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Raymond W. Bliss Army Health Center
Raymond W. Bliss Army Health Center
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Attention! If you live in the TRICARE West Region, or in a state or ZIP code moving to the West Region and you pay an enrollment fee or premium by recurring credit card, debit card, or electronic funds transfer, you must
set up payment information with TriWest
before
Dec. 31, 2024.
If you don’t take action, you’ll risk getting disenrolled.
Learn more
.
Patient Resources
DHA Office of the Inspector General
FAQs
Primary Care FAQs
Patient Administration FAQs
Lab FAQs
Pharmacy FAQs
Radiology FAQs
COVID-19 Vaccination FAQs
MHS Genesis FAQs
Forms
Behavioral Health
Child Wellness Exams
EFMP
Patient Administration
Pharmacy
Physicals
MHS Notice of Privacy Practices
Policies
Related Links
Publications
Patient Administration
HIPAA
Quality Management
Patient Advocate
Local COVID-19 Response
COVID-19 Informational Resources
RWBAHC Services Update
MHS Genesis
Customer Service
Patient Rights & Responsibilities
Healthcare Resolutions
Virtual Education Center
RWBAHC Required Physicals Forms
Physical Examination Checklists
Download the appropriate checklist/coversheet which will tell you precisely what you will be required to fill out and accomplish before scheduling your in-person physical exam. All items should be checked off before scheduling your appointment.
Airborne
Chapter
CID
ETS
OCS
Pathfinder
Ranger
Retirement
SERE
Special Forces
WOCS
DD Form 2697, Report of Medical Assessment
DD 2697, Report of Medical Assessment, is required for all retirement, chapter and ETS physical packets.
Download Form
DD Form 2807-1, Report of Medical History
DD2807-1, Report of Medical History is required for all physical packets.
Download Form
DD Form 2808, Report of Medical Examination
DD Form 2808 Report of Medical History is required for physical packets
Download Form
DD Form 2813, Dental Examination
DD2813 DoD AD, Reserve, Guard, Civilian Forces Dental Examination is required for all physical packets, if you see a civilian dentist. The form is not required for military dentists.
Download Form
SF600-18, Chronological Record of Medical Care
SF600-18, Chronological Record of Medical Care, is required for all physical packets. This is used for overflow, as needed, if block 29 on DD2807-1 fills up.
Download Form
HQ US 3-1, Results of Medical Examination
HQ US 3-1, Memorandum for Commander US Army Recruiting Command, is required for WOCS, OCS and CID physical packets.
Download Form
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