TMD Form 3349 R-2025

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  1. Click ‘Get Form’ to open TMD Form 3349 R in the editor.
  2. Begin by filling out Section I – Patient Data. Enter the service member's name, date of birth, and unit information accurately.
  3. In Section II – Medical Conditions, provide detailed descriptions of any medical conditions treated in the last 90 days, including ICD-10 codes and narratives.
  4. Proceed to Section III – Civilian Provider Treatment Plan. Outline your treatment plans for each condition and include any relevant test results.
  5. In Section IV – Civilian Provider Prognosis, answer questions regarding recovery expectations and any necessary restrictions on activities.
  6. Complete Sections V and VI by assessing the service member’s physical fitness and military task capabilities based on your medical opinion.
  7. Finally, fill out Section VI – Civilian Provider Demographics with your details before signing and submitting the form.

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Temporary profiles should specify an expiration date. If no date is specified, the profile will automatically expire at the end of 30 days from issuance of the profile. In no case will Soldiers carry a temporary profile which has been extended for more than 12 months.
AR 40-502, CH3-1: The DA Form 3349SG is primarily a communication tool between the profiling officer, the Soldier, and the commander to address duty limitations.
DA Form 3349 is a Department of the Army (DA) form used to document a physical examination. It assesses the health of an individual and helps determine whether or not they are qualified to perform military duties.