R 112336Z MAY 11
UNCLASSIFIED//
MARADMIN 284/11
MSGID/GENADMIN,USMTF,2007/CMC WASHINGTON DC MRA MI(UC)/F002//
SUBJ/EXECUTION GUIDANCE FOR REQUIRED DEPLOYMENT HEALTH ASSESSMENTS//
REF/A/MSGID:DOC/ASD HA/10MAR2005//
REF/B/MSGID:DOC/USD(P-R) WASHINGTON DC/11AUG2006//
REF/C/MSGID:MSG/CMC WASHINGTON DC/312028Z OCT 07//
REF/D/MSGID:MSG/CMC WASHINGTON DC/210007Z JUN06//
REF/E/MSGID:MSG/DC NAVOP/12JAN2009//
NARR/REF A IS THE ASD (HA) MEMO PROVIDING POLICY REQUIREMENTS FOR IMPLEMENTATION OF THE PDHRA. REF B IS USD(P-R) INSTRUCTION DODI 6490.03, REISSUANCE FOR DEPLOYMENT HEALTH. REF C IS ALMAR 047/07, POST-DEPLOYMENT HEALTH REASSESSMENT PROGRAM. REF D IS MARADMIN 283/06, NEW POST-DEPLOYMENT HEALTH REASSESSMENT (PDHRA) AND ELECTRONIC METHODS AND PROCEDURES FOR DEPLOYMENT HEALTH ASSESSMENTS (CORRECTED COPY). REF E IS OPNAVINST 6100.3, DEPLOYMENT HEALTH ASSESSMENT (DHA) PROCESS.//
POC/MR/MARK WRIGHT/UNIT:MI/TEL: DSN 278-4104/TEL:COM (703) 784-4104//
GENTEXT/REMARKS/1. THIS MARADMIN PROVIDES EXECUTION GUIDANCE FOR THE ACCOMPLISHMENT OF THE THREE REQUIRED DEPLOYMENT HEALTH ASSESSMENTS DESIGNED TO MONITOR THE HEALTH OF ALL DEPLOYING MARINES: PRE-DEPLOYMENT HEALTH ASSESSMENT (PRE-DHA, DD FORM 2795), POST-DEPLOYMENT HEALTH ASSESSMENT (PDHA, DD FORM 2796), AND POST-DEPLOYMENT HEALTH REASSESSMENT (PDHRA, DD FORM 2900) PER REF B.
2.  DEPLOYMENT HEALTH ASSESSMENTS ARE REQUIRED FOR ALL ACTIVE DUTY AND RESERVE COMPONENT MARINES WHO DEPLOY FOR MORE THAN 30 DAYS OCONUS WITH NO FIXED MEDICAL TREATMENT FACILITY PER REF A AND B. THE THIRD ASSESSMENT (THE PDHRA) IS REQUIRED FOR ALL MARINES WHO RETURNED FROM A QUALIFYING DEPLOYMENT ON OR AFTER 20 MARCH 2004 PER REF A.
3.  READINESS IS THE RESPONSIBILITY OF A COMMANDERS. COMPLETION AND CERTIFICATION OF THE DEPLOYMENT HEALTH ASSESSMENTS ARE NECESSARY TO ENSURE THE READINESS OF THE UNITS, PROVIDE OPPORTUNITIES FOR EARLY IDENTIFICATION OF EMERGING DEPLOYMENT-RELATED HEALTH CONCERNS, AND OFFER OPPORTUNITIES FOR MARINES TO RECEIVE ASSISTANCE IF NEEDED PER REF C. LEADERS AT ALL LEVELS MUST SET THE EXAMPLE BY COMPLETING THEIR OWN REQUIREMENTS AND MUST BE FULLY COMMITTED TO THE DEPARTMENT OF DEFENSE (DOD) INTENT TO MAINTAIN UNIT READINESS AND PROVIDE CARE FOR WARFIGHTERS. COMMANDERS ARE TO ENSURE COMPLIANCE WITH THE DEPLOYMENT HEALTH ASSESSMENTS. SUCCESSFUL IMPLEMENTATION DEPENDS ON LEADERSHIP.
