Hours of Operation

& Phone

7:30 a.m. - 4:30 p.m.
10 a.m. - 2 p.m.
Closed on Sundays and Federal Holidays

EFMP - Waller Hall
(Bldg. 2140)
AFCS - Corner of Liggett Ave & 12th S
253-967-9704 or 253-967-7166

The Exceptional Family Member Program (EFMP) is a mandatory enrollment program that works with other military and civilian agencies to provide a comprehensive, coordinated, and multidisciplinary approach for medical, educational and community support services to Families with special needs.


EFMP Enrollment

Exceptional Family Member Program (EFMP) enrollments/disenrollment/updates are processed through the EFMP office at Madigan Healthcare System (MHS) in the Developmental Pediatrics Clinic on the first floor of the Medical Mall in Madigan.

Contact numbers are 253-968-1370 or 253-968-0254. Servicemembers are responsible for keeping their EFMP enrollment current as exceptional Family member (EFM) conditions change or at least every three years, whichever comes first. 

There are two types of EFMP enrollment: medical and educational. 

If you are dual military, both Servicemembers are required to enroll their EFM(s) in EFMP, per Army Regulation 608-75, paragraph 1-7(d); this process will ensure that the assignment manager of each sponsor considers the Family’s special needs.

Department of the Army (DA) civilians are eligible and should identify dependent children with special education and medically related service needs and Family members with medical needs each time they process for an assignment to a location outside the United States where Family member travel is authorized at Government expense.

What are the medical EFMP enrollment criteria?

What are the educational EFMP enrollment criteria?

How do I enroll in EFMP?

How often do I update my EFMP enrollment?

How do I update my EFMP enrollment? 

How do I know when my EFMP enrollment expires?

How do I disenroll my Family member from EFMP? 

Overseas Screening: 

DA Form 4787, DA Form 5888, DA Form 7246


Respite Care

What is Respite Care?  Respite care is a program developed to provide temporary rest periods for Family members responsible for the daily care of persons with special needs.
Who is eligible for Respite Care?  Family members of Active Duty Soldiers who have an EFM with a severe diagnosis (as indicated on the EFMP Summary Sheet) are eligible for respite care.  There is a waitlist for respite care on Joint Base Lewis-McChord (JBLM).  However, if you have recently relocated from an installation where you received respite care, you may be eligible for continued care.   Airmen should call 253-982-2695 for respite care information for Air Force Families.

How do I apply for Respite Care at JBLM?

How do I get a Respite Care Provider at JBLM?

How do I become a Respite Care Provider?

I am a Respite Care Provider; how do I get paid for providing respite services?


Community Resources for Special Needs Families:

Joint Base Lewis-McChord Autism Support Group

JBLM EFMP Support Group

Early Intervention Services Pierce County

Early Support Services for Infants and Toddlers Thurston


Tricare ECHO, includes ABA Therapy
(Extended Care Health Options)

JBLM Child, Youth and School Services (CYSS)

JBLM School Liaison Office (SLO)

Army Community Service (ACS) Programs

Madigan Healthcare System

Specialized Training of Military Parents (STOMP)

PAVE 360


EFMP References:

Army Regulations

AR 608-75 - Exceptional Family Member Program

AR 55-46 Travel Overseas

AR 608-1 Army Community Services

AR 614-30 Overseas Service

AR 614-200 Enlisted Assignments and Utilization Management

AR 600-8-11 Re-assignment

AR 600-7 - Nondiscrimination on the Basis of Handicap in Programs and Activities Assisted or  Conducted by the DA

Federal Laws

American with Disabilities Act (ADA) of 1990

Individuals with Disabilities Education Act (IDEA  2004)


What is EFMP?

The Army cares about Soldiers who have special need Family members and has set up the EFMP to offer a helping hand. Soldiers on active duty enroll in the program when they have a Family member with a physical, emotional, developmental, or intellectual disability requiring specialized services so their needs can be considered in the military assignment process. When possible, Soldiers are assigned to an area where the medical and special education needs of the Family member can be met, giving the Soldier opportunity to have missions important to the Army that meld with their special needs.

Welcome to Joint Base Lewis-McChord ACS EFMP!

I am a Family member and just discovered that I qualify for EFMP (or I just found out that one or more of my Family members qualifies for EFMP), where do I start?

I am new to EFMP or EFMP on Joint Base Lewis-McChord (JBLM), where do I start?

Sign up to receive our monthly JBLM EFMP Newsletter via e-mail (contact Ms. Dozier, nancy.dozier@us.army.mil)

* Coming Soon* JBLM EFMP Parent Guidebook

Where is EFMP located?

ACS EFMP is located in Waller Hall (building 2140), Rm 400 (Army Community Service, ACS) on Joint Base Lewis-McChord, Lewis-Main.  ACS EFMP assists with Respite Care, EFMP monthly Newsletter, Systems Navigation/Case Management, Information and Referral, Resources, Support Groups, Special Needs Accommodation Process, and more.  Please see the “Contact Us” section for additional information.

Madigan EFMP is located in the Developmental Pediatrics Clinic on the first floor of the Madigan Medical Mall.  Madigan EFMP assists with EFMP enrollments / disenrollments/updates and Overseas Screening.


IEPs and 504s

What is an IEP (Individual Education Program)?  Regulations governing the development and content of an IEP are contained in Federal Law, the Individuals with Disabilities Education Act (IDEA), P.L. 105-17.  All students who have been found eligible for special education must have an IEP developed prior to the delivery of services.  The first IEP must be written within 30 calendar days after the completion of an evaluation.  Subsequent IEPs must be reviewed and revised, at least annually.  The parents and/or the school may request a meeting more often than once per year.

Who is involved in developing an IEP? 

How long does it take to get an IEP?

What is a 504 Plan?  A 504 plan is a legal document falling under the provisions of the Rehabilitation Act of 1973. It is designed to plan a program of instructional services to assist students with special needs who are in a regular education setting. A 504 plan is not an Individualized Education Program (IEP) as is required for special education students; it is a special accommodation that is generally appropriate for a student with a physical or emotional disability,  or who has an impairment (i.e. Attention Deficit Disorder) that restricts one or more major life activities.

How is a 504 Plan created and who is involved?

Do you need help understanding IEPs, 504s or do you need help advocating for your child?  We have an EFMP Specialist who is able to answer your questions and assist you with the process.  Please contact Nancy Dozier at nancy.dozier@us.army.mil or 253-967-9705.


Systems Navigation

What is EFMP Systems Navigation?  Systems Navigation is a community support component of the Exceptional Family member Program (EFMP) that connects Families with special needs to the systems of care they need, both on and off the installation. 

What can an EFMP Systems Navigator do for me?  A Systems Navigator can:  identify your EFM and Family strengths and needs, help identify and prioritize your EFM and Family goals, develop a Family Service Plan to reach your goals, make referrals to required services, provide information about disabilities or medical conditions of concern, find transportation to appointments related to the Family Service Plan, identify support groups and social activities, and ultimately strengthen your ability to advocate for your EFM or as an EFM.

Who is eligible for Systems Navigation?

How do I get an EFMP Systems Navigator or How do I refer a Family to an EFMP Systems? 


Contact EFMP

ACS EFMP in Waller Haller (Bldg. 2104) on JBLM Main
Madigan EFMP in Madigan (Hospital) – 1st floor, Medical Mall, Developmental Pediatrics


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Program Manager: 253-967-9704
Army Respite Care:  253-967-3451
Air Force Respite: 253-982-2695
IEP/504/Newsletter: 253-967-9705
In/Out-Process/SNAP: 253-967-3520
Systems Navigation: For referral call 253-967-9704