Exceptional Family Member Program

The Exceptional Family Member Program serves military families by coordinating with other military and civilian agencies to provide medical, dental, mental health, developmental, educational, and community support to families with special needs. It can also assist with housing, adaptive equipment, assistive technology devices and wheelchair accessibility.
The EFMP is a mandatory enrollment program for service members with qualifying family members. All branches of the military have EFMP, and use the same enrollment process. Enrollment in the EFMP ensures maximum provision of services to the family throughout the sponsor’s career.

The goal is to have the service member work and live in a community that can accommodate his or her family members' special medical or educational needs.

Exceptional Family Members may be children or adults with any physical, developmental, intellectual, or emotional disorder that requires special treatment, education, training therapy, or counseling. Enrollment is required immediately upon diagnosis or identification of a special need.

Some conditions that warrant enrollment to EFMP include (but not limited to):

  • Medical care above the level normally provided by a family practitioner in an outpatient clinic setting.
  • Any potentially life threatening condition, such as asthma, sickle cell disease, epilepsy, or insulin-dependent diabetes.
  • Mental health services currently or chronically within the last five years. 
  • Intensive care follow-up for high risk / premature newborns, or cancer patients.
  • Children who require early intervention services from birth to 3 years of age as specified on an Individualized Family Services Plan.
  • Children who need special education services from 3-21 years of age such as specified on an Individualized Education Program (IEP)

  • Enrollment in EFMP is permanent unless the family member no longer needs medical or special education or the service member is separated from the military. Service members are responsible for keeping the medical / special education needs documentation current and update every three years or sooner when there is a significant change in the needs of that individual. No notice for updating will be issued from this office.

    Service members who are dual active duty must both enroll in the EFMP when a family member qualifies. This is to ensure that the assignment manager of each sponsor considers the family's special needs.

    The service member's participation in the program will not adversely affect selection for promotions, schools, or assignments. Commanders will take appropriate action against service members who knowingly provide false information or willfully disregard the three-year requirement to update the exceptional family member’s condition.

    Enrollment / Disenrollment:

    The following service members with EFMs (children and adults) will enroll in EFMP:
    Medical Enrollment Criteria

  • Potentially life-threatening conditions, including but not limited to asthma, sickle cell disease and insulin dependent diabetes
  • Past, present, and future mental health services
  • Intensive follow-up support or specialty care
    Educational Enrollment Criteria

  • Family member on an Individualized Education Program (age 3 to 21 years) or;
  • Family member on an Individualized Family Services Plan (age birth to 3 years)

  • How to Enroll 

    The EFMP Medical Summary Form (DD Form 2792) is completed by the sponsor / spouse and primary care provider. The EFMP Educational Summary Form (DD Form 2792-1) is completed by the sponsor / spouse and school. Both of these forms are sent to the EFMP office for processing. Enrollment should be updated every three years, or upon change in medical condition.

    How to Disenroll

    Reasons to disenroll from EFMP include change in medical condition (resolved / no longer exists), or in cases of death, divorce, change in custody, etc. Please contact the EFMP office for the proper paperwork to disenroll the family member. The medical care provider must address why all previous annotated diagnoses are resolved. For all other cases, supporting documentation such as death certificate or divorce decree must be included.

    Submitting Packets 

    All packets (DD Forms 2792 and 2792-1) should be submitted during walk-in hours between 8 a.m. and noon. One of our office personnel will review the packet with you at that time to ensure it is complete. Once it is properly completed, the packet will be sent for medical review, a process which takes approximately 10 business days. Upon completion of the medical review, the packet will be sent for submission to the regional command.

    Packets may also be dropped off; however, because they may be incomplete, it may take longer than 10 days before submission to the regional command. Service members should make and maintain a copy of the submitted packet.

    Enrollment Forms 

    The required forms for enrollment are available here:

    Please use these fillable e-forms when possible and ensure all hand-written entries are legible. This will reduce errors and delays due to unreadable information.

    Frequently Asked Questions

    Who is an Exceptional Family Member?

    An Exceptional Family Member is a Family Member (child or adult) with physical, emotional, developmental or intellectual disability that requires special treatment, therapy, education, training or counseling.

    Is the Exceptional Family Program Mandatory?

    Enrollment in the Exceptional Family Member Program is mandatory, based on public law and Department of Defense mandates. It works with other military and civilian agencies to provide comprehensive and coordinated medical, educational, housing, community support and personnel services to Service Member’s Families with special needs.

    How do I enroll in the Exceptional Family Member Program?

    The service member contacts the Exceptional Family Member Program medical point of contact to begin the assessment process and obtain the enrollment forms. If your family member/s is seen for medical care at Fort Belvoir Community Hospital your enrollment will take place at the Pediatrics clinic, River Pavilion, Floor 1, Reception 3. 

    The DD Form 2792-1 should be completed by the school or early intervention social worker. Once these forms are completed and turned in they are forwarded to the appropriate regional medical center for coding and then to the service specific agencies that enrolls the Service Member in the program.

    If my family member is enrolled in the Exceptional Family Member Program can my family go with me overseas?

    The Exceptional Family Member Program medical staff screens all family members for possible enrollment in this program. If the family member has any type of special medical, emotional or educational need, their packet is sent forward to Overseas Reassignment Exceptional Family Member Program for determination for availability of services. If services are available, family members may accompany the service member. However, accompanied tours are not guaranteed and do not have an impact on operational assignments, to include deployments.

    Does enrollment have any impact on the service member's career?

    Enrollment in EFMP does not adversely affect selection for promotion, schools, or assignment. Information concerning enrollment in EFMP or any of the data used in the program is not made available to selection boards.

    What are the benefits of enrollment in EFMP?

    Enrollment allows assignment managers at service specific agencies to consider the documented medical and special education needs of Exceptional Family Members in the assignment process. When possible, service members are assigned to an area where the medical and special education needs of the Exceptional Family Member can be met. This will depend on the valid personnel requirement for the service member’s grade, specialty, and eligibility for the tour. All service members are still eligible for worldwide assignments. 

    Fort Belvoir Community Hospital's EFMP office can provide information, referral, recreational activities, educational, medical and family services needs, and can assist service members with single-level housing (pending qualification and availability).

    What is the ECHO Program?

    Tricare Extended Care Health Option (ECHO) is a financial assistance program that provides for services and supplies beyond what is offered by Tricare. Enrollment in EFMP must be completed to be eligible for ECHO. Examples of things covered by ECHO include Applied Behavior Analysis (ABA) or additional durable medical equipment (DME).

    Exceptional Family Member Program

    Walk-In, Monday-Friday: 8 a.m. to Noon
    Weekends and Federal Holidays: Closed

    EFMP Coordinator: (571) 231-1054

    River Pavilion, Floor 1, Reception 3

    River Pavilion

    Air Force:
    Joint Base Anacostia-Bolling
    Joint Base Andrews

    Army OneSource
    Army Community Service

    Navy & Marine Corps
    Walter Reed EFMP Program
    Walter Reed Overseas Screening
    Quantico EFMP Program
    Quantico Overseas Screening

    Additional Links
    Military Homefront
    Military OneSource
    Operation Autism
    Tricare ECHO
    Tricare Special Needs Resources

    DD Form 2792
    DD Form 2792-1

    EFMP Quick Reference Guide