The DA Form 4707, officially titled "Entrance Physical Standards Board (EPSBD) Proceedings," is a document of critical importance in the career of service members within the United States Army. It serves as a comprehensive review mechanism for the physical and medical fitness of service members, particularly at the entrance level. This form is meticulously filled out following a detailed evaluation of a service member's medical records, laboratory findings, and physical examinations to ascertain if they meet the stringent medical fitness standards required for appointment or enlistment. The findings, as determined by evaluating physicians, note if any medical unfit conditions or physical defects were present before service, alongside a narrative summary of these conditions. Furthermore, the document outlines any state profile and assignment limitations, ensuring that appropriate recommendations are made concerning the service member's future tasks within the military's confines. Significantly, it provides a platform for service members to agree with the proceedings, request discharge, or appeal for retention or reconsideration based on their medical condition. The actions and recommendations of medical approving authorities, medical treatment facility commanders, and unit commanders are also recorded, marking critical decision points in the service member's career path. The structured process behind the DA Form 4707 underlines the Army's commitment to maintaining a physically fit force, while also considering the rights and future of its members in light of medical evaluations.
| Question | Answer |
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| Form Name | Da Form 4707 |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | EPSBD, reconsideration, da 4707, 02ES |
ENTRANCE PHYSICAL STANDARDS BOARD (EPSBD) PROCEEDINGS |
DATE |
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1. NAME OF SERVICE MEMBER (Last, First, MI) |
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2. SSN |
3. GRADE |
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4. MEDICAL TREATMENT FACILITY |
5. COMPONENT |
6. ORGANIZATION |
7. DATE ENTERED CURR |
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TOUR OF AD |
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FINDINGS BY THE EVALUATING PHYSICIANS
8.After careful considerations of medical records, laboratory, findings, and medical examinations, the board finds that the service member was medically unfit for appointment or enlistment in accordance with current medical fitness standards and in the opinion of the evaluating physicians the condition(s) existed prior to service. The member has the following medical conditions and/or physical defects (brief narrative summary).
9. STATE PROFILE AND ASSIGNMENT LIMITATIONS
10. TYPED NAME, GRADE & SPECIALTY OF PHYSICIAN(S)/DENTIST(S)
11. SIGNATURE(S)
ACTION BY MEDICAL APPROVING AUTHORITY
12. THE FINDINGS ARE |
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APPROVED |
DISAPPROVED (State reason in continuation section on reverse. Identify by Item No.) |
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13. TYPED NAME, GRADE & TITLE OF MEDICAL APPROVING AUTHORITY |
14. SIGNATURE |
15. DATE |
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DA FORM 4707, JUL 1978
REVERSE ENTIRE SET, PULL OUT CARBONS, REVERSE AND REINSERT
APD PE v1.02ES
16. TO (Commander of Service Member) |
17. FROM (MTF Commander) |
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FORWARDED FOR NECESSARY MEMBER
18. TYPED NAME, GRADE & TITLE OF MTF COMMANDER |
19. SIGNATURE |
20. DATE |
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ACTION BY SERVICE MEMBER
21. I have been informed of the medical findings. Additionally, I understand that legal advice of an attorney employed by the Army is available to me or that I may consult civilian counsel at my own expense. I also understand that I may request to be discharged from the US Army without delay or to request retention on active duty. If retained, I my be involuntarily reclassified into another military occupational speciality based upon my medical condition.
I concur with these proceedings and request to be discharged from the US Army without delay.
I concur with these proceedings and request that I be retained on active duty.
I disagree with these proceedings because my condition did not exist prior to service (specified medical evidence is attached) and request my case be returned to the medical approving authority for reconsideration.
I disagree with these proceedings because my condition was not disqualifying on entry and was aggravated by service (specific medical evidence is attached) and request my case be returned to the medical approving authority for reconsideration.
22. TYPED NAME, & GRADE OF SERVICE MEMBER |
23. SIGNATURE |
24. DATE |
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ACTION BY UNIT COMMANDER
25. |
RECOMMEND |
SERVICE MEMBER BE DISCHARGED/SEPARATED. |
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SERVICE MEMBER BE RETAINED. |
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CASE BE RETURNED TO THE MEDICAL APPROVING AUTHORITY. |
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26. |
TYPED NAME, GRADE & TITLE |
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27. SIGNATURE |
28. DATE |
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ACTION BY DISCHARGE AUTHORITY
29. |
SERVICE MEMBER WILL BE |
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DISCHARGED/SEPARATED FROM THE ARMY. |
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RETAINED ON ACTIVE DUTY. |
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30. |
TYPED NAME, GRADE & TITLE |
31. SIGNATURE |
32. DATE |
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CONTINUATION (Identify each continued item by number)
REVERSE OF DA FORM 4707, JUL 1978 |
APD PE v1.02ES |