Dd 2792 2006 form-2026

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The document provides detailed instructions for completing the DD Form 2792, which is used to identify family members with special medical needs under the Exceptional Family Member Program (EFMP). It outlines the necessary steps for filling out demographic information, medical summaries, and required addenda related to specific conditions such as asthma and mental health. The form requires signatures from both the parent/guardian and a qualified medical professional, ensuring compliance with HIPAA regulations for medical information disclosure.

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Click ‘Get Form’ to open the DD Form 2792 in the editor.
Begin with the Authorization for Disclosure section on Page 1. Ensure each adult family member signs for their own medical information release.
Move to the Demographics/Certification section on Page 2. Fill in Items 1 through 5, providing details about the exceptional family member and sponsor.
In Item 6, have the Parent/Guardian or Person of Majority Age certify that all information is accurate before signing.
Complete the Medical Summary starting on Page 3. This section must be filled out by a qualified medical professional, detailing diagnoses, severity, and treatment plans.
If applicable, complete Addendum 1 (Asthma) and Addendum 2 (Mental Health) based on previous indications in Item 8 of Page 2.
Review all sections for completeness and accuracy before finalizing your document.

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