PREP FOR MEDICAL EXAM
HOW TO COMPLETE THE REPORT OF MEDICAL EXAMINATION (DD
FORM
2351)
Complete items 1-10 only. Use blue
or black ink. If you move during the completion of your
exams,
contact Concorde, Inc with your change of address. It is important that
Concorde, Inc is
1998-1999 Procedure Manual
ROTC Detachments Version 6.0—1/21/99
12
able to contact you regarding problems
or errors with your exams. The remainder of the DD
Form 2351 will be completed by the
medical examiner.
HOW TO COMPLETE THE REPORT OF MEDICAL HISTORY (DD
FORM
2492)
Complete this form prior to arrival at the doctor’ s office.
An important part of the DODMERB
medical exam concerns your past medical history.
Applicants must complete items 1-84
on DD Form 2492 in blue or black ink including comments
for all responses indicated as positive
in items 7-82. Comments should be at the same level of
completeness as indicated on the enclosed “How
To Complete Your Medical History.” Print
all
information plainly and sign in the space provided. DODMERB will
not
process your application without the required signatures.
PLEASE NOTE THE FOLLOWING ON CORRECTIVE CONTACT
LENSES:
If you wear soft contact lenses, you
must remove them at least three days prior to the date of
your optometric examination. All other
types of contact lenses must be removed 21 days before
the examination date. Bring any type of
contact lenses or corrective glasses you use with you to
the examination.
Failure to remove contact lenses for the proper
amount of time may result
in a repeat optometric examination at your own expense.
PREPARATION FOR EXAM
Physicals can be performed even if
you have a minor illness such as a cold or during a female’ s
menstrual cycle. Discontinue all
non-essential medications for at least 24 hours prior to the exam
unless your physician otherwise instructs
you. All candidates are required to provide blood for
testing and a small urine specimen for a
routine urinalysis. Prepare for this by consuming water
just prior to arriving for your
appointment. Failure to submit the blood or urine specimens may
result in having testing done at your own
expense. Avoid strenuous exercise for at least 48 hours
before the exam. Strenuous exercise may
affect the results of your blood and/or urine testing.
Avoid all stimulants such as coffee,
tea, or cola for at least 24 hours prior to the exam. A visual
rectal examination is a mandatory DODMERB
physical requirement for both men and women.
page 1 of 2
SPECIAL CONSIDERATIONS FOR WOMEN
Female applicants are required to
have a visual external genitalia inspection. This inspection
may be performed by the Concorde doctor
at no cost or by their personal physician, AT THEIR
OWN EXPENSE. The visual inspection of the
external genitalia will include the labia, clitoris,
and adjacent structures recording any
abnormalities/deviations such as masses, growths, genital
warts, or other dermatologic
variations, evidence of sex change, etc. Also note the presence of
any Bartholin’
s cysts and/or vaginal discharge. No internal or speculum examination is
required.
If she chooses her own doctor,
records of the examination must be taken to the ROTC
examination.
Examinations performed by your
personal physician should be completed before the DODMERB
medical so that the results can be brought
to the assigned medical examiner at your
appointment. If you have had a visual pelvic
exam within the last 11 months, you may supply the
results
of this test to the medical examiner and avoid having to repeat this
examination.
HOW TO LIST YOUR MEDICAL HISTORY
On the back of DD Form 2492 is a section
pertaining to your past medical
history. To ensure speedy processing of your examinations,
it is important
that you be informative, descriptive, and
thorough on the listing of your
medical history. Listed below are examples of how to
list your medical
history on Form 2492:
PROBLEM AREA PROPER FORMAT
Acne/Skin Disorders Seriousness and type of
disorder, location on body, medications used, and
for how long. Seeing or have seen a physician.
(e.g. Mild acne on
forehead and shoulders. Taking tetracycline daily
since 8/91. Currently seeing Dr.
Johnson.)
Hayfever/Allergies List as seasonal or perennial
(lasts throughout the whole year). If
seasonal- what months. Effects of allergies,
medications used to control,
if any, how often medication is taken, ever
suffered sinusitis
(inflammation of the
sinuses) and when.
(e.g. Seasonal
allergy to grass and pollen in spring. My eyes water and I
get congested. I use Sineaid
and take Seldane tablets twice daily. Never
desensitized or had sinusitis.)
Fractures Identify which bone was broken,
year of occurrence, how the bone was
broken, type of immobilization ( e.g. brace, cast
etc.), hardware that was
inserted or is now in such as pins, plates or screws,
and any limitations on
performance.
(e.g. Right arm
broken in June 1991 while playing football. 6 weeks in
hard cast, 2 pins remain in arm. No limitations on
performance.)
Surgery Type of surgery, date of surgery,
reason for surgical procedure, name and
location of hospital or clinic, doctor who performed
the surgery, and
describe current condition.
(e.g. Orthoscopic knee surgery in 5/92. Tore muscles while sliding
in
baseball game. Seen at
performed by Dr. William Johnson. Wear brace now while
playing sports,
no other recurring problems.)
Asthma When it was
first experienced, date of last occurrence, seriousness of
condition, and list medications or inhalers used.
(e.g. First
experienced in 6/87, last occurrence in 8/93. Mild asthma,
currently using prescription inhaler.)
page 2 of 2