DA Form 4036, titled “Medical and Dental Preparation for Overseas Movement,” certifies that soldiers and eligible family members are medically and dentally prepared for overseas assignments. The form is governed by AR 600-8-11 and managed by the Deputy Chief of Staff, G-1.
The form covers four main areas of health readiness. Medical records are reviewed for immunization status, chronic conditions, and existing profiles. The dental portion confirms Class 1 or Class 2 dental readiness. If family members accompany the soldier on command-sponsored orders, their fitness is evaluated separately. Screening also covers special medical and functional needs, routine vaccinations, and any ongoing care requirements.
The completed form documents the soldier’s assignment details, the reviewing physician’s findings, the dental officer’s certification, and the unit commander’s endorsement. Soldiers who do not meet standards are referred for treatment before departure. Results are forwarded to the gaining command as part of the overseas clearance package.
Additional Army forms often required alongside this document include the DA Form 31 for leave requests during the move, SF 600 for the soldier’s chronological medical record, and the Army Form 507 for soldiers with physical profile limitations.
| Question | Answer |
|---|---|
| Form Name | Da Form 4036 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | da form 4036 r, army 4036, da form 4036 r fillable, da4036 |
