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How to fill out a DA 2173 online?

Follow these steps to complete your DA 2173 form online.

Step 01

Access the form in the PDF editor without uploading anything.

Step 02

Have the attending physician fill out the required medical information sections.

Step 03

Submit the completed form to the unit representative for review and signature.

Step 04

Ensure the unit representative uploads the signed form into the eMMPS if applicable.

Department of the Army Regulations

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.

What is the purpose of Form DA 2173?

It documents a Soldier's medical examination and duty status to assist in Line of Duty determinations.

When is Form DA 2173 not necessary?

It is not required for Reserve Component Soldiers on active duty for over 30 days or for non-emergency conditions.

How do I submit Form DA 2173?

The signed form should be uploaded to the eMMPS or submitted through the appropriate military channels.

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