• Medical Affairs

  Components for the PHU are detailed here:

  The requirements for the PHU include seven components. Copies of the forms can be found in the Medical Forms area here: https://dcp.psc.gov/ccmis/forms/FORMS_medical_m.aspx

  1. PHU Submission Checklist: completed, dated and signed by the officer. The checklist is not a requirement, but its completion and inclusion as one of the first pages in your PHU submission is highly recommended and will significantly assist MAB when reviewing your PHU.
  2. Disclosure Statement: dated and signed by the officer.
  3. Medical History - DD-2807-1: Self-reported update of your medical history since your last submitted PHU which is given to the your medical provider for review, verification, and their signature form DD-2807-1
  4. Behavioral Health Survey - PHS-7083: Self-reported, then given to your provider for review and signature. The behavioral health survey will facilitate a discussion with you and your provider about your mental well-being. The PHS-7083 will NOT properly score and save your responses unless you download the form to your computer before you fill it out and save it.
  5. Physical Examination - DD-2808: In-person examination based on your health risk factors, as determined by your provider. Minimum requirements are your vital signs (pulse and blood pressure), height, and weight. The DD-2808* must be dated in Field #1 and signed by your provider.
     • Verified Weight Form - PHS-7044-1: If your Body Mass Index (BMI) exceeds 27.5 kg/m2, your provider or their designate must perform “taping” and complete a PHS-7044-1, “Verified Weight Form” which must be submitted with the PHU. This requirement does NOT apply to officers with active pregnancy waivers.
  6. Dental Examination - form DD-2813: Done within 12 months prior to your birth month dated and signed by the dental provider. May not be the same dental exam submitted for a prior PHU.
  7. Additional Tests: Screening tests as recommended by the United States Preventive Services Task Force (USPSTF) (e.g. cervical, breast and colorectal cancer screening) and any other testing recommended by your provider based on the officer’s age, medical, family, and deployment history, and the officer’s occupational and environmental exposures and risks. See bullet #6 in the paragraph above.

  *The DD-2808 and DD-2813 will not open in most browsers. It must be opened in a PDF reader such as Adobe Reader or Adobe Acrobat. Download the document (even if the document does not appear on your screen) to your computer desktop (it should open from there) then complete and save.

  You should provide all necessary forms and a copy of the PHU Instructions for Providers and PHU Instructions for Completing DD-2807-1, 2808, 2813 to your medical provider at the time of your appointment or before, if possible.  You should also take a copy of the dental form, DD-2813, to your dentist at the time of your appointment.

  All forms and provider instructions are included in a single PDF file, “PHU Appointment Documents,” which can be found on the CCMIS website under Forms/Medical.

  Return to PHU home page

  Last Updated: 1/10/2024
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