DA FORM 4036 Fillable – Army Pubs 4036 PDF

DAFORMFILLABLE.COM | DA FORM 4036 Fillable – Army Pubs 4036 PDF – When preparing for an overseas deployment or assignment, military personnel must undergo comprehensive medical and dental evaluations to ensure they are fit for the journey and their upcoming duties. One critical component of this process is DA FORM 4036, officially titled “Medical and Dental Preparation for Overseas Movement.” This document is a crucial step in the preparation for personnel who are about to embark on an international move under the auspices of the United States Army.

DA FORM 4036 – Medical And Dental Preparation For Overseas Movement

Form Number DA Form 4036
Form Title Medical And Dental Preparation For Overseas Movement
Form Date 03/01/2007
Form Proponent G-1

What is DA FORM 4036?

DA FORM 4036 is a standardized document used by the U.S. Army to record the medical and dental readiness of personnel scheduled for overseas deployment. This form ensures that all military members are medically and dentally cleared and prepared for their assignments abroad. It encompasses a range of checks, from immunizations to specific medical examinations, tailored to the destination’s requirements.

Key Details of DA FORM 4036

  • Publication Date: The form was last updated on March 1, 2007.
  • Form Status: The form is currently active and widely used within military operations.
  • Security Classification: The form is UNCLASSIFIED and approved for public release, meaning there are no restrictions on its distribution.
  • Related Directives: DA FORM 4036 is prescribed by AR 600-8-11, which outlines the procedures for reassignments of personnel within the Army.

Importance in Military Operations

The use of DA FORM 4036 is pivotal in maintaining the health and operational effectiveness of deployed forces. By systematically documenting medical and dental conditions, the Army can prevent the deployment of personnel who may be unfit for service in specific climates or conditions, thereby protecting the health of the individual and the integrity of the mission.

Sections of DA FORM 4036

DA FORM 4036 is comprehensive, covering various health aspects to ensure that personnel are ready for the challenges of overseas service.

Personal Information

This section captures the basic personal information of the service member, including:

  • Name
  • Rank
  • Service number
  • Date of birth
  • Deployment destination

Medical Evaluation

The medical section is designed to record detailed information about the service member’s health, including:

  • Immunization status, to prevent disease in different geographic areas.
  • Physical examination results, including vital signs and other health indicators.
  • Laboratory tests, such as blood tests and other diagnostic results.
  • Specialty consultations if needed, based on the destination’s health risks.

Dental Evaluation

The dental portion ensures that all service members have:

  • A recent dental examination.
  • Necessary dental treatments or interventions to prevent dental emergencies while overseas.
  • Documentation of any ongoing dental issues that might require attention during deployment.

Additional Health Assessments

  • Mental health evaluation: Ensuring psychological readiness and stability for deployment.
  • Environmental and occupational considerations: Specific checks related to the destination’s environmental hazards, like altitude or endemic diseases.

How to Complete DA FORM 4036

Completing DA FORM 4036 requires attention to detail and an understanding of the specific requirements for the intended overseas location. Here’s how medical personnel typically approach this:

  1. Review the individual’s medical history: Before filling out the form, review the service member’s complete medical and dental history.
  2. Conduct thorough medical and dental exams: Perform all required examinations and tests, noting results on the form.
  3. Consult specialists if necessary: Refer to specialists for any conditions that could impact the service member’s ability to deploy.
  4. Update immunizations: Ensure all vaccinations are up-to-date according to the destination’s health requirements.
  5. Final review and signatures: Have the examined service member and the supervising medical officer review the form for accuracy and completeness before signing.


DA FORM 4036 is an essential tool in the U.S. Army’s preparation process for deploying personnel overseas. By providing a structured format for capturing medical and dental readiness, it helps ensure that all service members are fully prepared for the challenges ahead. Completing this form carefully and accurately contributes significantly to the success of military operations and the well-being of the troops.

For more information and to download the latest version of DA FORM 4036, visit the official website of the U.S. Army or contact your local military medical facility.

DA FORM 4036 Fillable – Army Pubs 4036 PDF DOWNLOAD

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