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The DD 2492 form, also known as the Report of Medical History, plays a critical role in the evaluation process for individuals applying to prestigious military academies, ROTC scholarship programs, and the Uniformed Services University of the Health Sciences. Designed by the Department of Defense Medical Examination Review Board (DODMERB), this form collects comprehensive medical history to assess an applicant's medical acceptability. Applicants must provide personal information, including their name, Social Security number, and contact details, along with the specific purpose of the medical examination. The form requires a thorough and candid disclosure of past and present medical conditions, allergies, treatments, and medications, ensuring all questions are answered accurately to prevent processing delays. A notable feature is the disclosure of certain sensitive medical details, which must be clarified if marked "Yes" throughout the questionnaire. Additionally, it encompasses a privacy statement, emphasizing the importance of confidentiality. The responses not only inform medical personnel but also guide admissions decisions for the respective programs. Ultimately, the meticulous completion of this form directly influences an applicant's candidacy, making every detail crucial for a successful application. Moreover, the information, while voluntarily provided, is necessary for effective processing and timely evaluation. Applicants must be aware that omitting information may hinder their chances of success.

Dd 2492 Example

 

 

 

DOD MEDICAL EXAMINATION REVIEW BOARD (DODMERB)

 

 

 

 

OMB No. 0704-0396

 

 

 

 

 

 

 

REPORT OF MEDICAL HISTORY

 

 

 

 

OMB approval expires

 

 

(This information is for official and medically confidential use only and will not be released to unauthorized persons.)

NOV 30, 2009

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

The public reporting burden for this collection of information is estimated to average 15 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering

and maintaining the data needed, and completing and reviewing the collection of information. Send comments regarding this burden estimate or any other aspect of this collection of information,

including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate, Information Management Division, 1155 Defense Pentagon, Washington, DC 20301-1155

(0704-0396). Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not

display a currently valid OMB control number.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PLEASE DO NOT RETURN YOUR FORM TO THE ABOVE ORGANIZATION. RETURN COMPLETED FORM TO DODMERB/DR, 8034

EDGERTON DRIVE, SUITE 132, USAF ACADEMY CO 80840-2200.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PRIVACY ACT STATEMENT

 

 

 

 

 

 

 

 

 

AUTHORITY: Title 10, USC 133, 3012, 5031, 8013, and Executive Order 9397.

 

 

 

 

 

 

 

 

 

PRINCIPAL PURPOSE: To determine medical acceptability or update a medical file as part of the application process to a United States Service Academy,

 

Reserve Officer Training Corps (ROTC) Scholarship Program, or the Uniformed Services University of the Health Sciences (USUHS).

 

 

 

 

 

ROUTINE USES: This information may be disclosed to the Coast Guard Academy and Merchant Marine Academy for applications to their Academies.

 

 

DISCLOSURE: Voluntary; however, failure to furnish the requested information will impede the selection process and hamper your candidacy. Use of the Social

 

Security Number (SSN) is used for positive identification of records.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1. NAME (Last, First, Middle Initial)

 

 

 

 

 

 

 

 

 

2. SOCIAL SECURITY NUMBER

 

3. TELEPHONE NO. (Include area code)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4. PURPOSE OF EXAMINATION

 

 

5. EXAMINATION FACILITY OR EXAMINER AND ADDRESS (Include ZIP Code)

6. DATE OF EXAMINATION

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

(YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Mark each item "Yes" or "No". EVERY QUESTION MUST BE ANSWERED, OR PROCESSING DELAYS WILL OCCUR. Every "Yes" must be

explained in Block 83, REMARKS, on the back of the form. Mark and explain each item to the best of your ability. Be perfectly honest! Your medical records may be

requested to clarify your medical history.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

7. HAVE YOU EVER OR DO

 

YES

 

NO

 

 

 

YES

NO

DO YOU

9a. If you wear contact lenses, how many days have they

YOU NOW USE ANY OF

 

 

 

 

Marijuana

 

 

 

8. Wear glasses

 

been removed prior to this examination?

YES

NO

THE FOLLOWING:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Amphetamines

 

 

 

 

Alcohol (Amount,

 

 

 

9. Wear contact lenses or

 

Less than 3

 

3 - 20

 

 

21 or over

 

 

 

 

 

 

 

 

frequency, treatment,

 

 

 

corneal eye retainers

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Barbiturates

 

 

 

 

if any)

 

 

 

(If Yes, complete 9a.)

