The Army National Guard Exceptional Family Member Program


  Military Families with a special needs Family member, also known as an Exceptional Family Member (EFM), often require additional help in meeting the  EFM’s needs.  To support Families with special needs, the Army created the  Exceptional Family Member Program (EFMP) in the early 1980’s. The Army designed the EFMP to be a comprehensive, coordinated, multi-agency program that provides community support, housing, medical, educational, and  personnel services to military Families with an EFM.  This web site focuses on  your interaction with the medical portion of EFMP. Approximately 10% of Army Families have members with special needs, including spouses, children, or dependent parents who require special medical or educational services.




  Army National Guard Active Guard Reserve (AGR) Soldiers serving under the authority of Title 10 or Title 32 U.S. Code are eligible and must enroll. Enrollment in the EFMP is quite common. In face, approximately 10% of all Active Component Soldiers have family members with identified special needs. Enrollment can be initiated through Soldier identification, routine medical appointments or screening of family members to accompany a Soldier on an overseas assignment.


  Per Army Regulation 608-75, ARNG, AGR Soldiers must report they have Family members with special needs, and if determined necessary by the Army Medical Department, they are to complete the Medical Summary, form DD 2792 and/or the Special Education Summary, DD 2792-1 to enroll in the EFMP.


What is the EFMP?


  The Army National Guard (ARNG) Exceptional Family Member Program (EFMP) is a Department of Defense program working with civilian and military agencies to provide comprehensive and coordinated support services to Family members with special needs.  The objective is to coordinate services for qualified EFM’s (children and adults) with reasonable accommodations for physical, education and/or mental limitations.


  The Army originated the concept of care coordination for Exceptional Family Members (EFM’s). It provides a defined process to screen, identify and document medical and educational needs of eligible EFMs to ensure availability of services at pinpoint locations prior to a Soldier’s designated new assignment.


  The primary care provider may identify a special needs during a routine medical appointment. If EFM meets eligibility criteria, the Family member is referred to the nearest Military Treatment Facility EFMP Office.  Any Soldier seeking command sponsorship for an overseas assignment must have their EFM screened using DA Form 5888, Family Member Deployment Screening.  Upon written request, via email from a State AGR Manager (Title 32) or an Assignments Officer/NCO (Title10 AGR), the ARNG EFMP Coordinator will conduct a nominative inquiry, coordination of care with the respective Regional Health Command (RHC) to determine the availability of care for the Soldier’s EFM(s).  Completion of form DA 7413, Assignment Coordination is used to document medical service coordination.


  All EFMP enrollees must update their enrollment application every three years, or sooner, if there are changes in EFM’s medical condition and/or the Soldier’s military status changes.


How do you enroll?


  • Title 10 and Title 32 AGR Soldiers take the DD 2792/ 2792-1 application forms to the nearest Medical Treatment Facility (MTF) with the proposed EFM for an appointment to complete medical processing.  The application packet, DD 2792/ DD 2792-1 is found online or at the US Army Medical Department EFMP under Forms. If the Soldier is geographically dispersed and does not live near a MTF, contact the ARNG EFMP Coordinator for guidance to process the application. Email questions to the ARNG EFMP Coordinator mailbox at Please do not send the EFMP profile, DD 2792 / DD 2791-1 to this mailbox.


  • Enhanced Enrollment: Reserve Component Soldiers in a non-AGR status may voluntarily pre-enroll in the Army EFMP prior to entering an eligible active duty status, i.e. ADOS, PME, and M-Day Soldiers.  Pre-enrollment allows Soldiers extended time to complete the EFMP application process and to promptly access available EFMP services, e.g., EFM Respite Care, when eligible. Soldier’s eligible Family members must meet the special needs medical eligibility criteria IAW AR 608-75.


  • Enrollment Tips: Army National Guard Soldiers serving under the Authority Active Guard Reserve (AGR) Title10 or Title 32, Check ACTIVE GUARD on the DD 2792, Section 3e to track EFMP enrollment packets. Information and resources are located at the US Army Medical Department EFMP and EFMP web page at Army OneSource. Soldiers should retain a copy of the signed and stamped DD 2792 packet from the MTF EFMP Coordinator for records.


For questions or assistance to process and track the EFMP application packets send inquires to the ARNG EFMP Coordinator Office mailbox ( or call  (703) 607-3434 or DSN 327-3434.


AMRDEC SAFE is a safe access file exchange to use when sending EFMP applications.




Quick Reference Guide

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Info Brochure

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EFMP Screening

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