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The DA 3349 form plays a critical role in the military's healthcare and personnel management systems. It is primarily used to assess and document a soldier's physical profile, detailing their medical conditions, functional abilities, and any limitations they may face. The form categorizes medical conditions as either injuries or illnesses, allowing for a clear understanding of the service member's health status. One of the key features of the DA 3349 is the PULHES classification system, which rates a soldier's physical and mental capabilities. This system uses a numeric code to indicate limitations, helping to determine if a soldier can continue to meet the demands of military service. Additionally, the DA 3349 distinguishes between temporary and permanent profiles, with specific guidelines about their duration and necessary reviews. Functional activities that all soldiers must be able to perform are enumerated, making it clear that if a soldier cannot complete any required task, further evaluation may be necessary. The form also includes information about the Army Physical Fitness Test, ensuring that soldiers meet physical standards necessary for retention in service. Finally, it serves as a valuable tool for commanders, who can access electronic profiles of their personnel to stay informed about the health statuses of their units.

Form Sample

PHYSICAL PROFILE

For use of this form, see AR 40-501; the proponent agency is the Office of the Surgeon General.

1.

MEDICAL CONDITION: (Description in lay terminology)

 

INJURY? Or

 

ILLNESS/DISEASE?

2. CODES (Table

3.

 

P

U

L

H

E

S

 

 

 

 

 

 

7-2 AR 40-501)

 

Temporary

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permanent

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

PROFILE TYPE

 

 

 

 

 

 

 

 

 

 

YES

NO

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

a. TEMPORARY PROFILE (Expiration date YYYYMMDD)

 

 

(Limited to 3 months duration)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

b. PERMANENT PROFILE (Reviewed and validated with every periodic health assessment or after 5 years from the date of issue)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.FUNCTIONAL ACTIVITIES THAT EVERY SOLDIER REGARDLESS OF MOS MUST BE ABLE TO PERFORM. IF SOLDIER CANNOT PERFORM ANY ONE OF THESE TASKS, THEN THE PULHES MUST CONTAIN AT LEAST ONE "3" AND SOLDIER MUST BE REFERRED TO A MEB. CAN THE SOLDIER:

FUNCTIONAL ACTIVITY:

 

 

 

 

YES

NO

 

 

 

 

 

 

 

a. Carry and fire individual assigned weapon?

 

 

 

 

 

 

 

 

 

 

 

 

 

b. Evade direct and indirect fire?

 

 

 

 

 

 

 

 

 

 

 

 

 

c. Ride in a military vehicle for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

d. Wear a helmet for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

 

e. Wear body armor for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

 

 

 

 

f. Wear load bearing equipment (LBE) for at least 12 hours per day?

 

 

 

 

 

 

 

 

 

g. Wear military boots and uniform for at least 12 hours per day?

 

 

 

 

 

 

 

 

h. Wear protective mask and MOPP 4 for at least 2 continuous hours per day?

 

 

 

 

 

 

 

i. Move 40lbs (for example, duffle bag) while wearing usual protective gear (helmet, weapon, body armor and LBE) at least 100 yards?

 

 

 

 

 

 

 

j. Live in an austere environment without worsening the medical condition?

 

 

 

 

 

 

 

 

 

 

6. APFT

YES

NO

ALTERNATE APFT (Fill out if unable to do APFT run otherwise N/A)

N/A

YES

NO

 

 

 

 

 

 

 

2 MILE RUN

 

 

APFT WALK

 

 

 

 

 

 

 

 

 

 

APFT SIT-UPS

 

 

APFT SWIM

 

 

 

 

 

 

 

 

 

 

APFT PUSH UPS

 

 

APFT BIKE

 

 

 

 

 

 

 

 

 

 

7. DOES THE SOLDIER MEET RETENTION STANDARDS IAW CHAPTER 3 AR 40-501?

YES NEEDS MMRB

NO

NEEDS MEB

8. FUNCTIONAL LIMITATIONS AND CAPABILITIES AND OTHER COMMENTS:

This temporary profile is an extension of a temporary profile first issued on

9. NAME, GRADE & TITLE OF PROFILING OFFICER

10. SIGNATURE

11. DATE (YYYYMMDD)

12. NAME & GRADE OF APPROVING AUTHORITY

13. SIGNATURE

14.DATE (YYYYMMDD)

15.Commanders can access the electronic profiles of Soldiers in their unit(s) by going to http://www.mods.army.mil/ and clicking on eProfile in the list of applications. Commanders will be required to register and be approved in eProfile before they can gain access to profiles.