 

Type lens:

 

Hard

 

 

Soft

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Cocaine

 

 

 

 

Chemical Inhalants

 

 

 

10. HAVE YOU EVER HAD YOUR VISION IMPROVED BY METHODS OTHER THAN STATED IN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Narcotic Drugs

 

 

 

 

Hallucinogens

 

 

 

QUESTIONS 8 OR 9?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

YES

NO

HAVE YOU EVER HAD OR DO YOU NOW HAVE:

YES

NO

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

11.

Eye trouble (exclude glasses, contact lenses)

 

 

40.

Gallbladder trouble or gallstones

 

 

66. Sleepwalking episodes after age 12

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

12.

Have fluctuating vision or double vision

 

 

41.

Hepatitis (yellow jaundice)

 

 

67. Easily fatigued

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

13.

Have any allergies

 

 

 

 

 

 

42.

Hemorrhoids or rectal disease

 

 

68. Motion sickness (car, train, sea, or air)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

14.

Take any medications regularly

 

 

43.

Black or bloody stools

 

 

69. X-ray or other radiation therapy

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

15.

Stutter or stammer

 

 

 

 

 

 

44.

Frequent or painful urination

 

 

70. Sensitivity to chemicals, dust, sunlight, etc.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

16.

Frequent, severe, or migraine headaches

 

 

45.

Bed wetting after age 12

 

 

71. Learning disabilities or speech problems

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

17.

Fainting or dizzy spells

 

 

 

 

 

 

46.

Blood, protein, or sugar in urine

YES

NO

HAVE YOU EVER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

18.

Periods of unconsciousness

 

 

 

 

47.

History of diabetes

 

 

72. Been refused employment or been unable to

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

19.

Head injury or skull fracture

 

 

 

 

48.

Kidney stone

 

 

hold a job or stay in school because of:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

20.

Epilepsy, seizures or convulsions

 

 

49.

Hernia or rupture

 

 

a. Inability to perform certain movements?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

21.

Loss of memory (AMNESIA)

 

 

 

 

50.

Any bone or joint problem, injuries, surgery

 

 

b. Inability to assume certain positions?

 

 

 

 

 

 

 

 

 

 

 

 

or medical treatment

 

 

 

 

 

 

 

 

 

 

22.

Depression, anxiety, excessive worry, or

 

 

 

 

 

c. Other medical reasons?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

nervousness

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

51.

Steel pins, plates, or staples in any bones

 

 

73. Been rejected for or discharged from military

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

service because of physical, mental or other

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

23.

Any mental condition or illness

 

 

52.

Wear a bone or joint brace or support

 

 

 

 

 

 

 

 

reasons?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

24.

Frequent trouble sleeping

 

 

 

 

53.

Back pain or trouble

 

 

74. Been denied or rated up for life insurance?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

25.

Hearing loss

 

 

 

 

 

 

54.

Paralysis or weakness

 

 

75. Received or applied for pension or

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

26.

Ear, nose, or throat trouble

 

 

 

 

55.

Foot trouble/use orthotics

 

 

compensation for existing disability?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

27.

Sinusitis or sinus trouble

 

 

 

 

56.

Rheumatic fever

 

 

76. Had or been advised to have, any surgical

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

28.

Hay fever or allergic rhinitis

 

 

 

 

57.

Tuberculosis or positive TB test

 

 

operations?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

29.

Tooth/gum trouble, or current orthodontics

 

 

58.

Sexually transmitted disease (syphilis,

 

 

77. Consulted, or been treated by clinics,

 

 

 

 

 

 

hospitals, physicians, healers, or other

 

 

 

 

 

 

 

 

 

 

 

 

gonorrhea, herpes)

 

 

 

 

30.

Thyroid trouble

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

practitioners for other than minor illnesses?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

31.

Chronic cough or lung disease

 

 

59.

Skin conditions such as acne, psoriasis,

 

 

78. Had any injury or illness other than those

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

32.

Asthma or wheezing

 

 

 

 

 

 

 

hand or foot rashes, eczema, or dry skin

 

 

already noted?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

33.

Unusual shortness of breath

 

 

 

 

60.

Adverse reaction to vaccines, drugs,

YES

NO

FEMALES ONLY (Complete Items 79 - 82)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

34.

