DA FORM 3761 Fillable – Army Pubs 3761 PDF

DAFORMFILLABLE.COM | DA FORM 3761 Fillable – Army Pubs 3761 PDFDA FORM 3761 is an essential document used within the U.S. Army to report activities related to public health nursing. This form provides a standardized method for recording and evaluating the services provided by public health nurses, ensuring consistency and reliability in monitoring health care services across various installations. In this article, we will delve into the details, purpose, and usage of the DA FORM 3761, offering a comprehensive guide for professionals seeking to understand or utilize this form in their work.

DA FORM 3761 – Public Health Nursing Activities Report

Form Number DA Form 3761
Form Title Public Health Nursing Activities Report
Form Date 10/01/2008
Form Proponent TSG

What is DA FORM 3761?

DA FORM 3761, also known as the Public Health Nursing Activities Report, is an official document used by the U.S. Army to record and report the activities conducted by public health nurses. This form was last updated on October 1, 2008, and remains active to this day, playing a crucial role in documenting the efforts made in the field of public health within military communities.

Key Characteristics of DA FORM 3761

  • Pub/Form Number: DA FORM 3761
  • Title: Public Health Nursing Activities Report
  • Date: 10/01/2008
  • Proponent: TSG (The Surgeon General)
  • Status: ACTIVE
  • Authority: The form is unclassified and approved for public release, with distribution being unlimited under the Dist Restriction Code A.

Prescribing Directive

DA FORM 3761 is prescribed by PAM 40-11, which provides the guidelines and directives for filling out and submitting the Public Health Nursing Activities Report. This ensures that all personnel follow a consistent approach to reporting, enhancing the quality and utility of the information gathered.

Purpose of DA FORM 3761

The primary purpose of DA FORM 3761 is to document the activities and initiatives undertaken by public health nurses within the Army’s installations. This form helps in:

  • Tracking and Evaluating: By documenting various health services and programs, the form allows for tracking the effectiveness and reach of public health initiatives.
  • Resource Allocation: Information from the form helps in making informed decisions regarding resource allocation for future public health programs.
  • Improving Public Health Services: Insights gained from the reports can lead to improvements in the planning and implementation of health services.

Sections of DA FORM 3761

DA FORM 3761 includes several sections that need to be filled out by the reporting personnel, including:

  1. Identification Information: Details about the installation and unit.
  2. Service Activities: Description of the specific activities carried out, such as immunizations, health education, and preventive screenings.
  3. Outcomes and Impact: Information on the outcomes of the activities and their impact on the community.

How to Fill Out DA FORM 3761

To correctly fill out DA FORM 3761, follow these steps:

  1. Gather Information: Collect all necessary information regarding the public health nursing activities conducted during the reporting period.
  2. Complete Identification Section: Fill in the installation and unit details accurately.
  3. Detail the Activities: Describe each activity in the relevant sections, including the objectives, methods, results, and any follow-up actions.
  4. Summarize the Impact: Provide a summary of how these activities have impacted the health of the community.
  5. Review and Submit: Ensure all the information is correct and complete before submitting the form according to your command’s procedures.

Common Uses of DA FORM 3761

  • Annual Reports: Used to compile annual summaries of public health nursing activities.
  • Program Evaluation: Helps in evaluating the effectiveness of specific health programs.
  • Research and Development: Can be used as a data source for research studies focused on public health in the military.


DA FORM 3761 – Public Health Nursing Activities Report is a vital tool in the management and improvement of public health services within the U.S. Army. By providing a structured and detailed approach to reporting, it ensures that public health nurses’ activities are accurately recorded and assessed. Understanding how to utilize and fill out this form is essential for professionals involved in military health care services, as it supports strategic planning and the effective implementation of health initiatives.

DA FORM 3761 Fillable – Army Pubs 3761 PDF DOWNLOAD

Download PDF
DA FORM 3761 - Public Health Nursing Activities Report_page-0001