All branches Personnel & Career DD Form 2792 Ed. (current edition)

DD 2792 — Family Member Medical Summary (EFMP)

Summarize a family member's special medical needs for EFMP enrollment or update.

Fill it out free → Browse all worksheets

What this worksheet covers

Open it in the toolkit and these fields prefill from your service profile — rank, name, and unit are filled in on the spot.

Administrative data

  • Sponsor name (Last, First, MI)
  • Sponsor grade / rank
  • Unit

Family member

  • Family member name
  • Relationship
  • Date of birth
  • Medical summary (condition, provider, frequency of care)
  • Special education / accommodation needs
Draft / worksheet aid. Prepare it here, then transcribe into your official system of record. This is not an official submission — verify against the current official DD Form 2792 before use.

Related Personnel & Career worksheets

AF / USSF Career Intentions WorksheetCareer intentions worksheet · Air & Space Force AF Form 3902 — Off-Duty / Outside Employment RequestAF Form 3902 · Air & Space Force Army Reenlistment / Retention WorksheetRetention worksheet · Army CG Reenlistment / Career Intentions WorksheetCareer intentions worksheet · Coast Guard DA 3355 — Promotion Point WorksheetDA Form 3355 · Army DA 4187 — Personnel ActionDA Form 4187 · Army
Fill, save & export this worksheetPrefilled from your profile · autosaves to your account · export to PDF. Free to preview, Pro to save & export.
Open in the toolkit →