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ICE

Physical Exams

We are Located at building 1056. (Link to MAP)

Hours of Operation are: 0730 to 1630 Monday through Friday (excluding Holidays)

CONTACT Information

All appointments should be scheduled using the "Appointment Line"                                   Phone 719-524-2273 or  719-526-2273

You may contact this Clinic Directly for other calls not related to scheduling or canceling an appointment at 719-526-7170

The Table below indicates the types of physicals we perform, lab requirements and forms to be completed for each.  Please determine which type of Physical Exam that you will be completing.

Complete the required forms, and Print a copy (YOU WILL NOT BE ABLE TO SAVE this type of template PDF)

Bring the completed form/forms with you to the appointment.

Forms  

1.  DD Form 2808 (Report of Medical Examination
2.  DD Form 2807-1 (Report of Medical History
3.  DD Form 2697 (Report of Medical Assessment:  Required for Retirements, ETS, and Chapter Physicals
4.  DD Form 2351 and DD Form 2492:  DOD MERB Physicals (ROTC and Academies), Green to Gold, USUHS


*Please note that there are different requirements for different age groups!

PHYSICAL

AGE

LAB RQMNTS

OTHER Requirements

FORMS

ARBN, AASLT, Pathfinder

18-35

Non Fasting

None

1,2

ARBN, AASLT, Pathfinder

35 +

Fasting

EKG

1,2

Chapter

18-39

Fasting

None

1,2,3

Chapter

40 +

Fasting

Chest X-Ray, EKG

1,2,3

ETS,  Retirement

18-39

Fasting

None

1,2,3

ETS, Retirement

40 +

Fasting

Chest X-Ray, EKG

1,2,3

OCS/PA/AMEDD Commissioning,  Warrant Officer

18-39

Non Fasting

None

1,2

OCS/PA/AMEDD Commissioning, Warrant Officer

40 +

Fasting

EKG

1,2

Scholarship:  Green to Gold, DODMERB (ROTC or Academy), USUHS

N/A

Non Fasting

None

4

SF,  HALO, SCUBA, Diving, Delta

N/A

Fasting

Chest X-ray, EKG, Dental Screening

1,2

Ranger, Sniper

18-39

Non Fasting

Dental Screening

1,2

Ranger, Sniper

40 +

Fasting

EKG, Dental Screening

1,2

Lab Requirements

 Fasting:  Must be fasting 12-14 hours prior to lab draw.  Patient may only have WATER, no juice, COFFEE, SODA, etc.  No food, gum, or mints.  Patient can take medications, but only with water.  If you have questions, please call 719-526-7170

**WE DO NOT DO OVERWEIGHT EVALUATIONS AND FIT FOR DUTY EXAMS**

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This Web site provides an introduction to the U.S. Army Medical Department's headquarters organizations, which are the Office of the Army Surgeon General and
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Last Modified 05 October, 2012