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DD Form 2795, Pre-Deployment Health Assessment, October …

This form must be completed electronically. Handwritten forms will not be accepted. Pre-Deployment Health assessment . PRIVACY ACT STATEMENT. This statement serves to inform you of the purpose for collecting the personal information required by the DD Form 2795, Pre-Deployment Health assessment , and how it will be used. AUTHORITY: 10 136, Under Secretary of Defense for Personnel and Readiness; 10 1074f, Medical Tracking System for Members Deployed Overseas; DoDD , DoD Civilian Expeditionary Workforce; DoDD , Comprehensive Health Surveillance; and 9397.

This form must be completed electronically. Handwritten forms will not be accepted. DD FORM 2795, OCT 2015 PREVIOUS EDITION IS OBSOLETE Page 1 of 7 Pages PRE-DEPLOYMENT HEALTH ASSESSMENT PRIVACY ACT STATEMENT

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Transcription of DD Form 2795, Pre-Deployment Health Assessment, October …

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