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DD Form 2807-1 — a Department of Defense document. Title of record: DD Form 2807-1, Report of Medical History, 20160516 draft. Stated purpose: Report of Medical History. Edition date 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.
Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.
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.
Available formats: PDF. The form runs 3 pages and contains approximately 131 fillable fields.
The pdf is the primary distribution format. A fillable pdf accepts typed entries in defined field boxes and stores them in the file; a printable pdf is a flat image of the blank, meant for pen entry after printing. The distinction matters for legibility and for records that pass between offices.
What the form asks for
- ContentArea1
- Page1
- Page2
- Page3
- PageArea1
- allergies
- appdodid
- appname
- appssn
- comments
- curr_meds
- event__change
- event__exit
- exam_loc
- exam_name
- exam_sign
- expl
- home_addr
- home_email
- home_phone
- lastmens
- lastpap
- occ
- position
Completion runs in the order printed on the page: identifying data at the head, the body of the entry next, certification at the foot. Header data frequently governs what belongs in the fields below it.
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 Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field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.
The signature block takes an actual signature. On paper this means ink; electronically it means a credentialed digital signature, commonly CAC-based. Typed text in a signature field satisfies neither.
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.
Errors seen most often involve edition mismatch, empty mandatory fields, illegibility after scanning, date formats inconsistent with the printed instruction, and unsigned or undated certification.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
After completion, the copy goes to the office designated by not stated or by local procedure. Retention of a personal copy is ordinary practice and costs nothing.
Associated forms are traced by number within the series. Because the DD sequence is common to all military departments, no service qualifier is needed to identify a referenced form.
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.
Editions change because the underlying directive changes, because collection requirements are revised, or because Privacy Act language is updated. Checking the edition date at the point of download is the practical response.
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 2807-1?
- DD Form 2807-1, Report of Medical History, 20160516 draft
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?