Free Army Medical Checklist

Soldier Information:
Item | Information |
|---|---|
Soldier Name | Marcelo Green |
Date of Birth | January 15, 1995 |
Soldier ID | 1234567890 |
Contact Email | marcelo@you.mail |
Pre-Deployment Health Assessment
Physical Health
Vision: Pass/fail on vision test
Hearing: Pass/fail on hearing test
Blood Pressure: Less than 140/90 mmHg
Height & Weight: Within military standards
Fitness Test: Successful completion of physical fitness test
Immunizations & Medical History
Immunization or Test | Status |
|---|---|
Hepatitis B | Up-to-date?
|
Tetanus & Diphtheria | Up-to-date?
|
Influenza | Up-to-date?
|
Malaria Prophylaxis | Required for deployment |
TB Skin Test | Negative |
Mental Health Evaluation
Psychological Screening: Pass/fail mental health evaluation
Stress Test: Pass/fail stress response test
Counseling: No unresolved mental health issues
Substance Abuse: Negative drug test
Medical Clearance for Specialized Roles
Role | Status |
|---|---|
Airborne Operations | Medically cleared?
|
Special Forces | Medically cleared?
|
Combat Medic | Medically cleared?
|
Soldier Confirmation
I confirm that the information provided is accurate.
I agree to undergo any necessary follow-up evaluations.
Contact Information for Queries
For further inquiries, please contact the medical office at:
[YOUR COMPANY NAME]
Address: [YOUR COMPANY ADDRESS]
Email: [YOUR COMPANY EMAIL]
Phone: [YOUR COMPANY NUMBER]
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The Army Medical Checklist Template from Template.net offers a fully customizable and editable solution for military personnel. Easily modify this template using the intuitive AI Editor Tool to suit your specific needs. Whether for routine medical assessments or special requirements, this template ensures thorough documentation and efficient management, saving time and improving organization.
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