4.  REQUIREMENTS
A.  EACH REQUIREMENT INVOLVES COMPLETION OF AN ONLINE FORM AND A SUBSEQUENT INTERVIEW WITH AN AUTHORIZED MEDICAL PROVIDER WHO WILL CERTIFY THE ASSESSMENT AS ACCOMPLISHED. THE ONLINE FORM CAN BE ACCESSED AT HTTPS:(SLASHSLASH)DATA.NMCPHC.MED.NAVY.MIL/EDHA/LOGIN.ASPX. MARINES WHO ALREADY HAVE AN ACCOUNT WILL NEED TO LOG IN TO COMPLETE THE ASSESSMENT; MARINES WHO ARE NEW USERS WILL GET INSTRUCTIONS FROM THE DEPLOYMENT HEALTH CENTER (DHC) FIELD MANAGER TO CREATE AN ACCOUNT. MARINES MAY ALSO CONTACT THE EDHA HELP DESK AT (757) 953-0717 OR 0677.
B.  ONCE THE ONLINE FORM IS DONE, ACTIVE DUTY MARINES WILL COMPLETE THEIR REQUIRED INTERVIEW FACE-TO-FACE WITH A PROVIDER. MARINE CORPS FIELD MANAGERS WILL COORDINATE MEDICAL SUPPORT SERVICES FOR COMMANDS TO COMPLETE DEPLOYMENT HEALTH ASSESSMENTS.
(1)  I MEF-CAMP PENDLETON DHC (760) 763-1603/6483.
(2)  II MEF-CAMP LEJEUNE DHC (910) 451-9123.
(3)  III MEF-CAMP LESTER OKINAWA DHC. IF ON BASE DIAL 643-3011; IF OFF BASE: DIAL THE OPERATOR NUMBER 098-911-5111 AND THEN THE NUMBER LISTED ABOVE.
(4)  QUANTICO DHC (703) 784-1733.
C.  FOR RESERVE MARINES AND ACTIVE DUTY REMOTELY-LOCATED MARINES, THE SCREENING WILL BE COMPLETED DURING A TELEPHONIC INTERVIEW WITH A PROVIDER THROUGH THE DOD-SPONSORED PDHRA CALL CENTER AT
1-(888) 734-7299 OR 1-(888)-PDHRA99.
D.  FOR EACH DHA, THE PROVIDERS SHALL COMPLETE THE PROVIDER REVIEW PAGES AND ENSURE THAT COMPLETED AND CERTIFIED REQUIREMENTS ARE ENTERED ELECTRONICALLY INTO THE ELECTRONIC DEPLOYMENT HEALTH ASSESSMENT DATA WAREHOUSE (EDHA) FOR THE NAVY AND MARINE CORPS PUBLIC HEALTH CENTER PER REF D.
E.  SIGNED HARD COPIES OF THE COMPLETED AND CERTIFIED DHA SHALL BE PLACED IN THE MEDICAL RECORD FOR CONTINUITY OF CARE.
5.  TIMEFRAME FOR THE REQUIREMENTS ARE SPECIFIC AND SHALL BE ADHERED TO.
A.  THE PRE-DHA (DD FORM 2795) IS USED TO SCREEN MARINES PRIOR TO DEPLOYMENT, TO MINIMIZE RISK OF ILLNESS OR INJURY DURING DEPLOYMENT. THE ASSESSMENT IS COMPLETED PRIOR TO DEPLOYMENT BUT NO EARLIER THAN 60 DAYS BEFORE. DURING THE PRE-DHA STAGE, MEDICAL PERSONNEL ADMINISTER DEPLOYMENT-SPECIFIC AND OCCUPATIONAL-RELATED IMMUNIZATIONS, DRAW REQUIRED SERUM SPECIMENS, UPDATE MEDICAL/DEPLOYMENT  HEALTH RECORDS, AND CONDUCT OCCUPATIONAL AND/OR ENVIRONMENTAL HEALTH SITE ASSESSMENTS, INCLUDING HEALTH RISK ASSESSMENTS.
B.  THE POST-DHA (DD FORM 2796) IS USED TO ASSESS THE STATE OF HEALTH OF MARINES IMMEDIATELY FOLLOWING A DEPLOYMENT, IN ORDER TO EVALUATE/TREAT ANY PHYSICAL, PSYCHOLOGICAL AND/OR BEHAVIORAL PROBLEMS AS WELL AS ANY DEPLOYMENT-RELATED HEALTH ISSUES AFTER A DEPLOYMENT. THIS ASSESSMENT CAN BE DONE IN THEATER PRIOR TO RETURN, BUT NOT EARLIER THAN 30 DAYS BEFORE A SCHEDULED RETURNED AND NOT LATER THAN 30 DAYS AFTER RETURN FROM DEPLOYMENT.
