DA Form 3083. Medical Examination for Certain Geographical Areas

DA Form 3083. Medical Examination for Certain Geographical Areas

DA Form 3083, titled "Medical Examination for Certain Geographical Areas," is a standardized form used by the United States Army to assess the medical fitness of soldiers and their dependents for specific geographical assignments. This form plays a crucial role in ensuring that individuals are medically qualified to undertake assignments in particular regions where health considerations are significant.

Key Sections and Information Captured on DA Form 3083:

  • Typed or Printed Name of Examining Physician: Identifies the physician who conducted the medical examination.

  • Date: Records the date when the examination is conducted.

  • Soldier's Information: Captures the soldier's last name, first name, middle initial, grade, and Social Security Number (SSN).

  • Organization: Specifies the unit or organization to which the soldier is assigned.

  • Country Assigned: Indicates the country to which the soldier is being assigned.

  • Signature of Examining Physician: The examining physician signs to certify the results of the medical examination.

  • Medical Treatment Facility: Identifies the facility where the medical examination took place.

  • Remarks: Provides space for the examining physician to include any additional comments or remarks regarding the examination.

  • Dependents: Lists the names and relationships of the soldier's dependents, indicating whether they are medically qualified for the proposed assignment.

  • Age: Records the age of the soldier's dependents.

  • Recommendations: Based on the medical records and examination results, this section includes recommendations regarding the soldier's and dependents' medical qualification for the proposed geographical assignment.

Usage Scenario:

DA Form 3083 is used when a soldier is being considered for an assignment in a specific geographical area that may pose unique health risks or challenges. The form helps assess whether the soldier and their dependents are medically fit for such an assignment. It is crucial for maintaining the health and well-being of military personnel and their families during overseas assignments.

Privacy Note:

DA Form 3083 may contain personally identifiable information (PII) of the soldier and their dependents, including names, ages, and medical information. As such, it should be handled in accordance with privacy regulations and guidelines to protect sensitive data.

This form is an essential tool in ensuring that soldiers and their families are physically prepared for assignments in geographic areas with specific health considerations, contributing to the overall readiness and effectiveness of the U.S. Army.

Institution: