Fillable Printable Medical Fitness Statement for Enrollment in Basic Course, Senior ROTC - United States Army

Medical Fitness Statement for Enrollment in Basic Course, Senior ROTC - United States Army

DATE

SIGNATURE OF PHYSICIAN

condition or physical impairment that precludes his participation in the basic course, Army ROTC, a

program not more physically strenuous than a normal college physical education program.

For use of this form, see AR 145-1; the proponent agency is ODSCPER

MEDICAL FITNESS STATEMENT

FOR ENROLLMENT IN BASIC COURSE, SENIOR ROTC

(First Name - Middle Initial - Last Name)

DA FORM 3425-R, 1 SEP 1968

APD LC v2.00ES

I have examined and find no medical