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Form last updated: 03/2024. Please verify this is the current version before use.
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What is a DA 2173 used for?
Form DA 2173 is used to document a Soldier's medical examination and duty status in the event of an injury or illness. It is essential for processing Line of Duty (LOD) determinations and may impact eligibility for medical care and benefits.
Who needs to fill out a DA 2173 form
The form must be completed by the attending physician, hospital patient administrator, and unit representative or commander. The Soldier may need to provide information but does not complete the form themselves.
How to fill out a DA 2173 online?
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Frequently Asked Questions
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It documents a Soldier's medical examination and duty status to assist in Line of Duty determinations.
It is not required for Reserve Component Soldiers on active duty for over 30 days or for non-emergency conditions.
The signed form should be uploaded to the eMMPS or submitted through the appropriate military channels.
