DA Form 2453-R Statement of Health and Medical Examination

What Is DA Form 2453-R?

This is a military form that was released by the U.S. Department of the Army (DA) on September 1, 1961. The form, often mistakenly referred to as the DD Form 2453-R, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

Form Details:

• A 1-page document available for download in PDF;
• The latest version available from the Army Publishing Directorate;
• Editable, free, and easy to use;
• Fill out the form in our online filing application.

Download an up-to-date fillable DA Form 2453-R down below in PDF format or browse hundreds of other DA Forms stored in our online database.