Pain or pressure in chest

 

 

 

 

 

medicines, foods, insect bites or stings

 

 

79. Been treated for a female disorder, painful

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

35.

Palpitation or pounding heart

 

 

 

 

61.

Eating disorder

 

 

periods, or cramps

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

36.

Heart trouble or heart murmur

 

 

 

 

62.

Recent gain or loss of weight

 

 

80. Had a change in menstrual pattern

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

37.

High blood pressure

 

 

 

 

 

 

63.

Excessive bleeding or easy bruising

 

 

81. Are you now pregnant?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

38.

Coughed up or vomited blood

 

 

 

 

64.

Tumor, growth, cyst, or cancer

 

 

82. Date of last menstrual period (YYYYMMDD)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

39.

Stomach, liver, or intestinal trouble

 

 

65.

Considered or attempted suicide

 

 

 

 

 

 

 

 

DD FORM 2492, MAR 2008

 

 

PREVIOUS EDITION IS OBSOLETE.

DoD Exception to SF93 approved by GSA/IRMS (8-91)

Adobe Professional 7.0

83.REMARKS. Applicant use only. Every "yes" response in items 7 through 81 must be explained in the space provided. Give specific dates and details including names of physicians and hospitals or clinics and the current status of the condition. If additional space is required, continue on a separate sheet and attach to this form.

84.CERTIFICATION. I certify that I have reviewed the foregoing information supplied by me and that it is true and complete to the best of my knowledge. I authorize any of the physicians, hospitals, or clinics mentioned above to furnish the Government a complete transcript of my medical record for purposes of processing my application for this employment or service.

TYPED OR PRINTED NAME OF EXAMINEE/APPLICANT

SIGNATURE OF EXAMINEE/APPLICANT

DATE SIGNED

(YYYYMMDD)

85.EXAMINER'S SUMMARY AND ELABORATION OF ALL PERTINENT DATA. Examiner shall comment on all "Yes" and blank answers, indicating the item number before each comment. Develop by interview any additional medical history deemed important, and record significant findings here. If additional space is required, continue on a separate sheet and attach to this form.

86. EXAMINER

TYPED OR PRINTED NAME OF EXAMINER

SIGNATURE OF EXAMINER

DATE SIGNED

(YYYYMMDD)

87.NUMBER OF ATTACHED SHEETS

DD FORM 2492 (BACK), MAR 2008

File Breakdown

Fact Name Details
Purpose The DD Form 2492 is used to evaluate the medical acceptability of candidates applying to service academies and ROTC programs.
Privacy Act Statement Information collected is confidential and will not be disclosed improperly. Sharing your Social Security Number helps ensure accurate record-keeping.
Completion Requirement All questions must be answered entirely. Incomplete forms can cause processing delays, so honesty is crucial.
Return Instructions Completed forms should not be sent to the OMB but directly to DODMERB at the specified address in Colorado.

Guide to Using Dd 2492

Completing the DD Form 2492 is an important step in the application process for various military programs. It's essential to be meticulous and truthful while filling out the form since accurate information helps in assessing your medical history for eligibility. Here are the steps to guide you through the process:

  1. Enter your name: Fill in your last name, first name, and middle initial in the designated area.
  2. Provide your Social Security Number: Write your SSN in the specified field.
  3. Include your telephone number: Make sure to add your phone number, including the area code.
  4. State the purpose of your examination: Specify the reason for the medical examination.
  5. List the examination facility or examiner: Include the name and address (including ZIP code) of the location where the exam will take place.
  6. Enter the date of the examination: Write the date in the format YYYYMMDD.
  7. Answer all questions: Respond to every question by marking "Yes" or "No." It’s crucial that all items are answered to avoid delays.
  8. Provide explanations if needed: If you answered "Yes" to any question, provide a detailed explanation in Block 83 on the back of the form.
  9. Review your responses: Double-check all entries for accuracy and completeness.
  10. Sign and date the form: After verifying all information, sign and date the form at the designated spots.
  11. Return the completed form: Do not send the form to the address on the front. Instead, mail it to the address specified for DODMERB at the end of the form.

Get Answers on Dd 2492

What is the purpose of the DD Form 2492?

