Download the form
Treat DD Form 2697 as Department-level, which changes how you look for it. Title: DD Form 26 97, Report of Medical Assessment, February 1995. Function: Report of Medical Assessment. Because the number carries DD rather than a service prefix, the same edition covers all military departments and the defense agencies at once. Nobody issues a Navy copy or an Air Force copy.
Requirement traces to not stated; the form belongs to not stated. Everything about schedule sits below that in local instruction, which is where to ask if a date matters.
Current edition is not stated, carried as not stated. Check that against any copy you already hold before doing anything else — Department-level revisions land everywhere simultaneously, so a stale file is stale across the whole Department.
Formats: PDF. Length 2 pages, approximately 46 entries. Pick on the basis of how you will complete it.
Take the fillable pdf unless you have a reason not to. Fillable means the boxes are real fields that accept typed text and retain it in the file. Printable means a flat blank — no fields, printer and pen only. The difference is not cosmetic: one produces a record that reproduces cleanly through scanning and forwarding, the other depends on penmanship.
What the form asks for
- Report Control Symbol.
- Section 1 - to be completed by service member. Any service member who requests a physical examination may have one. 1. Name (last, first, middle).
- 2. Social security number. Do not include dashes.
- 3. Rank.
- 4. Component.
- 5. Unit of assignment.
- 6.a. Home street address (or RFD, including apartment number).
- 6.b. City.
- 6.c. State.
- 6.d. Zip code.
- 7. Home telephone number (include area code).
- 8. Date of last physical examination by the military (4 digit year, 2 digit month, 2 digit day).
- 9. Date entered on current active duty (4 digit year, 2 digit month, 2 digit day).
- 10. Compared to my last medical assessment/physical examination, my overall health is: Press space bar to mark X in first box if the same, second box if better, or third box if worse.
- 10. If worse, explain.
- 11. Since your last medical assessment/physical examination, have you had any illnesses or injuries that caused you to miss duty for longer than 3 days? X first box if no, second box if yes.
- 11. If yes, explain.
- 12. Since your last medical assessment/physical examination, have you been seen by or been treated by a health care provider, admitted to a hospital, or had surgery? X first box if no, second box if yes.
- 12. If yes, explain.
- 13. Have you suffered from any injury of illness while on active duty for which you did not seek medical care? X first box if no, second box if yes.
- 13. If yes, explain.
- 14. Are you now taking any medications? X first box if no, second box if yes.
- 14. If yes, list medications.
- 15. Do you have any conditions which currently limit your ability to work in your primary military specialty or require geographic or assignment limitations? X first box if no, second box if yes.
Start by matching the printed date to not stated. Old blanks accumulate in shared folders for years. Because the Department reissues to all services in one action, nobody is still accepting the previous layout by local custom.
Work the printed sequence: header, body, signature block. The order is functional rather than decorative, since entries below frequently key to identifying data above them.
Complete every field, N/A where an item does not apply, dates exactly as the form prescribes. A DD form crosses service lines, and a convention obvious in one branch is not obvious in the next.
The Privacy Act Statement precedes the personal data fields for a reason. It gives the collection authority, the principal purpose, the routine uses and whether disclosure is voluntary or mandatory. Read it while the disclosure decision is still yours to make.
Sign last, in ink or with a credentialed digital signature. A typed name in a signature field certifies nothing. CAC-based signing is the usual electronic method where the receiving system supports it. Date the block immediately — unsigned and undated certifications account for a large share of returns.
Review for the usual: old edition, blank required fields, illegibility on reproduction, date format, signature and date. Unclear entries — read the form face, then not stated; the directive prevails.
Submit to the office named in not stated or in local instruction; retain a duplicate before it leaves. Joint routing often sends a DD form across organizational boundaries, and tracing one afterward is not a same-day matter.
A number is a complete address in the DD series. Because the sequence is Department-level and not duplicated per service, there is nothing further to specify.
Prefix before number. A DA citation and a DD citation in the same instruction point at separate systems — one Army, administered by an Army proponent, one Department-wide under not stated — and there is no correspondence between them at any number.
Editions change when the prescribing directive is reissued, when the data collected changes, or when notice language is amended. None of that reaches you. Checking not stated at download is the entire defence, and it is cheaper than repeating a submission.
Limits of this page: it distributes a published Department of Defense document and describes it. No legal advice, no procedural ruling, no statement about whether any submission will be accepted. Applicability, eligibility and procedure belong to not stated, to a servicing personnel office, or to the office named in not stated.
Questions and answers
- What is DD Form 2697?
- DD Form 26 97, Report of Medical Assessment, February 1995
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?