AF Form 4321 is the Air Force Reserve Component Health Risk Assessment (RCHRA), the official document used to evaluate military Reserve Component members' fitness for routine fitness testing and deployment readiness. It is authorized under 10 U.S.C. 8013 and implemented through Air Force Instruction 48-123.
The form collects personal health information across several categories: general health status, medical history, current medications (both prescription and over-the-counter), cardiovascular conditions, and lifestyle factors including tobacco and alcohol use. It identifies conditions such as chest pain, shortness of breath, seizure disorders, and inflammatory bowel disease that could affect duty performance or deployment capability.
All information disclosed on AF Form 4321 is protected under the Privacy Act of 1974. Data is maintained within Department of Defense record systems under strict confidentiality rules. Routine use is limited to authorized medical and command personnel who evaluate Reserve Component members' readiness for training and operational activities.
| Question | Answer |
|---|---|
| Form Name | Af Form 4321 |
| Form Length | 4 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 1 min |
| Other names | form reserve risk, af form health, af 2005, known form 4321 |