Form Information
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FORM NUMBER: DD2795

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TITLE: PRE-DEPLOYMENT HEALTH ASSESSMENT (PDHA)

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EDITION DATE: 20120901 CANCELLATION DATE:

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FORMATS: PLEASE BE ADVISED:
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click here.


Cancelled forms are not available.

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REMARKS:
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ISSUANCES: DODI 6490.03
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SPONSOR / POC: HA SUB-SPONSOR: FHP&R
NUMBER OF PAGES: 7
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USERS*: A N AF MC CG PHS
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PRESCRIBED OR ADOPTED?: P

DISPOSITION: S

SUBJECT GROUP: 6490

FORM CONTROLLED: N

MANDATORY PRINT SPECIFICATIONS: N

RCS:

IRCN:

OMB:

PRIVACY ACT IMPLICATIONS: Y
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* All revisions and/or cancellations must be coordinated through these USERS.

DISPOSITION: S = Do NOT use previous edition. U = Use previous edition until supply is depleted.