DA FORM 2984 Fillable – Army Pubs 2984 PDF

DAFORMFILLABLE.COM | DA FORM 2984 Fillable – Army Pubs 2984 PDF – The DA FORM 2984, also known as the Very Seriously Ill/Seriously Ill/Special Category Patient Report, is a crucial document used within the United States Army medical system. This article provides an in-depth look at the purpose, usage, and significance of DA FORM 2984, ensuring that professionals in the medical and military fields understand how to utilize this form effectively.

DA FORM 2984 – Very Seriously Ill/Seriously Ill/Special Category Patient Report

Form Number DA Form 2984
Form Title Very Seriously Ill/Seriously Ill/Special Category Patient Report
Form Date 04/01/2009
Form Proponent TSG

What is DA FORM 2984?

DA FORM 2984 is an official military form prescribed by AR 40-400. Its primary role is to report the status of patients who are categorized as very seriously ill (VSI), seriously ill (SI), or belong to a special category (SPECAT). The form helps in communicating critical patient information to relevant military personnel and medical staff, facilitating prompt and organized care.

Key Characteristics of DA FORM 2984

  • Pub/Form Number: DA FORM 2984
  • Pub/Form Date: April 1, 2009
  • Pub/Form Title: Very Seriously Ill/Seriously Ill/Special Category Patient Report
  • Pub/Form Proponent: The Surgeon General (TSG)
  • Pub/Form Status: Active
  • Security Classification: Unclassified
  • Distribution Restriction: Approved for public release; distribution is unlimited.

Importance of DA FORM 2984 in Military Healthcare

The DA FORM 2984 plays a vital role in the management of military healthcare, especially in situations involving critically ill service members. By standardizing the process of reporting patient statuses, the form ensures that all pertinent data is accurately and swiftly communicated across the medical care spectrum.

Benefits of Using DA FORM 2984

  1. Enhanced Communication: Ensures that detailed patient information is shared efficiently among healthcare providers.
  2. Improved Patient Care: Facilitates timely medical responses, potentially saving lives by informing medical staff and family members quickly.
  3. Organized Documentation: Helps in maintaining comprehensive records for medical history and future reference.

How to Use DA FORM 2984

To effectively use DA FORM 2984, medical personnel should follow these steps:

  1. Identify the Patient Category: Determine whether the patient falls under VSI, SI, or SPECAT categories.
  2. Complete the Form: Fill out the form with all required details, including patient identification, medical status, and necessary medical interventions.
  3. Distribution: Distribute the completed form according to the guidelines provided in AR 40-400, ensuring it reaches all relevant parties.

Key Sections of DA FORM 2984

  • Patient Identification: Details about the patient including name, rank, and service number.
  • Medical Condition: Description of the patient’s medical status and any urgent needs.
  • Reporting Medical Officer: Information about the officer responsible for filling out the form.

Compliance and Distribution

As stated, DA FORM 2984 is unclassified and approved for public release, meaning it can be freely distributed within the constraints of military operations and healthcare settings. Compliance with the guidelines set by AR 40-400 is crucial for the accurate and ethical use of this form.


DA FORM 2984 is an essential tool in the arsenal of military healthcare professionals, designed to streamline the reporting and management of very seriously ill or seriously ill military personnel. Understanding and utilizing this form correctly is pivotal for ensuring that patients receive the best care possible in a timely manner. For more information or to download the form, individuals are encouraged to visit the official military or healthcare websites associated with the United States Army.

DA FORM 2984 Fillable – Army Pubs 2984 PDF DOWNLOAD

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