DA FORM 3824 Fillable – Army Pubs 3824 PDF

DAFORMFILLABLE.COM | DA FORM 3824 Fillable – Army Pubs 3824 PDF – DA FORM 3824 is a critical document used within the United States Army for conducting and recording urologic examinations. This form plays a vital role in ensuring the health and readiness of military personnel by providing a structured way to document medical findings related to the urinary system.

DA FORM 3824 – Urologic Examination

Form Number DA Form 3824
Form Title Urologic Examination
Form Date 02/01/2003
Form Proponent TSG

What Is DA FORM 3824?

DA FORM 3824, titled Urologic Examination, is an official form used by the U.S. Army to record the results of urologic assessments. Published on February 1, 2003, this form allows medical professionals to systematically capture information about a patient’s urologic health, which is essential for diagnosing and treating conditions affecting the urinary tract and male reproductive organs.

Key Details of DA FORM 3824

  • Pub/Form Number: DA FORM 3824
  • Publication Date: 02/01/2003
  • Title: Urologic Examination
  • Status: Active
  • Proponent: The Surgeon General (TSG)
  • Security Classification: Unclassified
  • Distribution Restriction: Approved for public release; distribution is unlimited

These details underscore the form’s utility and accessibility within the military healthcare system.

Purpose of DA FORM 3824

The primary purpose of DA FORM 3824 is to facilitate a thorough and systematic examination of the urologic system. This is crucial for:

  • Diagnosing Diseases: Early detection of urologic conditions such as infections, stones, and tumors.
  • Monitoring Health: Tracking the progress of existing urologic conditions.
  • Evaluating Function: Assessing the functionality of the urinary tract and related structures.

Prescribing Directive

DA FORM 3824 is prescribed by AR 40-66, which outlines medical record administration and healthcare documentation for the Army. This ensures that all examinations are recorded in a standardized manner.

Components of DA FORM 3824

The Urologic Examination form consists of several components designed to capture a comprehensive range of data:

  • Personal Information: Details about the patient, including name, rank, and service number.
  • Medical History: Information on past medical conditions affecting the urologic system.
  • Symptoms Checklist: A list where specific symptoms can be recorded to aid in diagnosis.
  • Examination Results: Sections for documenting physical findings, lab results, and diagnostic imaging.
  • Physician Notes: Space for the examining physician to add comments or recommendations.

Importance of Privacy

Given that the form contains sensitive medical information, it includes a Privacy Act Statement in accordance with AR 340-21. This ensures that patient data is handled with the utmost confidentiality and privacy.

How to Use DA FORM 3824

To correctly use DA FORM 3824, medical professionals should follow these steps:

  1. Prepare: Ensure all necessary equipment and patient records are available.
  2. Review Medical History: Complete the section on past medical and surgical history, noting any previous urologic issues.
  3. Conduct the Examination: Systematically examine the urinary and reproductive systems, recording all findings.
  4. Document Findings: Use the form to document all relevant data, including symptoms, examination results, and diagnostic tests.
  5. Finalize and Review: Ensure that all information is accurate and complete. Have the patient review the Privacy Act Statement before signing the form.

Who Should Use DA FORM 3824?

  • Urologists: Specialists who focus on diseases of the urinary tract.
  • Primary Care Physicians: Doctors who might identify initial symptoms requiring further urologic assessment.
  • Military Medical Personnel: Healthcare providers within the Army who conduct routine screenings and assessments.


DA FORM 3824 – Urologic Examination is an essential tool for managing the urologic health of military personnel. By providing a structured format for recording detailed medical information, this form helps ensure that soldiers receive the best possible care for any urologic conditions. Understanding and utilizing DA FORM 3824 correctly contributes significantly to maintaining the operational readiness and overall health of the armed forces.

DA FORM 3824 Fillable – Army Pubs 3824 PDF DOWNLOAD

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