DAFORMFILLABLE.COM | DA FORM 8005-5 is a crucial document used within the military healthcare system to maintain comprehensive outpatient treatment records. This form is essential for both healthcare providers and patients, ensuring that all outpatient medical interactions are thoroughly documented and accessible for future reference. Below is an in-depth look at the various aspects of DA FORM 8005-5.
DA FORM 8005-5 – Outpatient Treatment Records
| Form Number | DA FORM 8005-5 |
| Form Title | Outpatient Treatment Records |
| Form Date | 2/1/2012 |
| Form Proponent | TSG |
Overview of DA FORM 8005-5
DA FORM 8005-5 is officially titled Outpatient Treatment Records and was published on February 1, 2012. This form falls under the purview of the TSG (The Surgeon General) and is an active form, meaning it is currently in use across military medical facilities.
Purpose and Importance
The primary purpose of DA FORM 8005-5 is to maintain a detailed record of outpatient treatments. This form plays a critical role in the continuity of care for service members, ensuring that healthcare providers have access to a complete medical history. This comprehensive documentation aids in accurate diagnosis and effective treatment plans, thereby enhancing the overall quality of care.
Structure and Components
DA FORM 8005-5 is structured to capture various aspects of outpatient treatment. Key components of this form include:
- Patient Identification Information: Ensures the correct identification of the patient.
- Treatment Details: Documents specific treatments, procedures, and medical advice provided during outpatient visits.
- Follow-up Actions: Outlines any required follow-up actions or future appointments.
- Healthcare Provider Information: Records details of the healthcare providers involved in the treatment.
Regulatory Framework
The use of DA FORM 8005-5 is prescribed by AR 40-66, which governs the medical record administration and healthcare documentation within the military. Compliance with these regulations is mandatory to ensure standardized and accurate medical record-keeping across all military medical facilities.
Accessibility and Distribution
One of the notable aspects of DA FORM 8005-5 is its distribution restriction code, A, indicating that it is approved for public release with unlimited distribution. This classification ensures that the form is readily available for all relevant personnel without any security restrictions.
Usage and Issuance
DA FORM 8005-5 is issued as a FL (Flat Sheet), making it easy to handle and store within medical records. The form’s IDN (Internal Document Number) is 990001, and its PIN (Publication Identification Number) is 069423.
Critical Item Footnote
The form is identified as a 44-Critical Item, highlighting its essential role in the effective functioning of military healthcare services. This designation underscores the importance of maintaining accurate and up-to-date outpatient treatment records.
Unclassified Security Status
The security classification of DA FORM 8005-5 is unclassified, ensuring that there are no special handling or storage requirements that could impede its availability or use.
Conclusion
In summary, DA FORM 8005-5 – Outpatient Treatment Records is an indispensable tool in the military healthcare system. Its comprehensive structure and regulatory backing ensure that all outpatient medical interactions are meticulously recorded, thereby enhancing the quality of care provided to service members. The form’s public accessibility and unclassified status further streamline its use across various military medical facilities. For healthcare providers and administrative personnel, understanding and correctly utilizing DA FORM 8005-5 is essential for maintaining the integrity and continuity of outpatient treatment records.