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Form Number:  DD 2795

Title:  Pre-Deployment Health Assessment

Edition Date:  10/1/2015  

Authority:  DoDI 6490.03

For use of this form please contact:  The Defense Health Agency (DHA)   

This form must be completed electronically in the Medical Readiness system designated by DoD Component or Agency.   
Handwritten forms will not be accepted.

Army:  Use Medical Protection System (MEDPROS)
Navy/Marine Corps/Coast Guard: Use electronic Health Assessment (eHA)
Air Force/Space Force: Use Aeromedical Services Information Management System (ASIMS)