NAVMED 1300/4 PDF Details

PART I - MEMBER DEMOGRAPHICS (Page 2) In this section, the member will input their demographic information and anticipated assignment information.

DD Form 2807-1: DD Form 2807-1 is mandated in conjunction with the completion of this form per the BUMEDINST 1300.3 Series.

Part II: This section may be completed by a designated Hospitalman (HM), Medical Assistant (MA), licensed Nurse (i.e., LPN, RN).

Part III: This section is completed by an authorized dental provider.

Part IV: This section is completed by an authorized medical provider.

Part V: This section must be completed by a Commanding Officer, Officer in Charge, or designee of the Navy Medicine command conducting the screening.

QuestionAnswer
Form NameNAVMED 1300/4
Form Length7 pages
Fillable?Yes
Fillable fields174
Avg. time to fill out29 min
Edition02-2026
OMB No.0704-0411
Other namesNAVMED 1300/4, NAVMED 1300-4, NAVMED 1300.4, 1300/4, Expeditionary Medical and Dental Screening for Individual Augmentee
Official sourceNAVMED 1300/4 (Rev 02-2026),

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Related Documents

  • DD Form 2807-1

    DD Form 2807-1 is mandated in conjunction with the completion of this form per the BUMEDINST 1300.3 Series.