Soldiers on permanent physical profile are given a da form 3349. Da form 3349, physical profile board proceedings patient affairs branch. Complete pulhes using the physical profile functional capacity guide in table 71, ar 40501. Transform them into templates for numerous use, insert fillable fields to gather recipients. Da form 3349 fill online, printable, fillable, blank. A da form 3349, physical profile, with as few physical restrictions as possible. Body composition event time lbs % go nogo test two test three test four army physical fitness test scorecard for use of this form, see fm 722. Fm 2120 references 550 cord interactive military training. A temporary physical profile is required in case of the event injury or illness causing certain physical limitations. Need help understanding da 3349 physical evaluation.
Da form 3349 is often used in united states army, army forms, business, united. The da form 689 individual sick slip may be used in lieu of da form 3349 for temporary profiles not to exceed 30 days and will. A soldier diagnosed with an impairment must be given a physical profile form. The primary purpose for this form is for army senior leaders to ask questions and receive responses regarding a particular action. Need help understanding da 3349 physical evaluation board forum. Transform them into templates for numerous use, incorporate fillable fields to gather recipients. Army regulation 4066, medical record administration and health care. The meb will generate a permanent profile which must be signed by two physicians. Da form 3349 download printable pdf or fill online physical profile. As a temporary profile, da form 3349 is filed along with a da form 689 individual sick slip. Your dedication and professional attitude will show in the finest. This temporary profile is an extension of a temporary profile first issued on date. Place holder created on 9 september 2016 army publishing directorate. Response documented on da 689 sick slip or da 3349 profile and placed in medical record.
Ride in a military vehicle for at least 12 hours per day. Use these free templates or examples to create the perfect professional document or project. Military time chart 10 documents army rank chart 5 documents da form 9 documents dd form 11 documents military time. The da form 689 individual sick slip may be used in lieu of da form 3349 for. Sign, fax and printable from pc, ipad, tablet or mobile with pdffiller instantly. The advanced tools of the editor will guide you through the editable pdf template. Da form 3349 consolidates all of a soldiers physical profiles on one form by describing each of hisher medical conditions temporary and. Da form 3349, sep 2010 online pdf editor pdf writer. Your dedication and professional attitude will show in the finest details of da form 3349 fillable developed by you. The portable document format pdf file is an exact electronic replica of the.
An nco must be familiar with this form, as well as dd form 689 individual sick slip to be able to select appropriate exercises that will recondition soldiers back into the sustaining phase of physical readiness training. This includes their physical fitness level and their physical capabilities. Da form 3349, feb 2004 bayne jones army community hospital da form 3349, feb 2004 da form 3349, may 86, is obsolete. Army da administrative publications and forms by the army publishing directorate apd. This form annotates exercises and activities suitable for the profiled soldier. It is known as a physical profile form and it will be used as a way to keep a record of a soldiers physical profile. Physical profile, da form 3349 temporary or permanent profile that restricts deployment prescriptions, sufficient supply minimum 180day if oconus medical warning tags onhand or ordered section ix. The way to complete the online da form 3349 on the internet. To access this document click on the following link. Make the most of a electronic solution to create, edit and sign documents in pdf or word format online. The united states department of the army uses da 3349 forms, filed separately for every soldier.
Soldier with permanent no pt test run profile still running. Da form 3349 consolidates all of a soldiersphysical profiles on one form. Commanders can access the electronic profiles of soldiers in their units by going to and. Physical profile record for use of this form, see ar 40xx. Da form 3349 physical profile printable pdf download.
The alphabetical coding system will be recorded on the da form 3349, item 2 and personnel qualification records. The main purpose of the form is to protect a service member from aggravating their physical condition caused by an injury or illness when performing the required duties outlined in their military occupational specialty mos like heavy. Recording and reporting of initial physical profile patient affairs branch figure 51. Physical profile this document is located on another website. A da form 3349 will be used by the united states department of the army. Work from any gadget and share docs by email or fax. Make the most of a digital solution to develop, edit and sign contracts in pdf or word format on the web. Da form 3349, sep 2010 army electronic publications u0026amp. Download da form hqda11, also known as army senior leader calendar request. Use this stepbystep guide to complete the da form 3349 2010 2019 quickly and with perfect precision. Redesigned physical profile da form 3349 see enclosure 2 to enclosure 2. Do the job from any device and share docs by email or fax. The guidance for profiles is located in army regulation 40501, chapter 7, ar 60020.
Da form 3349 fill out and sign printable pdf template signnow. Completely fill out poc information top of the ar medical profile request form. The numerical designations under each profile factor, pulhes, are given in table 71, below. Preparation, approval, and disposition of da form 3349. If you need to create a da form 3349 fillable document, be sure to do it with due care. Use this stepbystep guide to complete the da form 3349 20102019 quickly and with perfect precision. Download and create your own document with da form 3349 fillable 15kb 2 pages for free. A da 3349 form can be used as both a permanent and temporary physical profile. The form includes a list of physical activities that a soldier will be likely. Medical provider accessions into the kansas army national guard 126, page. Bh 30 august 2010 otsgmedcom policy memo 10042, release of protected health information. First, the soldier receives a permanent designator p3 or p4 on a department of the army da form 3349, physical profile. Home medical reference and training manuals preparation of da form 3349 patient affairs branch. On a weekly basis, the installation career counselor or a designated representative receives the profile from the patient adminis.
Da form 3349, physical profile is an official document issued by the department of the army da to describe the medical condition of a service member. Ar 2151 administration of army morale, welfare, and recreation. Da form 3595r record fire scorecard and da form 705 army physical fitness test scorecard must be included in this. Any extension of a temporary profile must be recorded on da form 3349, and if renewed, item 9 on the da form 3349 must contain the following statement. Preparation of da form 3349 patient affairs branch. This directive implements the armys new physical profile formda form 3349which will be effective on 1 june 2016. View, download and print da 3349 physical profile pdf template or form online. Free download of da form 3349 fillable document available in pdf, oxps format. Da form hqda11 army senior leader calendar request. There are two categories of profiles temporary or permanent. Or physical profile for use of this form, see ar 40501. Da form 3349 fillable download military form for free. This directive implements the army s new physical profile form da form 3349 which will be effective on 1 june 2016. Recording and reporting of initial physical profile patient affairs branch.
Physical profile, da form 3349 temporary or permanent profile that restricts deployment prescriptions, sufficient supply minimum 180day if oconus medical warning tags onhand or ordered section ix medical da form 7425, jan 2006 completion of dd form 2766 audit preventive and chronic flow sheet completion of dd form 2795. Da form 3349 sep 2010 instructions free pdf file sharing. Download da form hqda5, also known as army staffing form. Response documented on da 689 sick slip or da 3349 profile and. The latest technologies high quality electronic pubs and forms view u. Da form 3349 fill out and sign printable pdf template. The form also stipulates the events andor alternate aerobic event the soldier will do on the apft. Alternate apft only if soldier is unable to do apft 2 mile run.
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