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How do I fill this out?
To fill out this form, you need to gather and review all relevant medical, dental, and educational records. Ensure all entries are complete and accurate. Refer to guidelines for specific requirements.
How to fill out the Medical, Dental, and Educational Suitability Screening?
1
Gather relevant medical, dental, and educational records.
2
Complete personal and family information sections.
3
Ensure all medical tests and assessments are documented.
4
Obtain required signatures and approvals.
5
Submit the completed form to the Suitability Screening Coordinator.
Who needs the Medical, Dental, and Educational Suitability Screening?
1
Service members who are assigned to overseas or remote duty stations.
2
Family members accompanying a service member to a new duty station.
3
Women requiring annual health assessments or mammograms.
4
Children enrolled in Special Education programs requiring assessments or evaluations.
5
Service members enrolled in the Exceptional Family Member Program (EFMP).
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What are the instructions for submitting this form?
To submit this form, ensure all fields are completed and required documents are attached. Submit to the Suitability Screening Coordinator (SSC) at your military treatment facility (MTF). Contact details for submission are provided by your MTF. My advice is to complete and review the form thoroughly to avoid delays.
What are the important dates for this form in 2024 and 2025?
Important dates for this form in 2024 and 2025 include annual health assessment deadlines and mandatory updates for service changes. Ensure submissions are completed promptly.
What is the purpose of this form?
The primary purpose of this form is to ensure that service members and their families are medically, dentally, and educationally prepared for overseas, remote, or operational assignments. It helps in identifying any potential issues that could affect their suitability for such assignments. By completing the form, all necessary information is documented, facilitating the screening process and ensuring readiness. Timely completion and submission of this form are crucial for the smooth transition and readiness of service members and their families for their new assignments.
Tell me about this form and its components and fields line-by-line.
- 1. SERVICE MEMBER NAME: The full name of the service member undergoing screening.
- 2. GRADE / RATE: The service member's current grade or rank.
- 3. SSN: The service member's Social Security Number.
- 4. CURRENT UNIT: The name of the unit where the service member is currently assigned.
- 5. NEXT DUTY STATION LOCATION & UNIT: Details of the service member's next duty station and assigned unit.
- 6. IDENTIFICATION CODE (UIC): The unique identification code for the service member's next duty station.
- 7. FAMILY MEMBER NAME: Full name of family member(s) being screened.
- 8. TELEPHONE NUMBER: Contact telephone number for the family member(s).
- 9. TYPE DUTY CLASSIFICATION CODE: For Navy enlisted only; the type duty classification code applicable.
- 10. FAMILY MEMBER PREFIX: Prefix denoting the relationship of the family member to the service member.
- 11. SSC Review: Checklist to ensure all required information and documents are complete for SSC review.
- 12. FOR SERVICE MEMBERS: Checklist items specifically for service members, covering orders, health records, assessments, tests, and immunizations.
- 13. FOR WOMEN: Checklist items specific to women, including health assessments, mammograms, and pregnancy screens.
- 14. FOR FAMILY MEMBERS: Checklist items for family members, covering health and dental records, and any special educational needs.
- 15. FOR EACH CHILD ENROLLED IN PRESCHOOL OR SCHOOL: Details for children receiving special education, including current Individualized Education Plans (IEP) and assessments.
- 16. FOR EACH FAMILY MEMBER ENROLLED IN THE EXCEPTIONAL FAMILY MEMBER PROGRAM: Details and correspondence related to enrollment in the EFMP program.
- 17. OTHER INFORMATION: Additional relevant information or documents required for screening.
What happens if I fail to submit this form?
Failure to submit this form can result in delays or complications in the assignment process. It may also lead to the service member being deemed unsuitable for the assignment.
- Delays in Assignment: Orders may be held in abeyance until the form is completed.
- Impact on Leave: Failure to submit on time may affect the amount of leave in transit.
- Unsuitability Determination: Incomplete submissions can result in being deemed unsuitable for the assignment.
How do I know when to use this form?
- 1. Overseas Assignments: When a service member is being transferred to an overseas duty station.
- 2. Remote Duty Stations: For assignments in remote locations where specific readiness is required.
- 3. Operational Assignments: When service members are assigned to operational platforms with specific duties.
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