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DoDMERB Medical Consultation

Thank you for booking your DoDMERB consultation. This questionnaire will help me prepare
thoroughly for our session.
IMPORTANT INFORMATION:
- Estimated time: 30-45 minutes depending on the issues
- You can save progress and return later in the same browser
- Please answer all questions honestly and completely
- Many candidates discover relevant medical issues they didn't initially consider
- Your responses will be reviewed before our consultation
WHY SO DETAILED?
The DoDMERB process requires documentation of ALL medical history. Even seemingly minor issues can affect your qualification. This comprehensive questionnaire ensures we address everything.

Where are you in the DoDMERB Process?

Where are you in the DoDMERB Process?
A
B
C
D
E
F

Please describe the primary medical issue(s) that prompted this consultation

Please use language that aligns with DoDI 6130.03 if known.

Upload all medical records related to this issue

Untitled checkboxes field