This is a military form that was released by the U.S. Department of the Army (DA) on October 1, 2003. The form, often mistakenly referred to as the DD Form 5195, 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.
Q: What is DA Form 5195?
A: DA Form 5195 is a Health Data form used by the U.S. Army.
Q: What information does DA Form 5195 collect?
A: DA Form 5195 collects basic health data such as height, weight, blood pressure, and other relevant information.
Q: Who is required to fill out DA Form 5195?
A: DA Form 5195 is typically filled out by military personnel as part of their health assessment.
Q: What is the purpose of DA Form 5195?
A: The purpose of DA Form 5195 is to gather health data for medical evaluation and to maintain individual health records for military personnel.
Form Details:
Download an up-to-date fillable DA Form 5195 down below in PDF format or browse hundreds of other DA Forms stored in our online database.