Periodic Health Assessment (PHA)

What the PHA Is

Per DODI 6025.19DODI 6025.19 and MCRAMM Chapter 6, the Periodic Health Assessment (PHA) is the annual medical screening for all military members including Reserve. The PHA establishes baseline health and identifies any conditions affecting readiness.

PHA Components

The PHA includes.

Self-Reported Medical History

Member completes questionnaire covering.

• Current medications
• Past medical history
• Current symptoms
• Mental health status
• Specific deployment-related concerns

Physical Examination

Health care provider examines member.

• Vital signs
• General physical examination
• Specific deployment-relevant evaluation

Specific Tests

As indicated.

• Vision screening
• Hearing screening
• Specific lab work
• Other tests per indication

Mental Health Screening

Standardized mental health screening.

• Specific screening tools
• Follow-up if indicated

Dental Status

PHA includes dental component or coordinates with separate dental exam.

Immunizations

Update immunizations as needed.

Documentation

PHA results documented in medical record.

When PHA Required

Per MCRAMM Chapter 6.

• Annual cycle
• Pre-deployment (specific PHA-Pre-Deployment Health Assessment)
• Post-deployment (Post-Deployment Health Assessment)
• Specific other situations

PHA for Reserve Members

Reserve members complete PHA annually.

• Might be completed at MTF or with civilian provider
• Specific Reserve Health Readiness Program supports access
• Documentation must reach official record

Performance Steps for I&I Admin

Step 1 - Track Member PHA Status

Maintain tracker.

• Last PHA date per member
• Members approaching annual currency
• Members past due

Step 2 - Schedule PHAs

For members approaching currency.

• Coordinate appointments with MTF or providers
• Notify members in advance
• Schedule during drill weekends or other availability

Step 3 - Coordinate Documentation

After PHA completion.

• PHA results to member's record
• MCTFS update
• Specific findings addressed

Step 4 - Address Findings

For members with PHA findings.

• Follow-up appointments scheduled
• Specialist referrals as needed
• Specific treatment coordination
• Update readiness category

Step 5 - Track Until Resolution

For findings requiring follow-up.

• Track action items
• Verify completion
• Update readiness category

Reserve Health Readiness Program

Per MCRAMM Chapter 6, the Reserve Health Readiness Program supports reserve member medical readiness.

• Specific provisions for Reserve member access to MTF
• Specific reimbursement for civilian provider medical care for readiness purposes
• Specific programs for dental readiness
• Coordination of various medical services

Common PHA Issues

Member Missing PHA Window

Member fails to complete annual PHA.

• Reserve Category changes
• Deployment eligibility affected
• Schedule promptly

PHA Findings Requiring Follow-up

Member has issues identified during PHA.

• Specific follow-up required
• Treatment might be needed
• Track until resolved

Member Refuses PHA

Rare but does occur.

• Specific procedures per MCRAMM
• Might affect continued drilling
• Coordinate with command

Documentation Gaps

PHA completed but documentation missing from record.

• Coordinate with medical provider
• Update MCTFS
• Verify accuracy

PHA and Deployment

PHA supports deployment readiness.

Pre-Deployment Health Assessment (PDHA)

Specific assessment before deployment.

• Updated PHA components
• Deployment-specific screening
• Medical readiness verification

Post-Deployment Health Assessment (PDHA)

After return from deployment.

• Specific post-deployment screening
• Mental health screening
• Specific conditions evaluation

Post-Deployment Health Reassessment (PDHRA)

Several months after deployment.

• Follow-up assessment
• Identify delayed-onset conditions
• Specific reservist provisions

Coordination Touchpoints

PHA processing touches.

• Local installation MTF: For Reserve member PHA access
• Reserve Health Readiness Program: For specific reserve provisions
• Member's civilian providers: For some PHA components
• Member's chain of command: For findings affecting duty

Quality Control on PHA

Common errors.

1. Tracker not maintained. Members fall through open. Maintain current tracker.
2. Findings not addressed. PHA identifies issues but no follow-up. Coordinate resolution.
3. Documentation gaps. PHA completed but not in record. Verify documentation reaches official record.
4. Member's deployment limited by overdue PHA. Schedule before mobilization.

Documentation Required

For PHA processing.

• PHA completion documentation
• Findings documentation
• Follow-up appointment records
• Specific treatment documentation
• Updated MCTFS records

Related Roles

PHA affects every Reserve member's medical readiness.

• Marines complete annual PHA and address findings.
• Leaders track member PHA status at the unit.
• Commanders at I&I oversee unit PHA compliance.