Physical Profile (e-Profile)

Provider-completed · duty-limiting profile

Provider

Component & duty status

Confirm your component. Reserve and Guard members complete the additional items — availability, Line of Duty, and TRICARE Reserve Select drive eligibility and periodicity.

Component

Current duty status

Line of Duty (LOD) status

TRICARE Reserve Select

RC unit / state

Mobilization date (if applicable)

⚠ Reserve Component member — PHA/readiness periodicity follows the drill cycle; complete the Line of Duty and TRICARE Reserve Select items.

Profile

Completed by the profiling provider when a condition limits duty or deployability.

Profile type

Start date

Expiration / review date

PULHES factor(s) affected

Deployable?

Referred to MRDP / MEB?

Functional limitations

Assignment, duty, and activity limitations.

Functional limitations (lifting, running, wear/carry, etc.)

Assignment / deployment limitations

Requires alternate fitness event?

Provider attest

Profiling provider: I certify the physical profile and limitations recorded above.