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Exceptional Family Member Program (EFMP)

Location: 375th Medical Group (Building 1530)

Address: 310 West Losey, Scott AFB, IL 62225

Hours of Operation: 0730-1600 hrs

Special Needs Coordinator (SNC): 618-256-7114/7684 DSN: 576-7114/7684

Family Member Relocation Coordinator (FMRC): 618-256-7014, DSN: 576-7014



EFMP Program Information

The Exceptional Family Member Program helps identify and document special medical and/or
educational needs of active duty family members and factors those needs into the assignment
process. Family members who require special medical or educational services based on a
diagnosed physical, intellectual, or emotional handicap must be enrolled in this program.
Identified disabilities may range from mild to severe. Special needs may include special
medical, mental health, developmental or educations requirement, wheelchair accessibility,
adaptive equipment, or assistive technology devices and services.

EFMP enrollment does not harm one’s military career. The goal of the program is to consider a
family member’s special need during the assignment coordination process. Sponsors are still
deployable according to the needs of the Service.

Mandatory enrollment for family members with any of the following medical/educational
issues:

   1.   Family member requiring specialized medical care more than once annually.
   2.   Family member with current or past diagnosis of Asthma within the 5 years.
   3.   Family member with current or past cancer diagnosis within last 5 years.
   4.   Family member with current or past diagnosis of behavioral health within last 5 years.
   5.   Special education services/have Individualized Educational Plan from school.
   6.   Early intervention services: i.e., speech, physical or occupational therapy, etc.
   7.   Medical equipment needs: i.e., wheelchair, hearing aids, assistive devices, nebulizer,
        etc.
Forms needed for enrollment in EFMP program:

DD Form 2792, Exceptional Family Member Medical Summary (used for medical issues only
and must be completed by medical provider).

DD Form 2792-1, Special Education/Early Intervention Summary (used for educational issues
and must be completed by School District).

Once forms are completed, please contact the SNC or FMRC to schedule an enrollment
appointment.

For additional information/resources go to www.militaryhomefront.dod.mil



Family Member Relocation Clearance
Family member relocation clearance is a mandatory screening process that must be completed
before Permanent Change of Station (PCS) orders are received for:

   1. ALL family members traveling OCONUS with their sponsors
   2. Family members with special medical or educational needs traveling CONUS with their
      sponsor

The checklist and information below should help ensure the process goes smoothly. Please
keep in mind it does take time to collect the required documentation, schedule appointment with
medical providers and the sponsor should contact the FMRC coordinator ASAP. This process
should be initiated up to 6 months prior to your report no later than date. All forms are available
through the FMRC office or on www.e-publishing.af.mil or www.afspecialneeds.org (requires
CAC access).

If you have a family member with a diagnosis of Asthma, ADHD/ADD, depression, anxiety
disorder, bipolar, etc, or who is receiving care from a specialist (i.e. pulmonary, neurology,
cardiology, or mental health provider) a DD form 2792 MUST be completed by the medical
provider providing care. If your family member has never been seen in the Military Treatment
Facility, then a DD form 2792 will need to be completed by their assigned primary care provider.
If you need an appointment with a military provider please call 618-256-9355 to schedule.

Medical records maintained at the MTF will be reviewed for all family members needing
clearance. Medical records from civilian providers must also be available for review for all
family members needing clearance (sponsor, spouse, or majority age child will need to provide
records).

At the Relocation Screening appointment, all family members will meet with the FMRC
coordinator, medical provider, and Special Needs Coordinator to review documentation and
medical needs. If a family member requires special services from the gaining base then a
Facility Determination Inquire (FDI) package will be sent to the gaining base for review of
available medical/dental/educational services. The gaining base has 14 days to review the
package and submit recommendations for approval/disapproval on family member travel. Once
the FMRC coordinator receives travel recommendations back from gaining base the sponsor
will be notified.

Documents Needed for Family Member OCONUS Travel AND for EFMP Family Members’
CONUS Travel are the same:

   1.  AF Form 1466 request for family member clearance
   2.  DD Form 2792 (medical summary) completed by provider for any ongoing medical
      conditions
   3. AF IMT 1466-D (dental summary) completed by dental provider for dependents over 2
      yrs old
   4. DD 2792-1 (educational summary) completed by school district for children over 3yr old
      (attach copy of IEP or 504)

Contact Family Member Relocation Coordinator once ALL forms are complete to schedule
appointment for family clearance clinic. Relocation clinic occurs every Thursday morning 0800-
1100 at the 375th Medical Group (2nd floor/TOPA conference room).

   1.  For OCONUS travel: ALL family members traveling overseas must be present for
      screening.
   2. For CONUS travel: Only the family members with special needs (medical/education)
      must be present.

Special Instructions Regarding Remote, Unaccompanied, and Follow-On Assignments:

When the sponsor is on a remote/unaccompanied assignment, the MTF where the family
resides will assist with the relocation process. All documentation and screening requirements
are the same. Once screening is completed, documentation is forwarded to the FMRC
Coordinator inside the MTF where the sponsor is assigned.

IMPORTANT: Sponsor WILL NOT receive orders until the above process is completed.
Please start the medical clearance as soon as you receive your RIP (up to 6 months prior
to reporting date) to ensure a smooth and timely transition.

