DA Form 2173. Statement of Medical Examination and Duty Status

DA Form 2173, also known as Statement of Medical Examination and Duty Status, is a document used by the Department of Defense (DoD) to record the medical status and duty limitations of military personnel.

The form consists of three parts: Part I - Administrative Data, Part II - Medical Examination and Part III - Duty Status. Important fields include personal information, date and time of examination, medical diagnosis, and restrictions on duty. The parties involved in filling out the form are the military member, the examining medical professional, and the unit commander.

When filling out DA Form 2173, it is important to ensure accuracy and completeness of all information provided. The medical diagnosis should be clearly stated, and any limitations on duty should be specific and medically justified. Additional documents that may be required include medical records and test results.

Examples of application and use cases for DA Form 2173 include when a military member has a medical condition or injury that impacts their ability to perform duties, when evaluating fitness for service or discharge, or when requesting accommodations or medical leave.

Strengths of this form include providing a clear record of a military member's medical status and limitations, which can inform decisions related to their service. Weaknesses may include potential for subjective interpretation of medical diagnoses and limitations, and opportunities for errors in recording information.

Alternative forms include DD Form 689, which is used to document medical treatment received by military personnel, and DD Form 2807-1, which is used for medical prescreening during the enlistment process. The main difference between these forms and DA Form 2173 is their focus on different aspects of medical documentation.

Submitting of DA Form 2173 is done through military channels and stored in the military member's personnel file. The form can be accessed by authorized personnel to make informed decisions about the military member's service and future.