Da 2173-2026

1. Click ‘Get Form’ to open the DA 2173 in the editor.
2. Begin by filling in the 'NAME OF INDIVIDUAL EXAMINED' section with the individual's last name, first name, and middle initial.
3. Enter the 'SSN' and 'GRADE' of the individual in their respective fields.
4. Complete the 'ACCIDENT INFORMATION' section by providing details such as the date and place of the accident.
5. In SECTION I, ensure that an attending physician or hospital patient administrator fills out all relevant medical information regarding admission and injuries.
6. Proceed to SECTION II, where a unit commander or adviser must indicate duty status and any absences. Be sure to explain any interference with military duty.
7. Finally, review all entries for accuracy before signing and saving your completed form.

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