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Exceptional Family Member Program

  • 1. Exceptional Family Member Program (EFMP) Location: 375th Medical Group (Building 1530) Address: 310 West Losey, Scott AFB, IL 62225 Hours of Operation: 0730-1600 hrs Special Needs Coordinator (SNC): 618-256-7114/7684 DSN: 576-7114/7684 Family Member Relocation Coordinator (FMRC): 618-256-7014, DSN: 576-7014 EFMP Program Information The Exceptional Family Member Program helps identify and document special medical and/or educational needs of active duty family members and factors those needs into the assignment process. Family members who require special medical or educational services based on a diagnosed physical, intellectual, or emotional handicap must be enrolled in this program. Identified disabilities may range from mild to severe. Special needs may include special medical, mental health, developmental or educations requirement, wheelchair accessibility, adaptive equipment, or assistive technology devices and services. EFMP enrollment does not harm one’s military career. The goal of the program is to consider a family member’s special need during the assignment coordination process. Sponsors are still deployable according to the needs of the Service. Mandatory enrollment for family members with any of the following medical/educational issues: 1. Family member requiring specialized medical care more than once annually. 2. Family member with current or past diagnosis of Asthma within the 5 years. 3. Family member with current or past cancer diagnosis within last 5 years. 4. Family member with current or past diagnosis of behavioral health within last 5 years. 5. Special education services/have Individualized Educational Plan from school. 6. Early intervention services: i.e., speech, physical or occupational therapy, etc. 7. Medical equipment needs: i.e., wheelchair, hearing aids, assistive devices, nebulizer, etc.
  • 2. Forms needed for enrollment in EFMP program: DD Form 2792, Exceptional Family Member Medical Summary (used for medical issues only and must be completed by medical provider). DD Form 2792-1, Special Education/Early Intervention Summary (used for educational issues and must be completed by School District). Once forms are completed, please contact the SNC or FMRC to schedule an enrollment appointment. For additional information/resources go to www.militaryhomefront.dod.mil Family Member Relocation Clearance Family member relocation clearance is a mandatory screening process that must be completed before Permanent Change of Station (PCS) orders are received for: 1. ALL family members traveling OCONUS with their sponsors 2. Family members with special medical or educational needs traveling CONUS with their sponsor The checklist and information below should help ensure the process goes smoothly. Please keep in mind it does take time to collect the required documentation, schedule appointment with medical providers and the sponsor should contact the FMRC coordinator ASAP. This process should be initiated up to 6 months prior to your report no later than date. All forms are available through the FMRC office or on www.e-publishing.af.mil or www.afspecialneeds.org (requires CAC access). If you have a family member with a diagnosis of Asthma, ADHD/ADD, depression, anxiety disorder, bipolar, etc, or who is receiving care from a specialist (i.e. pulmonary, neurology, cardiology, or mental health provider) a DD form 2792 MUST be completed by the medical provider providing care. If your family member has never been seen in the Military Treatment Facility, then a DD form 2792 will need to be completed by their assigned primary care provider. If you need an appointment with a military provider please call 618-256-9355 to schedule. Medical records maintained at the MTF will be reviewed for all family members needing clearance. Medical records from civilian providers must also be available for review for all family members needing clearance (sponsor, spouse, or majority age child will need to provide records). At the Relocation Screening appointment, all family members will meet with the FMRC coordinator, medical provider, and Special Needs Coordinator to review documentation and medical needs. If a family member requires special services from the gaining base then a Facility Determination Inquire (FDI) package will be sent to the gaining base for review of
  • 3. available medical/dental/educational services. The gaining base has 14 days to review the package and submit recommendations for approval/disapproval on family member travel. Once the FMRC coordinator receives travel recommendations back from gaining base the sponsor will be notified. Documents Needed for Family Member OCONUS Travel AND for EFMP Family Members’ CONUS Travel are the same: 1. AF Form 1466 request for family member clearance 2. DD Form 2792 (medical summary) completed by provider for any ongoing medical conditions 3. AF IMT 1466-D (dental summary) completed by dental provider for dependents over 2 yrs old 4. DD 2792-1 (educational summary) completed by school district for children over 3yr old (attach copy of IEP or 504) Contact Family Member Relocation Coordinator once ALL forms are complete to schedule appointment for family clearance clinic. Relocation clinic occurs every Thursday morning 0800- 1100 at the 375th Medical Group (2nd floor/TOPA conference room). 1. For OCONUS travel: ALL family members traveling overseas must be present for screening. 2. For CONUS travel: Only the family members with special needs (medical/education) must be present. Special Instructions Regarding Remote, Unaccompanied, and Follow-On Assignments: When the sponsor is on a remote/unaccompanied assignment, the MTF where the family resides will assist with the relocation process. All documentation and screening requirements are the same. Once screening is completed, documentation is forwarded to the FMRC Coordinator inside the MTF where the sponsor is assigned. IMPORTANT: Sponsor WILL NOT receive orders until the above process is completed. Please start the medical clearance as soon as you receive your RIP (up to 6 months prior to reporting date) to ensure a smooth and timely transition.