DD Form 2792, Exceptional Family Member Medical …

With the exception of asthma, cancer or mental health, identify all diagnoses that have been active within the last year. For asthma, cancer or mental health, identify all diagnoses active within the past 5 years. Item 1.b. Severity. Enter severity of the diagnosis(es) (A - mild, B - moderate or C - severe). Item 1.c. ICD or DSM.

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