DAFORMFILLABLE.COM | DA FORM 5007A Fillable – Army Pubs 5007A PDF – DA FORM 5007A – Medical Record – Allergy Immunotherapy Record (Single Extract) is a vital document used within the medical field, specifically for tracking and recording allergy immunotherapy treatments. This form, officially recognized by its pub/form number, DA FORM 5007A, was published on February 1, 2003. Its primary function is to ensure the accurate and detailed documentation of allergy immunotherapy administered to patients, using a single extract for treatment.
DA FORM 5007A – Medical Record – Allergy Immunotherapy Record (Single Extract)
| Form Number | DA Form 5007A |
| Form Title | Medical Record – Allergy Immunotherapy Record (Single Extract) |
| Form Date | 02/01/2003 |
| Form Proponent | TSG |
Key Features of DA FORM 5007A
Form Details and Purpose
DA FORM 5007A serves as a medical record for patients undergoing allergy immunotherapy. The purpose of this form is to document all relevant information about the patient’s immunotherapy regimen, including the type and dosage of the extract used. This precise documentation is crucial for tracking patient progress, managing treatment plans, and ensuring patient safety.
Proponent and Status
The proponent for DA FORM 5007A is TSG (The Surgeon General). As of the latest update, the form status is active, meaning it is currently in use and relevant for medical professionals administering allergy immunotherapy.
Prescribing Directive and Accessibility
AR 40-66
DA FORM 5007A is prescribed under AR 40-66, which is the Army regulation governing medical records administration and healthcare documentation. This directive ensures that the form is utilized correctly and consistently across all relevant medical facilities.
Electronic Media and Distribution
A notable feature of DA FORM 5007A is that it is produced only in electronic media. This means that the form is designed for digital use, facilitating easier access, storage, and transmission. Furthermore, the distribution of this form is unrestricted. It is approved for public release, meaning that any healthcare provider needing this document can easily obtain it without restriction.
Security and Distribution
Unclassified Document
The security classification of DA FORM 5007A is unclassified, ensuring that it does not contain sensitive information that would require special handling or restricted access. This classification makes it more accessible for healthcare providers and administrative staff.
Distribution Code
The distribution restriction code for this form is A, which signifies that the form is approved for public release and that distribution is unlimited. This broad accessibility is essential for ensuring that all medical personnel can use the form as needed without facing barriers to obtaining it.
Identifiers and Changes
Identification Numbers
The form is identified by Pub/Form IDN 990001 and Pub/Form PIN 080722. These identifiers are used to catalog and reference the form within military and medical administrative systems, ensuring that the correct document is used and referenced in medical records.
Supersessions and Replacements
Currently, DA FORM 5007A has not been superseded or replaced by any other publication or form. This stability means that users can be confident in the form’s continued relevance and applicability in medical record-keeping for allergy immunotherapy.
Conclusion
In summary, DA FORM 5007A – Medical Record – Allergy Immunotherapy Record (Single Extract) is an essential tool for healthcare professionals involved in administering and tracking allergy immunotherapy. Its electronic format, unrestricted distribution, and alignment with AR 40-66 ensure that it is both accessible and compliant with military medical documentation standards. Understanding and utilizing this form correctly is crucial for effective patient care and accurate medical record-keeping in allergy immunotherapy practices.
DA FORM 5007A Fillable – Army Pubs 5007A PDF DOWNLOAD