C.  THE PDHRA (DD FORM 2900) IS USED TO IDENTIFY ANY LINGERING HEALTH CONCERNS WHICH EMERGED FROM DEPLOYMENT. IMMEDIATELY AFTER RETURN, SOME MARINES MAY NOT REPORT SYMPTOMS OR CONDITIONS EXPERIENCED, BELIEVING THE CONDITIONS WILL ONLY TEMPORARILY AFFECT THEM. ADDITIONALLY, SOME HEALTH ISSUES AND CONCERNS MAY NOT BE APPARENT AT THE TIME OF RETURN, INCLUDING FAMILY AND SOCIAL READJUSTMENT ISSUES FROM A DEPLOYMENT. THE PDHRA IS REQUIRED 90-180 DAYS AFTER RETURN TO HELP IDENTIFY LINGERING ISSUES AND PROVIDE CARE FOR THESE CONCERNS. THE PDHRA MAY BE DONE CONCURRENTLY WITH A THE ANNUAL PHYSICAL (PHA) IF THE TIMEFRAMES COINCIDE, BUT THE PHA CANNOT BE SUBSTITUTED FOR THE PDHRA.  A MARINE WHO DEPLOYS FOR MORE THAN ONE 30-DAY DEPLOYMENT IN A 12-MONTH PERIOD MAY COMPLETE AN ANNUAL PDHRA. A MARINE WHO IS SEPARATING FROM SERVICE PRIOR TO THE 90-180 DAY TIMEFRAME MUST RECEIVE CONCURRENT PDHRA AND SEPARATION PHYSICALS AS SPECIFIED BY REF E.
D.  IF A COMMANDER HAS CONCERNS ABOUT THE HEALTH AND WELL-BEING OF A MARINE UPON RETURN FROM A DEPLOYMENT, A COMMANDER MAY REQUIRE A PDHRA AT ANY TIME.
6.  COMMANDERS WILL OBTAIN BY NAME ROSTERS FOR DEPLOYMENT HEALTH ASSESSMENTS IN ORDER TO ENSURE THAT THE REQUIREMENTS ARE ACCOMPLISHED.
A.  FOR THE PRE-DHA, LOCAL S-1 WILL GENERATE ALPHA ROSTERS OF MARINES WHO ARE REQUIRED TO COMPLETE THE ASSESSMENT.
B.  FOR THE POST-DHA, LOCAL S-1 WILL GENERATE ALPHA ROSTERS OF MARINES WHO ARE REQUIRED TO COMPLETE THE ASSESSMENT.
C.  FOR THE PDHRA, COMMANDERS WILL CONTACT THE DHC FIELD MANAGERS IN THEIR GEOGRAPHIC AREA OF RESPONSIBILITY FOR ALPHA ROSTERS OF REQUIRED MARINES.
(1)  I MEF COMMANDERS CONTACT BOB ALLEE AT (603) 918-9679 OR ROBERT.ALLEE.CTR(AT)USMC.MIL.
(2)  II MEF COMMANDERS CONTACT RON GOFORTH AT (910) 451-7311/ DSN 751-7311 OR
RONALD.GOFORTH.CTR(AT)USMC.MIL.
(3)  III MEF COMMANDERS CONTACT RICHARD ROESKE AT (703) 432-9311 OR RICHARD.ROESKE.CTR(AT)USMC.MIL.
(4)  MOBCOM OR MARFORRES COMMANDERS CONTACT DARNELL NEAL AT (504) 678-6847/ DSN 678-6847 OR DARNELL.NEAL.CTR(AT)USMC.MIL.
(5)  NATIONAL CAPITAL REGION CONTACT LEANNE MILLER AT (703) 784-0507/ DSN 278-0507 OR LEONA.MILLER.CTR(AT)USMC.MIL.
7.  THE PDHRA WILL BECOME A COMPONENT OF THE COMMANDING GENERALS INSPECTION PROGRAM.
8.  COMMANDERS ARE TO ENSURE COMPLIANCE WITH THE REFERENCES AND THIS MESSAGE.
9.  RELEASE AUTHORIZATION BY SES S.E. MURRAY, ASSISTANT DEPUTY COMMANDANT FOR MANPOWER AND RESERVE AFFAIRS. //