The DD Form 2492 is used to report medical history for individuals applying to a United States Service Academy, Reserve Officer Training Corps (ROTC) Scholarship Program, or the Uniformed Services University of the Health Sciences (USUHS). It helps assess medical acceptability and keeps your medical file updated.

Who needs to fill out the DD Form 2492?

This form must be completed by applicants who are seeking entry into military service academies, programs for ROTC scholarships, or specific universities dedicated to health sciences. If you are applying to any of these institutions, it's essential to provide accurate information on this form.

What happens if I do not provide complete information on the form?

Completing the DD Form 2492 accurately is crucial. If you fail to answer all questions or provide incomplete information, it could lead to processing delays. Additionally, omitting details might hinder your admissions process, as it impedes your candidacy.

What should I do if I answer "Yes" to any health questions?

If you check "Yes" on any health-related questions, you must provide a detailed explanation in Block 83 of the form. Include specific dates, conditions, treatment information, and names of healthcare providers or facilities. This transparency is necessary for a comprehensive medical evaluation.

Common mistakes

Completing the DD 2492 form can be a crucial step for individuals involved in military applications. However, many make common mistakes that can lead to delays or complications in their applications. Being aware of these pitfalls can save time and reduce stress during the process.

One frequent mistake occurs when applicants fail to answer every question on the form. The instructions clearly state that "every question must be answered." Leaving any question blank might slow down the processing time of your application. It's essential to take the time to read through each question carefully and provide an answer, even if you feel the question isn't applicable to your situation.

Another common error is not providing sufficient detail in the remarks section for any "Yes" answers. For instance, if you indicate a history of a particular condition, you must elaborate on it in Block 83. This includes dates, involved healthcare providers, and the current status of the condition. Neglecting to provide thorough explanations can lead to misunderstandings or even result in the application being denied due to perceived lack of transparency.

A third mistake involves incorrect or incomplete personal information, such as your name or Social Security number. Double-checking this data is essential. Errors in this area can lead to misidentification and can create significant delays in processing your application. The form's confidentiality emphasizes the importance of providing accurate information every step of the way.

Finally, applicants often rush to submit the form without reviewing it thoroughly. This hurried approach can lead to multiple errors, which may seem minor but can have a cumulative effect on the outcome of your application. Taking a few extra minutes to read through your entries and ensure clarity can make a substantial difference in the processing timeline and the overall success of the application.

Documents used along the form

The DD 2492 form serves as a report of medical history that is part of the assessment process for applicants to military academies and related programs. Several other forms and documents may accompany it to provide comprehensive information about the applicant's medical status. Below is a list of nearly nine common documents often used in conjunction with the DD 2492 form, each identified by its purpose in the application process.

  • DD Form 2807-1: Report of Medical History - This form collects detailed medical history information from the applicant and is crucial in understanding prior conditions or treatments that may affect eligibility.
  • DD Form 2808: Report of Medical Examination - A medical examination report prepared by a physician to evaluate the applicant's overall health and fitness for military service.
  • SF 88: Report of Medical Examination - A standard form used predominantly in the Army for documenting medical exams and findings pertaining to military service eligibility.
  • DD Form 368: Request for Conditional Release - This document allows individuals currently in another military service to request a release so they can apply to a service academy or program.
  • DA Form 3340: Request for Continued Service - This form may be used to outline reasons for seeking continued service in the military, particularly after a health issue arises.
  • VA Form 21-526EZ: Application for Disability Compensation and Related Compensation Benefits - Used by veterans to apply for compensation, it may be relevant in cases where prior injuries or medical conditions are being considered.
  • DD Form 149: Application for Correction of Military Record - This form can be employed by applicants seeking to correct previous military medical records that may impact their current application.
  • Privacy Act Notice - This notice informs applicants of their rights regarding the handling and sharing of their medical information as it relates to their application process.

These documents each play a vital role in ensuring that all necessary medical information is available for review. Together, they help streamline the evaluation process and contribute to the applicant's understanding of their medical standing in relation to military service.

