The DD Form 3024, DoD Periodic Health Assessment (PHA), is to be used during a Service Member’s (SM’s) PHA. Use of this form will ensure completion of the annual PHA and Mental Health Assessment (MHA) requirements.

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Disclaimer: The Mil-PHA form was developed to ensure all required PHA elements are captured in a standardized format for providers. It clearly illustrates items to be completed and allows for easy transfer into AHLTA. Once the DoD PHA is fully implemented by all Services and Components, the Mil-PHA will be sunsetted.

Mil-PHA Recent Changes

  • 13 changes for Jan-Apr 2018 update
  • Added a clinical cue to the Family History text box (“Including, but not limited to, diabetes, heart disease, HTN, colon cancer, breast cancer, and/other cancers, and conditions that run in the family.”)
  • Added a clinical cue to the PHQ-9 ribbon (“If clinical judgement suggests, and/or patient is on anti-depressants and has a history of depression, skip PHQ-2, open ribbon, and go directly to PHQ-9.”)
  • Changed ribbon wording to: Depression Screening (PHQ-2 and PHQ-9)
  • Renamed the “Sexual Assault Toolkit” ribbon as “Sexual Assault Resources”
  • Removed the Overall Health question
  • Removed Secure Messaging question from Annual Questions field
  • Added REALM SF details and words to the forms (listed individually)
  • Placed the REALM SF scoring chart to the right of the text box with instruction:
    “The score is based on the number of words correctly read aloud.”
  • Consolidated MSK upper and lower into one tab
  • Reformatted Red Flags field
  • Moved Lifestyle/Exercise questions to Exit CCP tab
  • AUDIT-C revision:
    -Deleted previous AUDIT-C score field
    -Added AUDIT-C score to the existing date field
    -Reformatted clinical information
  • Deleted the Allergies field and added blue cue text explaining the change

History

  • Started for Air National Guard
  • Designed with efficiency in mind
  • Evolved to satisfy the requirements of all three services

As part of the PHA optimization initiative, a standardized, evidence-based, web-enabled assessment tool is being developed for use throughout the DoD. By creating a uniform PHA on a joint system, total force interoperability could be achieved irrespective of duty assignment, Service Component, or Military Treatment Facility.

The newly developed DoD PHA tool will be completed through one form, DD Form 3024. The DoD PHA has been structured into four processes to help health care personnel more efficiently assess the readiness status of all SMs while decreasing the need for unnecessary provider visits for certain SMs. The four processes include: (1) the SM self-assessment, to include questions on mental health; (2) Record review of the SM’s medical record; (3) Completion of the MHA by a trained provider; and (4) final review and summary by a PHA provider who certifies the PHA is complete.

New to the DoD PHA:

  • Some SMs may no longer require a face-to-face encounter with a provider
  • The MHA is included to more efficiently streamline the medical readiness process
  • The PHA provider may also perform the MHA
  • In future state, all applicable Deployment Health Assessments will be completed as part of the DoD PHA

PHA Program Milestones:

  • Published PHA DD Form 3024: Apr 2016
  • Published PHA Program DoDI: Sept 2016
  • Published PHA Program DHA-PI: May 2017

Form Lead

TSWF-Mil-PHA Form POCs:
David Kleimann
&
Dr. Fred Glogower : frederic.d.glogower.civ@mail.mil

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