You have arrived looking for DD Form 2697. Before you download, confirm this is the right document: Report of Medical Assessment. Full title: DD Form 26 97, Report of Medical Assessment, February 1995.
Then look at the edition date: not stated, publisher status not stated. After that, ask whether the form covers your situation. It almost certainly does regardless of your branch — DD forms run Department-wide rather than through a single service.
After that, turn to timing. The requirement comes from not stated; the form is maintained by not stated. Local implementing instructions fill in the dates, so check with the office that will receive your copy.
Before you download, pick your approach — editable file or printed page. What follows covers the formats first, then the entries, then what you do afterward.
Start at the header. Complete your identification before anything else, then work through the main entries, then finish at the certification. Skipping around causes contradictions between the top of the form and the bottom.
Before your first entry, look at the corner of the page and compare the printed date with not stated. If they do not match, stop and download again. Old copies circulate in shared drives for years, and a DD form is revised centrally for every service at once, so a superseded blank may not carry the fields your reviewer expects.
Look up an unclear item on the form face before anywhere else, then in not stated. Should the two texts conflict, the directive is the one you follow.
Download the form
Begin by choosing a file. Available here: PDF. Plan for 2 pages and about 46 entries.
Whichever you pick, you pay nothing — every format here is a free download. One last tip: open your pdf in a desktop reader rather than in a browser tab, because browser viewers sometimes drop the interactive fields you need.
What the form asks for
- Report Control Symbol.
- Section 1 - to be completed by service member. Any service member who requests a physical examination may have one. 1. Name (last, first, middle).
- 2. Social security number. Do not include dashes.
- 3. Rank.
- 4. Component.
- 5. Unit of assignment.
- 6.a. Home street address (or RFD, including apartment number).
- 6.b. City.
- 6.c. State.
- 6.d. Zip code.
- 7. Home telephone number (include area code).
- 8. Date of last physical examination by the military (4 digit year, 2 digit month, 2 digit day).
- 9. Date entered on current active duty (4 digit year, 2 digit month, 2 digit day).
- 10. Compared to my last medical assessment/physical examination, my overall health is: Press space bar to mark X in first box if the same, second box if better, or third box if worse.
- 10. If worse, explain.
- 11. Since your last medical assessment/physical examination, have you had any illnesses or injuries that caused you to miss duty for longer than 3 days? X first box if no, second box if yes.
- 11. If yes, explain.
- 12. Since your last medical assessment/physical examination, have you been seen by or been treated by a health care provider, admitted to a hospital, or had surgery? X first box if no, second box if yes.
- 12. If yes, explain.
- 13. Have you suffered from any injury of illness while on active duty for which you did not seek medical care? X first box if no, second box if yes.
- 13. If yes, explain.
- 14. Are you now taking any medications? X first box if no, second box if yes.
- 14. If yes, list medications.
- 15. Do you have any conditions which currently limit your ability to work in your primary military specialty or require geographic or assignment limitations? X first box if no, second box if yes.
Now that it is complete, send it where not stated or your local procedure says it goes. Before you do, make yourself a copy — scan it or save the file elsewhere. It costs you nothing and saves you the whole exercise if the original goes missing.
Should you need a related form, look it up by its number. The DD sequence is Department-wide, which makes your search simple: no service qualifier, no branch-specific variant to track down.
Watch out for one trap here. If your instructions cite a DA form as well, do not assume the numbers are connected. DA numbering belongs to the Army alone; DD numbering belongs to the Department and is administered by not stated or another Department office. The same number in each system means two unrelated forms, so read the prefix before you download.
Do not archive this file and reuse it in a year. Forms are reissued as directives are revised, as data requirements shift, and as statutory notice text is amended. Your protection is simple: download fresh each time and confirm the edition date.
Before you go, note what is not covered here. You have the blank form and instructions for completing it; you do not have legal guidance, and no statement on this page determines what any office will do with your submission. Direct those questions to not stated, to the personnel office that serves you, or to the office designated in not stated.
Questions and answers
- What is DD Form 2697?
- DD Form 26 97, Report of Medical Assessment, February 1995
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?