14
DA FORM 7351, SEP 2002
APD LC v1.00
AGENCY: ARMY MEDICAL DEPARTMENT
Y
RESPONSIBLE
COMPLETION DATE
N
ITEM
E
COMMENTS (Include required action)
O
INDIVIDUAL/AGENCY
(YYYYMMDD)
S
1. A physician is designated to provide
medical oversight for the EFMP
(includes early intervention services).
2. The EFMP physician ensures that
eligible exceptional family members are
coded and EFMP summary forwarded
for enrollment per para 3-1, AR 608-75.
3. The EFMP physician has appointed
an appropriate EFMP case coordinator.
4. The EFMP case coordinator
performs the responsibilities in para
1-27c, AR 608-75.
5. Medical resourcing needs are
identified and reported to the MTF
commander.
6. All medical providers receive training
to become knowledgeable of EFMP
requirements.
7. Standing operating procedures are
established in coordination with each
medical department or clinic in the MTF
to ensure effective screening,
identification, and referral for enrollment
in EFMP.
8. The EFMP physician provides
professional technical assistance to
ACS in development and execution of
family-find activities.
9. The EFMP physician coordinates
medical evaluations for disabling
conditions of EFMs in concert with the
capabilities of local MTF.
Page 4 of 14
DA FORM 7351, SEP 2002
APD LC v1.00
AGENCY: ARMY MEDICAL DEPARTMENT
Y
RESPONSIBLE
COMPLETION DATE
N
ITEM
E
COMMENTS (Include required action)
O
INDIVIDUAL/AGENCY
(YYYYMMDD)
S
10. EFMP medical chief provides or
coordinates assistance to adult EFMs
in concert with capabilities of local MTF.
11. The EFMP physician ensures that
all EFMP medical and administrative
staff participates in MTF quality
improvement program.
12. The EFMP physician supervises
multidisciplinary team of early
intervention service providers at required
locations in the United States.
13. The MTF commander supervises
multidisciplinary team of service
providers outside the United States.
14. The MTF commander ensures that
multidisciplinary teams outside the
United States perform responsibilities
in para 1-26, AR 608-75.
15. The MTF commander performs the
responsibilities of the medically related
services liaison officer in para 1-26s, AR
608-75.
16. OCONUS family member
deployment screening is completed per
para 2-1b, AR 608-75.
17. Family members have the same
priority as active duty military for
purpose of OCONUS family member
deployment screening and evaluation.
Page 5 of 14
DA FORM 7351, SEP 2002
APD LC v1.00

Download DA Form 7351 Exceptional Family Member Program (EFMP) Assessment Guide

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