DA Form 2453 Statement of Health and Medical Examination

DA Form 2453 Statement of Health and Medical Examination

What Is DA Form 2453?

This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2023. The form, often mistakenly referred to as the DD Form 2453, 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 2453?
A: DA Form 2453 is the Statement of Health and Medical Examination form.

Q: What is the purpose of DA Form 2453?
A: The purpose of DA Form 2453 is to provide a record of an individual's health and medical examination.

Q: Who needs to fill out DA Form 2453?
A: Individuals who are required to undergo a health and medical examination, such as military personnel, may need to fill out DA Form 2453.

Q: How do I fill out DA Form 2453?
A: To fill out DA Form 2453, you will need to provide personal information, medical history, and details of the medical examination. The form should be completed accurately and signed by the examining healthcare provider.

Q: What happens after filling out DA Form 2453?
A: After filling out DA Form 2453, the form may be processed for review and used for documentation or evaluation purposes, depending on the organization or purpose for which it is required.

Q: Is DA Form 2453 required for everyone?
A: No, DA Form 2453 is typically only required for individuals who are specified by their respective organizations or institutions to undergo a health and medical examination.

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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 2453 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 2453 Statement of Health and Medical Examination

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  • DA Form 2453 Statement of Health and Medical Examination, Page 1
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