DA FORM 2453 Fillable – Army Pubs 2453 PDF

DAFORMFILLABLE.COM | DA FORM 2453 Fillable – Army Pubs 2453 PDF – DA FORM 2453, also known as the Statement of Health and Medical Examination, is an essential document for personnel within various sectors, particularly those associated with military or government services. This article provides a comprehensive overview of DA FORM 2453, highlighting its purpose, requirements, and the process involved in its completion and submission.

DA FORM 2453 – Statement Of Health And Medical Examination

Form Number DA Form 2453
Form Title Statement Of Health And Medical Examination
Form Date 04/01/2023
Form Proponent G-1

What is DA FORM 2453?

DA FORM 2453 is a standardized form used by the United States Army to record the health status and medical examination results of individuals. This form serves as a critical component in ensuring that personnel are medically and physically fit for their roles. The form was last updated on April 1, 2023, replacing the older version, DA FORM 2453-R, which was used since September 1961.

Key Features of DA FORM 2453

  • Pub/Form Number: DA FORM 2453
  • Pub/Form Date: 04/01/2023
  • Pub/Form Proponent: G-1
  • Security Classification: UNCLASSIFIED
  • Distribution Restriction: Approved for public release; distribution is unlimited (Dist Restriction Code A)

Importance of DA FORM 2453

The Statement of Health and Medical Examination is crucial for maintaining the readiness and efficiency of personnel. It ensures that all members are medically fit to perform their duties, which is vital for operational success and safety. This form is also used for:

  • Assessing the health condition of new recruits or personnel undergoing specific assignments.
  • Documenting any changes in an individual’s health status over time.
  • Supporting medical and health-related administrative processes.

How to Complete DA FORM 2453

Completing DA FORM 2453 requires attention to detail and an understanding of the medical history and current health status of the individual being examined. The process generally involves the following steps:

Step 1: Gather Necessary Information

Collect all relevant personal and medical history information, including past medical records, current medications, and any known allergies or health issues.

Step 2: Medical Examination

A licensed healthcare provider conducts a thorough medical examination. The examination typically includes assessments of vision, hearing, cardiovascular health, and other physical examinations relevant to the person’s role and responsibilities.

Step 3: Documentation

The healthcare provider completes the form, recording the findings of the medical examination. It’s essential that the form is filled out accurately to reflect the individual’s health accurately.

Step 4: Review and Submit

The completed form must be reviewed for accuracy and completeness before being submitted to the relevant department or authority. The form may also be stored as part of the individual’s permanent medical record.

Privacy and Security

As with all medical documents, DA FORM 2453 is subject to privacy regulations. The form contains a privacy statement to ensure that personal and medical information is handled confidentially and only disclosed according to applicable laws and regulations.


DA FORM 2453 – Statement of Health and Medical Examination is a vital document for assessing the health and fitness of personnel in roles that require physical and medical readiness. Proper completion and handling of the form not only comply with regulatory requirements but also ensure the safety and well-being of individuals and the effectiveness of the team they are part of. Whether for initial recruitment or ongoing health assessments, this form plays a crucial role in the administrative and health management processes within the military and other government sectors.

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