DAFORMFILLABLE.COM | DA FORM 5007B Fillable – Army Pubs 5007B PDF – DA FORM 5007B is an essential document utilized in the medical field, particularly for managing and recording allergy immunotherapy treatments. This form is specifically designed to document the use of double extract in immunotherapy, ensuring accurate and comprehensive patient records. As an active form, it is regulated and prescribed by AR 40-66, and its distribution is unlimited, making it accessible for public use.
DA FORM 5007B – Medical Record – Allergy Immunotherapy Record (Double Extract)
| Form Number | DA Form 5007B |
| Form Title | Medical Record – Allergy Immunotherapy Record (Double Extract) |
| Form Date | 02/01/2003 |
| Form Proponent | TSG |
Overview of DA FORM 5007B
Purpose and Importance
The primary purpose of DA FORM 5007B is to provide a detailed medical record for patients undergoing allergy immunotherapy using double extract. This form is crucial for:
- Tracking patient progress: It allows healthcare providers to monitor the efficacy of the treatment.
- Ensuring patient safety: By maintaining accurate records, potential adverse reactions can be identified and managed promptly.
- Facilitating communication: The form provides a standardized method for healthcare professionals to share patient information.
Key Features
DA FORM 5007B includes several key features that enhance its utility:
- Electronic media: This form is only produced in electronic format, which ensures easy access and distribution.
- Detailed patient information: It captures comprehensive details about the patient’s allergy history and treatment plan.
- Record of treatments: Each session of immunotherapy is meticulously recorded, including dosage and reactions.
Regulatory Information
Publication Details
The DA FORM 5007B was published on February 1, 2003, and it remains an active form. It is managed by the TSG (The Surgeon General) and is unclassified, making it suitable for widespread use. The Pub/Form IDN is 990001, and the Pub/Form PIN is 080723.
Prescribing Directive
This form is prescribed by AR 40-66, which provides the necessary guidelines for its use and implementation. The directive ensures that the form meets all regulatory requirements and is used appropriately within the medical community.
Usage and Distribution
Accessibility
One of the significant advantages of DA FORM 5007B is its unlimited distribution. It is approved for public release, meaning healthcare providers and institutions can access and use the form without restrictions. This accessibility is crucial for ensuring that all relevant medical personnel can maintain accurate allergy immunotherapy records.
Security Classification
The form is classified as UNCLASSIFIED, ensuring that there are no security restrictions on its use. This classification further supports its broad distribution and implementation across various healthcare settings.
Implementation in Medical Practice
Patient Record Management
Healthcare providers use DA FORM 5007B to meticulously document each step of the allergy immunotherapy process. This includes recording:
- Patient details: Name, identification number, and allergy history.
- Treatment specifics: Type of allergens used, dosage, and frequency.
- Response to treatment: Noting any adverse reactions or improvements observed during the therapy.
Ensuring Compliance
To ensure compliance with AR 40-66, medical personnel must be diligent in filling out the form accurately and completely. Proper training and adherence to guidelines are essential for maintaining the integrity of patient records and the overall success of the immunotherapy program.
Conclusion
DA FORM 5007B – Medical Record – Allergy Immunotherapy Record (Double Extract) is a vital tool in the management of allergy immunotherapy. Its structured format and detailed documentation requirements help healthcare providers deliver safe and effective treatment while maintaining comprehensive patient records. By understanding and utilizing this form correctly, medical professionals can enhance patient care and ensure regulatory compliance.
For more detailed information and to access DA FORM 5007B, visit the official medical records or regulatory websites.
DA FORM 5007B Fillable – Army Pubs 5007B PDF DOWNLOAD
