THE ENROLLMENT PROCESS
The EFMP Program facilitates the enrollment process.  We offer help in the preparation of the forms, review completed forms for accuracy, and forward the enrollment package to the Central Screening Committee.
As a sponsor, you are responsible for contacting your EFMP and enrolling all family members with chronic medical, psychological, and educational problems requiring special services and maintaining a copy of the EFM forms.  Reviewing completed applications and updating forms every two years or as your family status change.  You are also responsible for dis-enrolling when divorce, or
EFMP is deceased, medical or educational needs no longer exist, or the family member no longer reside with the sponsor.

What are my responsibilities?
1. Please complete an EFMP Supplemental Authorization for Disclosure of Medical Information to Installation EFMP
Personnel form.
2. Update your enrollment every three years by completing and submitting DD 2792 and DD 2792-1 forms to your EFMP office.

INSTRUCTIONS FOR ENROLLMENT FORMS
The enrollment forms, DD Form 2792 (download) Exceptional Family Member Medical Summary and
DD Form 2792-1(download) Exceptional Family Member Education/Early Intervention Summary are available on the Internet at:

DD FORM 2792 (download)   Exceptional Family Member Medical Summary
Needs to be completed and signed by the service member or spouse and verified by an EFMP Coordinator.  A personal note and/or additional information may be included.  The medical summary should be completed and signed by the medical provider (military or civilian).  The sponsor should review for accuracy and completeness.  A signed functional Medical Summary must be included for all children, even when no medical condition is apparent.

This form includes the following:

• ADDENDUM 1: Asthma / Reactive Airway Disease Summary
   This section is to be completed and signed by a medical provider (military or civilian) if the family member has a history of asthma or reaction airway disease.
  
  
• ADDENDUM 2: Mental Health Summary
  This section is to be completed by the mental health provider (military or civilian) if the family member has a history associated with mental health.

DD FORM 2792-1 (download) Exceptional Family Member Special Education /Early Intervention Summary
This form is to be completed and signed by a school official or early intervention provider (if the child is younger than 3).  A legible copy of the current Individualized Education Plan (IEP) or Individualized Family Service Plan (IFSP) must be submitted. 
A letter or report from the school or early intervention providers may be included.  If enrolling a school age child with medical needs only, a school official or early intervention provider must endorse page 1 of the special education/early intervention summary documenting that there are no special educational needs.

EFMP SUPPLEMENTAL AUTHORIZATION FOR DISCLOSURE OF MEDICAL INFORMATION TO INSTALLATION EFMP PERSONNEL Form (Click here).

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Events:
• Quarterly Newsletter

• EFMP Headquarters Newsletter

• Special Needs Forum

• AUTISM: Putting The Pieces Together • A 3-Part Training Series

Resources:

• ARMED SERVICES YMCA (ASYMCA): Family outreach and support, monthly support groups for EFM families (with FREE childcare!)
(858) 751-5755 www.asymcasd.org

• CALIFORNIA CHILDREN'S SERVICES: A statewide program that treats children with certain physical limitations and chronic health conditions or disease. http://www.dhs.ca.gov/pcfh/cms/ccs/

• CHILDCARE REFERRALS: Military Childcare referrals (877) 235-6002 and YMCA (800) 481-2151.

• DOD SPECIAL NEEDS TOOLKIT: Comprehensive information and tools to help military families with special needs children navigate the maze of medical and special education services, community support, benefits and entitlements. http://www.militaryhomefront.dod.mil/

• EXTENDED CARE HEALTH OPTION (ECHO): A supplemental program to the TRICARE Basic Program which provides eligible active duty family members with an additional resources. http://www.tricare.mil/echo/default.cfm

• LINCOLN MANAGEMENT EFM SOCIAL CLUB: Call (858) 505-4136 x 231 for information on monthly and seasonal social activities for EFM families.

• MILITARY FAMILY HOUSING: Information about housing, private sector housing, and housing relocation and referral services. (619) 556-8443. http://www.cnrswhousing.navy.mil/mfh/default.htm

• NATIONAL DISSEMINATION CENTER FOR CHILDREN WITH DISABILITIES (NICHCY): NICHCY serves the nation as a central source of information on disabilities in infants, toddlers, children, and youth. http://www.nichcy.org/index.html

• SAN DIEGO REGIONAL CENTER: Serving people with developmental disabilities and their families. Also provides Early Start services for children 0-3 years at risk for developmental delays. (858) 576-2996 or (800) 282-8252. http://www.sdrc.org

• STOMP (SPECIALIZED TRAINING OF MILITARY PARENTS): A federally funded Parent Training and Information (PTI) Center established to assist military families who have children with special education or health needs. (800) 572-7368. www.stompproject.org

• TASK (TEAM OF ADVOCATES FOR SPECIAL KIDS): TASK is a Parent Training and Information Center that parents and professionals can turn to for assistance in seeking and obtaining needed early intervention, educational, medical or therapeutic support service for children. (619) 794-2947. www.taskca.org

• UCP ONE-STOP RESOURCE GUIDES: A one-stop shop of resources for every U.S. state and territory. These state-based guides provide thorough contact information on every state agency as well as state and local disability organizations for all age groups. http://www.ucp.org

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