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Functional Capacity Form Army

Functional Capacity Form Army

Use a functional capacity form template to make your document workflow more streamlined.

Limitations may indicate need for further evaluation and/or additional information and/or change in Profile and/or referral to Medical Evaluation Board MEB and/or Military Occupational Specialty Medical Board MMRB. Bracketed Numbers 1 2 3 may be reflected in your Physical Profile. YES NO 1 If YES can you walk 4 miles in Combat Boots Soldiers may be required to walk 12 miles in Combat Boots. Do you have a Medical Condition that prevents you from doing so What is the Medical Condition YES 2 NO...
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