DA FORM 2173 Fillable – Army Pubs 2173 PDF

DAFORMFILLABLE.COM | DA FORM 2173 Fillable – Army Pubs 2173 PDF – When it comes to managing the health and duty status of military personnel, DA FORM 2173 plays a crucial role. Officially titled “Statement of Medical Examination and Duty Status,” this form is an essential document for tracking and documenting the medical examinations and duty capabilities of service members. In this article, we will explore the importance, usage, and procedures associated with DA FORM 2173, providing valuable insights for military personnel and healthcare providers alike.

DA FORM 2173 – Statement Of Medical Examination And Duty Status

Form Number DA Form 2173
Form Title Statement Of Medical Examination And Duty Status
Form Date 06/1/2021
Form Proponent G-1

What is DA FORM 2173?

DA FORM 2173 is a standardized form used by the United States Army. The form is designed to record the outcomes of medical examinations and detail the duty status of a service member. This includes any limitations or restrictions based on their medical condition. The form serves as a critical tool for communication between medical personnel and command authorities, ensuring that personnel are assigned duties appropriate to their medical status.

Key Features of DA FORM 2173

  • Publication Date: The current version of the form was published on June 1, 2021.
  • Proponent: The form is maintained by G-1, which is responsible for personnel management in the Army.
  • Security and Distribution: The form is unclassified and approved for public release, allowing for unrestricted distribution.
  • Prescribing Directive: DA FORM 2173 is prescribed by AR 600-8-4.
  • Electronic Format: This document is primarily available in electronic media, aligning with modern digital practices.

Importance of DA FORM 2173 in Military Operations

DA FORM 2173 is integral to military operations, offering a structured method for assessing and documenting the medical readiness of soldiers. This form helps in:

  • Determining Fitness for Duty: Medical officers can specify whether a soldier is fit for duty, requires restrictions, or must be refrained from certain types of duties.
  • Facilitating Effective Personnel Management: Commanders rely on the information from DA FORM 2173 to make informed decisions about deployment and duty assignments, ensuring that personnel health considerations are adequately accommodated.
  • Supporting Medical and Recovery Plans: The form provides a documented history of a soldier’s medical status, which is essential for ongoing healthcare and rehabilitation planning.

How to Complete DA FORM 2173

Step-by-Step Guidance

  1. Medical Examination Details: The form should start with a detailed account of the medical examination, including diagnosis and observations made by the examining medical officer.
  2. Duty Status Determination: Based on the examination findings, the medical officer will recommend a duty status. This could range from full duty to various levels of duty limitations or even medical leave.
  3. Commander’s Acknowledgment: The form requires the acknowledgment and signature of the service member’s commanding officer, ensuring that the duty status recommendations are noted and implemented.

Essential Considerations

  • Ensure all sections are filled accurately to reflect the medical condition and duty capability of the service member.
  • Regular updates may be necessary if the medical condition of the service member changes.


DA FORM 2173 is a vital document for managing the health and duty assignments of military personnel. It ensures that service members are assigned duties that align with their medical status, promoting safety and efficiency within military operations. For military personnel, understanding how to properly complete and utilize this form is essential for career progression and operational effectiveness. By maintaining accurate and up-to-date medical and duty status records, the Army can better manage its personnel and meet its operational commitments effectively.

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DA FORM 2173 - Statement Of Medical Examination And Duty Status