DEPARTMENT OF THE ARMY

MO Physician/Medical Directed: A physician orders a test based on a medical examination. This test may or may not be covered under the Limited Use Policy. NOTE: Each DD Form 2624 is limited to one (1) test basis. For example: Do not record CO, IO or IU test basis on the same DD Form 2624. 10. Block 10. Test Information. a. A = E-1 through E-4. b. ................
................