EFMP Enrollment Form
EFMP enrollment is mandatory and required immediately upon identification of a medical, mental health and/or educational need for any dependent documents on a services members Record of Emergency Data and Dependency Application (RED/DA /Page 2)

Please use DD Form 2792, Exceptional Family Member Medical and Educational Summary and DD Form 2792-1, Exceptional Family Member Special Education/Early Intervention Summary (required for all dependent children 3-18 (23 if enrolled in full time school) years of age.)  to complete enrollment submission. 
 
Every Navy Military Treatment Facility (MTF) appoints an EFMP Coordinator to facilitate the enrollment process.  Coordinators provide enrollment forms, offer help in the preparation of the forms, review completed forms for accuracy, and forward the enrollment package to the Central Screening Committee (CSC) via NFAAS.  If you are not located near an MTF, forms may be available from one of the following locations:
  • Fleet and Family Support Centers (FFSC) Personnel Support Offices
  • Navy Liaison Offices
  • Navy Personnel Command (NPC) EFM Program Managers(PERS-454) in Millington, Tennessee
 In areas with no MTF or EFMP Coordinator, you should mail the EFMP application forms (with other required documentation attached) to the appropriate CSC.
Return the completed forms to the MTF.  The Coordinator will review and sign the forms and forward them to a CSC.
Review the forms before signing.  You are responsible for their completeness and accuracy.
An official at your child’s school must complete Addendum B Special Education.
Both medical and educational portions must be completed for children 3-18 years of age.  The treating physician(s) should complete the medical forms. 
 
CENTRAL SCREENING COMMITTEE (CSC)
Forward completed applications to the appropriate Central Screening Committee. The CSC that will review your application is determined by the location of your current duty station.
 
CSC locations: 
1.  East of the Mississippi River in the continental United States, Europe, Africa, South America, and the Caribbean:

    CENTRAL SCREENING COMMITTEE (CODE 60465C)
    EXCEPTIONAL FAMILY MEMBER PROGRAM
    NAVAL MEDICAL CENTER
    620 JOHN PAUL JONES CIRCLE
    PORTSMOUTH VA  23708-2197
   
2.  West of the Mississippi River in the continental United States and Alaska, South Pacific, Asia, and Hawaii:
 
    DEPARTMENT OF THE NAVY
    NAVAL MEDICAL CENTER SD
    34520 BOB WILSON CODE CGH
    SAN DIEGO CA  92134-2102
   
***For a Copy of your Enrollment Letter - Log into NFAAS and click on EFM tab***

 

 
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