Dd form 2766-2025

See details

4 out of 5

56 votes

The document is an 'Adult Prevention and Chronic Care Flowsheet' designed to collect and maintain comprehensive health information for adult patients. It includes sections for allergies, chronic illnesses, medications, hospitalizations, counseling topics, family history, screening exams, occupational history, immunizations, readiness assessments, and pre/post-deployment history. The form emphasizes preventive care and chronic disease management while ensuring compliance with privacy regulations.

Here's how it works

01. Edit your dd form 2766 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send dd 2766 via email, link, or fax. You can also download it, export it or print it out.

How to modify Dd form 2766 online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

With DocHub, making changes to your paperwork takes only some simple clicks. Follow these quick steps to modify the PDF Dd form 2766 online for free:

Sign up and log in to your account. Sign in to the editor with your credentials or click on Create free account to evaluate the tool’s capabilities.
Add the Dd form 2766 for editing. Click on the New Document option above, then drag and drop the sample to the upload area, import it from the cloud, or using a link.
Alter your template. Make any changes required: insert text and images to your Dd form 2766, underline details that matter, erase sections of content and replace them with new ones, and add icons, checkmarks, and areas for filling out.
Finish redacting the template. Save the updated document on your device, export it to the cloud, print it right from the editor, or share it with all the people involved.

Our editor is super intuitive and effective. Try it now!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is a DD 214 used for?

The information gathered on the DD form 2760 will be used for the purpose of determining which individuals are qualified to possess firearms in government quarters. Failure to execute the DD form 2760 will result in a denial of permission to bring a firearm into government or PPV housing.

What is a DD form 2766?

The DD Form 2766, also known as the Adult Preventive and Chronic Conditions Worksheet, is typically completed by military personnel who are on active duty. It is used to assess the health and medical history of the individual, and to identify any preventive or chronic conditions that require treatment or monitoring.

Where can I find dd2766?

The DD 2766, Adult Preventive and Chronic Care Flowsheet is available through the Navy Supply system in packages of 100. The DD 2766C, Continuation Sheet for the Adult Preventive and Chronic Care Flowsheet is available under a separate stock number through the Navy Supply system in packages of 50.

What is DD 2766?

This letter prescribes two forms: DD Form 2766 (Adult Preventive and Chronic Care Flowsheet) and DD Form 2766C (Adult Preventive and Chronic Care Flowsheet- Continuation Sheet). The information in this letter will be incorporated into the next change to AR 40-66.

What is the DD form 2766C vaccine administration record?

Where can I find DD 2766? DD 2766 is available through the Navy supply system using S/N 0102-LF-984- 8400 and the DD 2766C is available using S/N 0102-LF-984-9600 ordering through the Navy Forms OnLine Web site at: , these forms may not be reproduced; they must be used in the card stock format.