Dd form 2967-2025

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Statement of Medical Examination and Duty Status (DA Form 2173) (LOD) are initiated for all soldiers who die, sustain certain injuries, diseases or illnesses while on active duty.
You may only need one separation medical examination! The Separation Health Assessment (SHA) is a single separation examination which supports both the Department of Veterans Affairs (VA) disability compensation process and the Department of Defense (DoD) separation/retirement process.
PRINCIPAL PURPOSE: To be used by the Medical Services to provide a comprehensive medical assessment for active and reserve component service members separating or retiring from active duty. ROUTINE USES: A copy of this form will be released to the Department of Veterans Affairs.
This Report of Medical Assessment is to be used by the Medical Services to provide a comprehensive medical assessment for active and reserve component service members separating or retiring from active duty.
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