This version of the form is not currently in use and is provided for reference only. Download this version of DD Form 2792 for the current year.
DD Form 2792, Family Member Medical Summary is a form issued by the Department of Defense (DoD) and used for enrollment in the EFMP and for recording a family member's special need for medical services. This form - often confused with DA Form 2792 - was previously reviewed on August 1, 2014 , with all previous editions being obsolete. An up-to-date fillable version of the form is available for download below or through the DoD Documentation website.
The information provided in the Family Member Medical Summary will help the military assignment personnel determine how the dependent's special needs may be met in accordance with the availability of medical services at a particular duty station. The form is a part of a paperwork package necessary to enroll into the Exceptional Family Member Program - or EFMP for short - and for the Family Member Travel Screening Process along with DD Form 2792-1, Special Education/Early Intervention Summary.
Despite being issued by the Department of Defense, DD Form 2792 and DD 2792-1 are required for EFMP enrollment for service members of all branches.
The EFMP is a program implemented by the United States Department of Defense and provides support and various services to U.S. military family members with special needs. This includes spouses, children, and dependent adults. The proper forms should be completed by a sponsor, spouse, primary care provider, or by school personnel.
EFMP enrollment is available for service members in any military branch, and each branch of service is capable of providing a wide range of medical, educational, personnel, and family support functions.
Military members enroll in the program if they have one or more family members with a diagnosed physical, intellectual, developmental, or psychological condition that needs specialized attention, medical care or educational services.
To confirm enrollment, service members need to file DD 2792 and DD 2792-1 forms and submit them with all necessary attachments to an Army Medical Treatment Facility (MTF). The EFMP Case Coordinator will then conduct an administrative review of the provided forms and forwards them to the appropriate Regional Health Command (RHC).
The RHC reviews the documents and determines eligibility. If the application is approved, the RHC downloads the data into the EFMP database on the Army Personnel Network. After that, the Case Coordinator will inform the Soldier about their successful enrollment.
The first two pages of the form provide you with instructions for filling the form and a basic description of each of the sections.
Enrollment should be updated every 3 years or upon any changes in the medical condition of the enrolled family member. Service members are advised to start the update process at least 90 days prior to the expiration date to ensure sufficient time for the updating process.
Click the link above to download a fillable copy of the DD 2792 or fill it out digitally. Alternatively, you can visit your local EFMP office and ask a Family Case Worker to provide you with a physical copy of the form or have it faxed to you.