Periodic Medical Examination (Statement of Exemption) A3081 - DA

Form Template

This Periodic Medical Examination (Statement of Exemption) A3081 - DA Mobile App is a form designed as a replacement for military form A3081.

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Following physical examinations by certified medical examiners, members of the military may receive a statement of exemption if they are found to have a disability condition or other health issues that would prevent them from performing certain activities. Instead of health care providers or any other health care professional or examiner generating each exemption certificate by hand after a physical exam, the military medical exemption statement app generates military service exemptions for each applicant electronically via template using any smartphone or tablet. The exemption can be used as an official medical certificate for service-connected disability or other medical condition, reducing the need for excessive paperwork. Use this app as a medical examiner for each physical examination of military personnel for the purpose of pre-employment examination and determining any reasonable accommodation that should be made, according to the findings of the medical examiner.

The health care exemption for active duty members app can be customized for use by any branch of the armed forces or selective service, acting as a medical waiver for different types of military services. Producing the exemption certificate may be part of the process for military service members who are honorably discharged, and can help with processing health insurance claims, applying for disability benefits and when seeking retirement benefits from the Department of Veterans Affairs. Use this app's reporting feature to export report PDFs of exam findings for documentation and proof purposes.

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