16. PATIENT'S IDENTIFICATION

17.

HOSPITAL OR MEDICAL FACILITY

a. NAME: (Last, First)

 

 

 

 

 

 

b. GRADE/RANK:

 

 

 

 

 

 

c. SSN:

 

 

 

 

 

 

 

 

18.

PROFILING OFFICER E-MAIL

d. UNIT:

 

 

 

 

 

 

 

 

 

 

DA FORM 3349, SEP 2010

PREVIOUS EDITIONS ARE OBSOLETE

Page 1 of 2

 

 

APD PE v1.00ES

PHYSICAL PROFILE - PAGE 2 (OPTIONAL)

PATIENT'S NAME

DATE (YYYYMMDD)

CONTINUATION (From page 1, Item 8)

DA FORM 3349, SEP 2010

Page 2 of 2

APD PE v1.00ES

Document Specifications

Fact Name Description
Governing Regulation The DA Form 3349 is governed by AR 40-501, which outlines medical fitness standards for military personnel.
Profile Types There are two types of profiles: temporary (valid for up to 3 months) and permanent (reviewed every 5 years).
Functional Activities Solders must meet specific functional activities, such as carrying a weapon and riding in military vehicles for extended periods.
APFT Requirements The form includes assessment requirements for the Army Physical Fitness Test (APFT), with alternatives listed if necessary.
Retention Standards Solders must meet retention standards in accordance with Chapter 3 of AR 40-501; they may require further evaluation if unable to meet these.
Adjustment of Profiles Profiles can be adjusted based on the soldier's medical condition and are subject to periodic review.
Electronic Access Commanders can access electronic profiles through the Army’s eProfile system, requiring registration and approval.
Patient Identification The form collects patient identification details, including name, SSN, and rank, for accurate record-keeping.

Steps to Filling Out Da 3349

After gathering the necessary information, you'll want to carefully fill out the DA Form 3349. This form is crucial for documenting a soldier's physical profile. Make sure to answer each section accurately to ensure the best possible understanding of the soldier's medical condition and capabilities.

  1. Section 1: Describe the soldier's medical condition. Specify whether it is an injury or an illness/disease in simple terms.
  2. Section 2: Refer to Table 3, which corresponds to the PULHES code system. Indicate whether the profile is temporary or permanent.
  3. Section 4: Select the appropriate profile type: Temporary or Permanent. If choosing a temporary profile, include the expiration date (in YYYYMMDD format).
  4. Section 5: Assess the functional activities. Answer ‘yes’ or ‘no’ for each activity listed to determine what the soldier can or cannot perform.
  5. Section 6: Indicate whether the soldier meets APFT standards by checking yes or no for each part of the APFT examination.
  6. Section 7: State if the soldier meets retention standards in accordance with AR 40-501. Select from the options provided.
  7. Section 8: Note any functional limitations, capabilities, and additional comments as necessary.
  8. Section 9: Fill in the name, grade, and title of the profiling officer. Ensure this information is accurate.
  9. Section 10: The profiling officer should sign the form here.
  10. Section 11: Write the date when the form is completed in YYYYMMDD format.
  11. Section 12: Provide the name and grade of the approving authority.
  12. Section 13: The approving authority must sign the document.
  13. Section 14: Include the date of approval in YYYYMMDD format.
  14. Section 16: Record the patient's identification details, including the last and first name, grade/rank, and Social Security number (SSN).
  15. Section 17: Include the name of the hospital or medical facility.
  16. Section 18: If applicable, provide the profiling officer's email address and the soldier’s unit information.

Review the completed form carefully for any errors before submission. This attention to detail can make a significant difference in ensuring that the soldier's medical needs are met appropriately.

More About Da 3349

What is the purpose of the DA 3349 form?

The DA 3349 form is used to create a Physical Profile for military personnel. This profile outlines a soldier’s medical condition and assesses their ability to perform essential military tasks. It is essential for determining if a soldier can continue serving in their current role or if they need a medical evaluation board (MEB) for further assessment. The form helps ensure that all service members are fit for duty while also accounting for their health limitations.

What does the PULHES code represent on the DA 3349 form?

PULHES is an acronym that stands for Physical Capacity/Endurance, Upper Extremities, Lower Extremities, Hearing, Eyes, and Psychiatric health. Each letter corresponds to a specific aspect of a soldier's physical abilities or health. The assigned code ranges from 1 to 4, with 1 indicating the highest level of physical fitness and 4 denoting significant limitations. A code of "3" in any category may indicate the need for further evaluation.