Similar forms

  • SF 93 (Report of Medical History) - Similar to the DD 2492, the SF 93 is used by various branches of the military and medical facilities to gather a detailed report of an individual's medical history. Both forms assess medical conditions, past treatments, and other health-related information that can affect eligibility for military service or training.
  • MMPA (Medical Management Plan Assessment) - This document is created to evaluate an individual's ongoing medical needs and treatments. Like the DD 2492, it collects personal health information to ensure that service members receive appropriate care based on their medical history.
  • DD 2807-1 (Report of Medical History) - This form serves a similar purpose to the DD 2492 by capturing a comprehensive medical history. It is often used during enlistment and includes questions about medical conditions, medications, and other health inquiries relevant for military consideration.
  • VA Form 21-526 (Veteran’s Application for Compensation or Pension) - This application gathers medical and service-related information from veterans to determine their eligibility for benefits. Like the DD 2492, it relies on an individual's honesty about their medical background to assess claims and eligibility for compensation.
  • Form 40-507 (Pre-Employment Health Questionnaire) - This document is similar in its aim to evaluate the health of individuals seeking employment, particularly in jobs that require a medical assessment. The form asks for health history and current medical conditions, paralleling the information required in the DD 2492.

Dos and Don'ts

When filling out the DD 2492 form, accuracy and honesty are essential. Below are ten tips outlining what you should do and what you should avoid.

  • Do fill out every section completely. Incomplete sections can delay processing.
  • Do answer all medical questions truthfully. This information is crucial for your candidacy.
  • Do provide detailed explanations for any "Yes" responses in Block 83.
  • Do check your contact information. Ensure the phone number is accurate and includes the area code.
  • Do keep a copy of the completed form for your records.
  • Don't leave any questions unanswered. Every question requires a response.
  • Don't withhold relevant medical information, even if you think it might affect your application.
  • Don't return the form to the wrong address. Submit it to the designated location provided.
  • Don't use jargon or medical terms that might confuse your responses.
  • Don't forget to sign and date the form before submission.

By adhering to these guidelines, you can ensure that your submission is clear and complete, which increases your chances of prompt processing.

Misconceptions

The DD Form 2492 is an essential document in the military application process, particularly for those interested in service academies or ROTC programs. However, several misconceptions exist regarding its purpose and requirements. Below are five common misconceptions, along with clarifications:

  • It's just a routine form and doesn't need much attention. Many applicants underestimate the importance of this form. The DD 2492 is critical for assessing medical eligibility. Skipping questions or providing vague answers can lead to significant delays in the application process.
  • Only major medical issues need to be disclosed. Every applicant must report minor and major medical conditions alike. Conditions like allergies or mild mental health issues should be fully disclosed, as they contribute to a complete medical history that the military considers important.
  • My medical records will not be reviewed. In fact, applicants should expect that the military may request additional medical records to verify any conditions disclosed on the form. This review process ensures that all medical histories are complete and accurate.
  • Completing the form is optional. This belief can significantly hinder one's chances of acceptance. While applicants might feel pressured about disclosing personal medical information, failure to complete the form may lead to automatic disqualification from the selection process.
  • I can provide false information without repercussions. The form specifically states the importance of honesty. Providing misleading information, whether intentionally or unintentionally, can have serious consequences, including disqualification from service or future military applications.

Understanding these misconceptions is vital for anyone navigating the application process. Accurate completion of the DD Form 2492 informs military officials about one's medical history, allowing for a fair review of eligibility based on both physical and mental wellness.

Key takeaways

The DD 2492 form is essential for applicants to U.S. Service Academies and ROTC programs. Understanding the process of filling it out can make a significant difference in your application experience.

  1. Confidential Information: The information provided is for official medical review only. Unauthorized disclosure is not permitted.
  2. Time Commitment: Completing the form typically takes about 15 minutes. Allocate sufficient time to gather your medical history.
  3. Accuracy Matters: Every response must be truthful. Falsifying information can lead to serious consequences.
  4. Detailed Explanations: Any "Yes" responses require an explanation in Block 83. Provide specific dates, names of healthcare providers, and current statuses.
  5. Complete All Sections: Ensure every question is answered. Missing responses will cause delays in processing your application.
  6. Return Instructions: Do not send the form back to the Department of Defense. Instead, send it to the designated DODMERB address.
  7. Privacy Act Compliance: Your Social Security Number is used only for positive identification and is vital for record keeping.
  8. Voluntary Disclosure: While providing information is voluntary, failing to do so can hinder your candidacy.
  9. Follow Up with Healthcare Providers: Be aware that your medical records may be requested to verify your health history.

Using the DD 2492 form accurately and thoroughly will facilitate a smooth examination process, preventing potential setbacks in your application journey.