Womack Army Medical Center
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EFMP Forms and Documents Library


Please report at least 15 to 20 minutes early for your appointment to have enough time to fill them out before being seen.

EFMP Overseas Screening Appointments - Procedures

EFMP Enrollment Criteria

DD Form 2792 
(Exceptional Family Member Medical Summary)
*Please Note: After 30 September 2014 DD Form 2792, 2011 Version (old forms) will not be accepted. 
           
                     
DD Form 2792-1
(Exceptional Family Member Special Education/Early Intervention Summary)
*Please Note: After 30 September 2014 DD Form 2792-1, 2011 Version (old forms) will not be accepted.

DA Form 7246
(Exceptional Family Member Program (EFMP) Screening Questionnaire)
**Please complete this form and bring to Overseas Screening appointments**

EFMP Overseas Screen Physical Examination Form
**This form is ONLY to be completed for individuals whose primary healthcare providers do NOT work at a military facility**

DA Form 5888
(Family Member Deployment Screening Sheet)
MUST BE AUTHENTICATED BY MILITARY PERSONNEL DIVISION/PERSONNEL SERVICE COMPANY REPRESENTATIVE

MEDCOM Form 756
Authorization To Send And Receive Medical Information By Electronic Mail

DD Form 2870
(Authorization for Disclosure of Medical or Dental Information)

CHCS Registration Form

EFMP Disenrollment Requirements Memo