How long is a temporary profile valid for on the DA 3349 form?

A temporary profile is typically valid for up to three months. It is established for soldiers who have a short-term medical condition that temporarily limits their ability to perform certain military duties. After this period, the profile should be reviewed for possible extension or conversion to a permanent profile if the condition persists.

What are the functional activities listed in the DA 3349 form?

The form outlines specific functional activities that every soldier must be able to perform, regardless of their Military Occupational Specialty (MOS). Examples include the ability to carry and fire an assigned weapon, avoid incoming fire, and perform tasks while wearing protective gear. If a soldier cannot complete any of these activities, they may be assigned a PULHES code of "3" and referred for a medical evaluation board.

How can commanders access soldiers' profiles using the DA 3349 form?

Commanders can access the electronic profiles of their soldiers through the Army’s online portal at http://www.mods.army.mil/. They must first register and gain approval to use the eProfile application. This access is crucial for ensuring that commanders can monitor the health statuses and readiness of their units appropriately.

Common mistakes

  1. Inaccurate Medical Descriptions: A common mistake occurs when individuals fail to accurately describe their medical condition using lay terminology. This may lead to misunderstandings about the soldier’s health status.

  2. Neglecting to Update Temporary Profiles: Soldiers may overlook the expiration date of temporary profiles. This form is limited to a duration of three months. If not updated, it can result in complications regarding a soldier's medical readiness.

  3. Incorrect Functional Activity Responses: Individuals sometimes answer the functional activity questions incorrectly. Failing to accurately assess a soldier’s ability to perform essential tasks can lead to inappropriate profiling or referrals.

  4. Omitting Required Signatures: Submission of the form without the necessary signatures of the profiling officer and approving authority is a critical error. Such omissions can invalidate the form and delay the necessary medical processing.

Documents used along the form

The DA 3349 form, known as the Physical Profile, is crucial for assessing a soldier's medical conditions and capabilities. In conjunction with this form, several other documents are frequently utilized to ensure comprehensive medical evaluations and administrative processes. Below are some of these documents.

  • DA Form 268: This is the Report to Suspend Favorable Personnel Actions. It is used to suspend personnel actions for soldiers who are not meeting retention standards due to medical conditions. This document ensures that the necessary administrative actions are taken in a timely manner.
  • DA Form 5500: Known as the Body Fat Content Worksheet, this document assesses soldiers' body composition. It is a vital tool for ensuring soldiers meet physical fitness standards and helps track compliance with Army regulations.
  • DA Form 3340: The Request for Separation documents a soldier’s request for administrative separation. It includes reasons for the separation and is necessary when medical conditions inhibit a soldier's ability to perform their duties.
  • MEB (Medical Evaluation Board) Documentation: This collection of forms is required for soldiers being evaluated for fitness concerning their medical condition. It determines whether the soldier can continue to serve or if they require a medical discharge.

These forms collectively aid in the evaluation, documentation, and decision-making processes related to a soldier's medical readiness and overall fitness for duty.

Similar forms

The DA 3349 form is similar to the DD Form 2807-1, known as the Report of Medical History. Both documents collect detailed medical information about service members. The focus of the DD Form 2807-1 is on the soldier’s past medical history, including conditions, treatments, and medications. In contrast, the DA 3349 emphasizes the soldier's current medical profile and functional capabilities. Each form plays a crucial role in assessing a service member's fitness for duty and ensuring appropriate medical care.

Another related document is the DD Form 2808, titled Report of Medical Examination. This form captures the results of a physical examination performed by a medical professional. While the DD Form 2808 deals with the outcomes of an examination at a specific point in time, the DA 3349 looks at a soldier's ongoing medical conditions and how they affect current readiness. Both forms are used to determine a soldier's eligibility and retention in the military.

The NATO Medical Lightweight Document (NATO STANAG 6001) is also similar. This document categorizes the medical status of military personnel for deployment and combat readiness across NATO member countries. Like the DA 3349, it assesses medical capability and outlines any restrictions related to performance in operational settings. The NATO document, however, standardizes information for international military cooperation, while the DA 3349 is specific to the U.S. military context.

The Army Medical Readiness Evaluation Tool (AMRET) is another comparable document. AMRET provides a comprehensive evaluation of a soldier's medical readiness status, helping commanders understand the overall health of their troops. Both AMRET and the DA 3349 address factors affecting a soldier's ability to serve, though AMRET offers a more detailed analysis covering a wider array of health metrics and deployment concerns.

