profiles not to exceed 30 days and may include information on activities the soldier can
perform as well as the physical limitations.
(2) DA Form 3349 will be prepared as follows:
(a) Item 1. Record medical condition(s) and/or physical defect(s) in
common usage, nontechnical language which a layman can understand. For example,
compound comminuted fracture, left tibia might simply be described as broken leg.
(b) Item 2: Enter under each PULHES factor the appropriate profile serial
code (1, 2, 3, or 4, as prescribed) for the specific PULHES factor.
(c) Item 3: Clearly state all assignment limitations. Code designations are
limited to permanent profiles for administrative use only and are to be completed by the
MTF before sending a copy to the military personnel office (MILPO).
(d) Item 4: Check the appropriate block for the type of profile. If the profile
is temporary, enter the expiration date.
(e) Item 5: Check each block for exercises that are appropriate for the
individual to do. Exercises are listed on the reverse of the form for easy references. The
individual can do all of the exercises checked.
(f) Item 6: Check all aerobic conditioning exercises the individual can do.
The training heart rate will be assumed to be that determined by the directions in block 8
unless otherwise noted. If another training heart rate or training intensity is desired, note it
here.
(g) Item 7: Check all functional activities the individual can do. If no values
are listed in miles or pounds it will be assumed these are within the normal limitations of a
healthy individual.
(h) Physical Fitness Test. Check the activities or alternative activities the
soldier can perform for the APFT.
(i) Item 9. Any other activity that is felt to be beneficial for the individual may
be listed here. This space may also be used locally for location-specific activities.
(j) Signatures. Permanent 3" profiles and permanent 2" profiles requiring
major assignment limitation(s) require signatures of a minimum of two profiling officers. In
exceptional cases, a third officer will also sign. Temporary profiles not requiring major
assignment limitations require only the signature of one profiling officer.
MD0755
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