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Add New Screen

The Add New screen allows you to enter a new listing into your personal Military Health History record. There are several input fields available for you to record information about this entry. The available fields are described below. Some of these fields are required and some are optional. The required fields are indicated by an asterisk symbol (*). You must click the Save button for your entry to be recorded. You also have the option to "Save and Add Another," which will save your entry and open another Add New screen. After you click "Save" or "Cancel" you will be taken back to the Summary screen. The "Reset" button will return the fields to their original state (blank). If for some reason the system is not able to process your entry, the page will refresh with a message explaining what must be done to proceed.

Using this Page

Title (Required) - Enter a title to identify this particular experience or health related incident that occurred while you were in the military service. You can enter up to 50 characters.

Event Date (Required) - You must enter a date to identify a record. This is the date of the event or experience you are entering in this record. Select a date by clicking on the calendar icon. The calendar icon will open a pop-up window with a clickable calendar. By clicking a date in the calendar, the date field will be automatically set and you may continue filling out the form.

Branch of Service - Select the branch of service that you were serving at the time of the experience.

Rank - Enter your rank at the time of the experience.

Location of Service - Were you on or outside of U.S. territory at the time of this experience? Select the applicable choice from the drop-down list.

Onboard Ship? - Were you onboard a ship? Select Yes or No from the drop-down list.

Military Occupational Specialty - Enter your job title or description in this field. You may enter up to 100 characters.

Assignments - You may enter text here that describes your military assignment at the time of your experience. Where were you stationed? What military division? You may enter up to 255 characters.

Exposures and Military Service (Required) - To complete this Military Health History record you must fill in at least one of the two following fields:

  • Exposures you think you may have experienced - Use this space to describe any exposures, injuries or any other health events that occurred during your term of service. Describe things such as weapons, environmental pollutants, diseases, radiation, or any other incidents or agents. You may enter up to 4096 characters (about 500 words).

  • Describe your military service - This space is where you can describe your military service as it relates to this event. For example: were you required to fire your weapon in combat, did you see any casualties, did you help injured people, are there any other combat experiences to describe? You may enter up to 4096 characters (about 500 words).

Save or Save and Add Another - You must click one of these buttons to save the entry.