Additionally, the DA Form 4950, also known as the Medical Evaluation Board (MEB) Checklist, has similar objectives. The MEB Checklist is used when a soldier requires an evaluation for medical issues that may impact their military career. Like the DA 3349, it helps identify functional limitations and guides the medical evaluation process. However, the MEB Checklist is more focused on long-term assessments and decisions regarding a soldier's continuation in service.

Finally, the DD Form 769, known as the Physical Fitness Review, shares some traits with the DA 3349. This form tracks a soldier's physical fitness and any accommodations necessary to maintain performance standards. While the DA 3349 emphasizes medical profiles and limitations, the DD Form 769 focuses more on fitness measures, providing insights into how well a service member meets the physical requirements of their role.

Dos and Don'ts

When filling out the DA 3349 form, it's essential to follow guidelines to ensure accuracy and completeness. Here are some do's and don'ts to consider:

  • Do provide clear descriptions of medical conditions in simple terms.
  • Do check the appropriate code for the profile type—temporary or permanent.
  • Do ensure functional capabilities are thoroughly assessed and accurately marked.
  • Do include all necessary signatures and provide complete identification details.
  • Don’t leave any required fields blank—this can delay processing.
  • Don’t use technical medical terminology that may confuse those reviewing the form.
  • Don’t forget to update the profile expiration date if applicable.

Misconceptions

  • Misconception 1: The DA 3349 form is only for serious injuries.

    This form is used for a range of medical conditions, including temporary illnesses and minor injuries that may affect a soldier's ability to perform their duties.

  • Misconception 2: A profile automatically means a soldier cannot serve.

    Receiving a profile does not automatically disqualify a soldier from service; it simply indicates the need for certain accommodations based on their medical condition.

  • Misconception 3: Profiles are permanent and never change.

    Profiles can be temporary or permanent. Temporary profiles may expire after a three-month duration, while permanent profiles are reviewed periodically.

  • Misconception 4: Only doctors can fill out the DA 3349 form.

    While a qualified medical authority must review and validate the profile, it can be initiated by other healthcare professionals based on assessments of the soldier's condition.

  • Misconception 5: The form is not relevant for all soldiers.

    Every soldier, regardless of their Military Occupational Specialty (MOS), can be affected by medical conditions and may require a profile.

  • Misconception 6: Soldiers with profiles cannot participate in any physical training.

    Soldiers with profiles may still engage in physical activities; however, these activities will be tailored to their abilities as indicated in the profile.

  • Misconception 7: A soldier's profile will often be approved without thorough review.

    Profiles must be validated through a comprehensive assessment and approval process to ensure accuracy and appropriateness for individual soldiers.

  • Misconception 8: The profile limits the soldier’s career progression.

    While the form outlines certain limitations, it does not inherently block career advancement. Career progression can still occur depending on individual capabilities and circumstances.

  • Misconception 9: Commanders do not have access to electronic profiles.

    Commanders have the ability to access soldier profiles electronically through the appropriate Army applications, facilitating better management of their unit's health requirements.

  • Misconception 10: Soldiers do not have to disclose their conditions.

    Open communication about medical conditions between soldiers and their healthcare providers is essential for accurate profiling. Disclosure helps ensure that the profile reflects their true capabilities.

Key takeaways

Filling out the DA 3349 form requires careful attention to detail. This form is essential for documenting the medical condition of service members and determining their physical capabilities. Here are some key takeaways to consider:

  • Clarify the Medical Condition: Accurately describe the injury, illness, or disease in simple terms. This clarity is crucial as it informs subsequent assessment and treatment plans.
  • Understand Profile Types: Be aware that the form can establish either a temporary or permanent profile. A temporary profile lasts no more than three months, while a permanent profile undergoes regular reviews, ensuring ongoing appropriateness of the soldier's physical status.
  • Functional Activities must be assessed: All soldiers must be capable of performing essential tasks regardless of Military Occupational Specialty (MOS). If they are unable to complete even one task, a specific evaluation must determine if they require a Medical Evaluation Board (MEB).
  • Documenting Officer Details: Ensure that the profiling officer’s name, grade, and title, along with their signature and date, are included. This documentation solidifies the validity of the profiling process and ensures accountability.

Approaching the form with care ensures the best outcomes for service members and maintains the integrity of the military health system.