DAFORMFILLABLE.COM | DA FORM 7625-1 Fillable – Army Pubs 7625-1 PDF – DA FORM 7625-1, also known as the Army Child and Youth Services Health Screening Tool, is an essential document utilized within the U.S. Army to ensure the health and well-being of children and youth participating in various services and programs. This form, with its current publication date of May 1, 2009, plays a crucial role in screening and documenting health information, thereby promoting a safe and healthy environment for the youth under the care of the Army Child and Youth Services (CYS).
DA FORM 7625-1 – Army Child and Youth Services Health Screening Tool
| Form Number | DA FORM 7625-1 |
| Form Title | Army Child and Youth Services Health Screening Tool |
| Form Date | 5/1/2009 |
| Form Proponent | G-9 |
Purpose and Importance of DA FORM 7625-1
The Army Child and Youth Services Health Screening Tool is designed to gather comprehensive health information about children and youth enrolling in Army CYS programs. The primary objectives of this form are:
- Health Assessment: To conduct a thorough health assessment of each child to identify any medical conditions, allergies, or special needs.
- Safety Assurance: To ensure the safety and well-being of all participants by making informed decisions about their care based on their health status.
- Compliance with Regulations: To comply with the requirements set forth by AR 608-75, which governs the management of Army CYS programs.
Key Features of DA FORM 7625-1
Health Information Collection
The form requires detailed health information, including:
- Medical History: Information about past and present medical conditions, surgeries, and treatments.
- Allergies: Details about any allergies to food, medications, or environmental factors.
- Medications: A list of any medications currently being taken by the child, along with dosage and administration instructions.
- Immunization Records: Up-to-date immunization records to ensure compliance with health regulations.
Privacy and Confidentiality
DA FORM 7625-1 includes a Privacy Act Statement as required by AR 340-21. This statement assures parents and guardians that the information provided will be handled with the utmost confidentiality and used solely for the purpose of ensuring the health and safety of their children.
Electronic Media and Distribution
This form is exclusively produced in electronic media, making it easily accessible and distributable. It is classified as UNCLASSIFIED, with a distribution restriction code of A, indicating that it is approved for public release and its distribution is unlimited.
Implementation and Usage
Filling Out the Form
Parents and guardians are responsible for filling out DA FORM 7625-1 accurately and completely. They must provide all relevant health information and attach any necessary medical documents. The completed form should be submitted to the appropriate CYS personnel for review.
Review and Follow-Up
Once submitted, the health screening tool is reviewed by qualified CYS staff. If any health concerns are identified, further evaluation or follow-up actions may be recommended to ensure that appropriate care and accommodations are provided.
Benefits of Using DA FORM 7625-1
The Army Child and Youth Services Health Screening Tool offers several benefits, including:
- Enhanced Safety: By providing comprehensive health information, the form helps in creating a safer environment for all children and youth participating in CYS programs.
- Individualized Care: It allows for tailored care plans based on the specific health needs of each child.
- Regulatory Compliance: Ensures that the Army CYS programs adhere to the regulations and guidelines outlined in AR 608-75.
Conclusion
DA FORM 7625-1 – Army Child and Youth Services Health Screening Tool is a vital document in maintaining the health and safety of children and youth within Army CYS programs. By gathering detailed health information and ensuring privacy, this form plays a crucial role in providing individualized care and promoting a secure environment for young participants. Its use not only complies with Army regulations but also reinforces the commitment to the well-being of the military community’s youngest members.
For further information and access to the form, individuals can refer to the official Army publications or visit the relevant Army Child and Youth Services office.
DA FORM 7625-1 Fillable – Army Pubs 7625-1 PDF DOWNLOAD
