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Defense Department form, series DD, number 2351. Full title: DD Form 2351, DoDMERB Report of Medical Examination, March 2008. Function: DoD Medical Examination Review Board (DoDMERB) Report of Medical Examination. Edition in force: not stated. Publisher status: not stated.
Governing directive: not stated. Responsible office: not stated. The DD designation signals joint scope — all military departments, combatant commands and defense agencies draw on a single edition of the document.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
Timing of submission is fixed by not stated and by the implementing guidance of the submitting organization. What follows describes the blank document, not agency procedure.
The download set covers PDF. Document length is 2 pages with about 112 entry fields.
Distribution centres on pdf. Two states exist: fillable, where field boxes accept keyboard input and retain it, and printable, a static blank produced for manual completion. Typed data reproduces cleanly across copies; handwritten data depends on the writer.
Xfdl is present in the set. The format belongs to IBM Lotus Forms — long the Defense standard for electronic forms — and needs the matching viewer; pdf applications will report the file as unreadable.
Free download applies to every format listed. Any current pdf reader opens the pdf files, though field behaviour is most reliable in a full desktop reader rather than a browser preview.
What the form asks for
- This section is for DoDMERB use only.
- Applicant Data. 1. Date of examination (4 digit year, 2 digit month, 2 digit day, no dividers).
- 2. Name (last, first, middle initial).
- 3. Social security number. Do not include dashes.
- 4. Date of birth (4 digit year, 2 digit month, 2 digit day).
- 5. Age.
- 6. Sex.
- 7. Race (ethnic group/medically significant).
- 8.a. Applicant mailing address (include zip code).
- b. ROTC code, if applicable.
- 9. Status. Press space bar to mark X in first box if active duty, second box if civilian, or third box if reserve/guard.
- 10. Examiner address and facility code.
- Measurements. 11. Height (to nearest 1/4 inch). a. Standing.
- 11.b. Sitting height.
- 12. Weight (to nearest pound).
- 13. Pulse.
- 14. Blood pressure: systolic.
- Diastolic.
- 14.a. Repeat blood pressure if greater than 140/90: systolic.
- Repeat diastolic.
- Repeat pulse if greater than 99.
- 15. Audiometer. Right: 500.
- Right: 1000.
- Right: 2000.
The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.
Verify the edition date against not stated before entry. Department-level revisions replace the blank across every service simultaneously, so an old copy in a desk drawer may no longer correspond to current field numbering.
Certification requires a signature in the designated block — ink on paper, or a digital signature where the receiving office supports one. Typing a name into the field does not constitute execution. CAC-based signing is the usual digital method for Defense forms.
Where personal information is collected, a Privacy Act Statement appears on or with the form. It names the collection authority, the purpose, the routine uses of the data and the consequence of withholding it. Reading it precedes filling the form.
Recurring errors: entry on a superseded edition, blanks left in mandatory fields, illegible handwriting on scanned copies, dates in a format other than the one the form specifies, missing signature or missing date beside the signature.
Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.
The completed document moves to the office named in not stated or in local guidance. A retained copy is conventional practice.
Cross-referenced forms are found through the numbering system. The DD sequence is Department-level and unified, which means a number cited on the page identifies one document across the whole Department.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
Revision occurs when the prescribing directive is reissued, when the data collected changes, or when statutory notice language is amended. Verification of the edition date at download addresses all three.
The material here is descriptive. Nothing on the page constitutes legal or procedural advice, and no statement here determines whether a submitted form will be accepted. Such questions go to not stated, a servicing administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 2351?
- DD Form 2351, DoDMERB Report of Medical Examination, March 2008
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?