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DD Form 2792-1: Early Intervention/Special Ed Summary

Military families enrolling a child in the Exceptional Family Member Program, or going through overseas travel screening, use this form to summarize the child's early intervention (IFSP) or special education (IEP) eligibility and related services. Early intervention providers or school personnel complete the service sections, and the sponsor submits the form with the family's EFMP paperwork.

Who completes it

The sponsor or parent completes items 1 to 7. An early intervention provider or school official, such as a school psychologist, therapist or special educator, completes items 11 to 16: EIS information, school information, eligibility category, related services and the provider or official signature.

Submitting and payment

How to submit it
The completed form goes back to the sponsor, who submits it to the EFMP office or the Family Member Travel Screening office.

Good to know

  • Early intervention therapists, including physical, occupational and speech-language therapists, are the clinicians most likely to be asked to complete it.
  • It accompanies DD 2792, the Family Member Medical Summary, which the child's medical provider completes.
  • The February 2025 edition is a 3-page hybrid XFA/AcroForm PDF under OMB 0704-0411, expiring 12/31/2026.

Get the official form

Download the current version from the source each time; forms change without notice.

Early Intervention/Special Education Summary

Official pagePDF

How this list is checked

A form is listed only after its name and number were confirmed on the issuing agency’s or insurer’s own website, or in the form itself. Each entry links to that source. The list was last checked in October 2026. Forms and their requirements change without notice, so check the official page for the current version before you complete one.

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Frequently asked questions

Who fills out DD Form 2792-1?

The sponsor or parent completes items 1 to 7. Items 11 to 16 are completed by the early intervention provider or school personnel, such as school psychologists, therapists and special educators, who record the eligibility category and related services and sign.

What is the difference between DD 2792 and DD 2792-1?

DD 2792 is the Family Member Medical Summary completed by the family member's medical provider. DD 2792-1 summarizes early intervention (IFSP) or special education (IEP) eligibility and services and is completed by EI providers or school staff. Both support EFMP enrollment and overseas travel screening.

Where does the completed DD 2792-1 go?

It goes back to the sponsor, who submits it to the installation EFMP office or the Family Member Travel Screening office along with the rest of the family's paperwork. The provider or school official does not send it to the EFMP directly.