| Independent Medical Review |
| Form |
Document |
XFDL |
PDF |
| DA 7652 |
***Commanders Duty Performance Statement*** |
 |
|
| DA 2173 |
Statement of Medical Examination and Duty Status |
 |
 |
| DD 261 |
Report of Investigation - Line of Duty and Misconduct Status |
 |
 |
| DD 2807-1 |
Report of Medical History |
 |
 |
| DD 2808 |
Report of Medical Examination (Physical) |
 |
 |
| DA 31 |
Request and Authority for Leave (Leave Slip) |
 |
 |
| DA 3349 |
Physical Profile |
 |
 |
| DD 2870 |
Authorization for Disclosure of Medical Information |
|
 |
| |
Request for Continuation on Active Duty/Reserve |
|
 |
| |
Declination of Continuation of Active Duty/Reserve |
|
 |
| |
MEB Worksheet |
|
 |
| |
Legal Assistance During the MEB/PEB Process |
|
 |
| |
MEB Office Policies and Procedures |
|
 |
MILPER M 01-061 |
Permissive TDY Memorandum for MEB Soldiers |
|
 |
| |
MEB Document Check List |
|
 |
| |
| Other Helpful Documents |
| Form |
Document |
XFDL |
PDF |
| |
Social Security Disability Benefits Pamphlet for Wounded Warriors |
|
 |
| |
Army Wounded Warrior Program Resource Guide |
|
 |
| |
Army Wounded Warrior Program Overview |
|
 |
| |
| Regulations Governing the PDES Process |
| There are various Army Regulations (AR) that govern the PDES process. The documents listed below are the main AR's that cover the process. |
| Army Regulation 40-501 chapter 3 and 7 (Retention Standards and Profiling) |
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| Army Regulation 40-400 (Patient Administration) |
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Army Regulation 635-40 (Physical Evaluation for Retention, Retirement, or Separation) |
 |
| Army Regulation 600-60 (Physical Performance Evaluation System) |
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| Adobe Acrobat Reader is required to open the non-fillable PDF forms |
| PureEdge Viewer is required to fill the fillable XFDL forms (Requires AKO Access) |