Download the form
Department of Defense form 2795. Official designation: DD Form 2795, Pre-Deployment Health Assessment, October 2015. Purpose: Pre-Deployment Health Assessment. Current edition not stated, status not stated.
Issued under not stated, with not stated as proponent. A DD number marks a Department-wide instrument: the same blank form serves every military department and the defense agencies, rather than one service alone.
The form reaches military personnel across the services, civilian employees of the Department, and the personnel and records specialists who receive it.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
Formats offered: PDF. Length: 7 pages. Fillable field count: roughly 200.
Pdf serves as the base format. In the fillable variant, each box is an interactive field that holds typed text inside the document. In the flat printable variant, no fields exist — the page prints as a blank to be completed by hand. Typed entries survive transmission; handwriting does not always survive scanning.
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
- Last Name
- First Name
- Middle Initial
- Social Security Number
- Today’s Date (dd/mmm/yyyy
- Date of Birth (dd/mmm/yyyy
- Gender
- Service Branch
- Component
- List
- Phone
- Cell
- DSN
- Address [1]
- Address [2]
- Address [3]
- Pay Grade
- O1
- O2
- O3
- O4
- O5
- O6
Order of completion: identification block first, substantive entries second, certification and signature last. The blank is laid out in that sequence and the sequence is not arbitrary — later entries often depend on data established in the header.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
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.
Where a DA form is cited alongside a DD form, the two belong to different systems: DA numbering is Army-specific and administered by an Army proponent, while DD numbering is Defense-wide under not stated or an equivalent Department office. Numbers do not translate between the systems.
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.
This page distributes a published Department of Defense document and describes it. It is not a source of legal advice and makes no representation about acceptance of any completed form. Questions of applicability, eligibility or procedure belong to not stated, the servicing personnel office, or the office named in not stated.
Questions and answers
- What is DD Form 2795?
- DD Form 2795, Pre-Deployment Health Assessment, October 2015
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?