DAFORMFILLABLE.COM | DA FORM 4028, often referred to as the Prescribed Medication form, is an essential document used within the U.S. Army to manage and record the medication prescribed to personnel. This form plays a crucial role in ensuring that soldiers receive the correct medication in appropriate doses, and it helps maintain a detailed medical record for each service member.
DA FORM 4028 – Prescribed Medication
| Form Number | DA Form 4028 |
| Form Title | Prescribed Medication |
| Form Date | 03/01/1973 |
| Form Proponent | TSG |
What is DA FORM 4028?
DA FORM 4028 is officially titled “Prescribed Medication.” It was first introduced on March 1, 1973, and remains an active form used by the Army’s medical departments. This form is designed to provide a clear and concise record of all medications prescribed to an individual, including dosage, frequency, and any specific instructions related to the medication.
Key Characteristics of DA FORM 4028
- Pub/Form Number: DA FORM 4028
- Pub/Form Date: 03/01/1973
- Pub/Form Title: PRESCRIBED MEDICATION
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: ACTIVE
- Security Classification: UNCLASSIFIED
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
These characteristics make the form accessible and useful for a wide range of medical professionals within the Army.
Purpose of DA FORM 4028
The primary purpose of DA FORM 4028 is to record all medications that are prescribed to Army personnel. This form ensures that there is a consistent and comprehensive record of a patient’s medication history, which is vital for:
- Ensuring Continuity of Care: Helps medical providers quickly understand what medications a patient is taking, which can influence future healthcare decisions.
- Monitoring for Drug Interactions: By maintaining a complete list of medications, pharmacists and doctors can identify and prevent potential drug interactions.
- Supporting Medical Readiness: Ensures that all personnel are medically ready for deployment and their duties by managing their health needs effectively.
How DA FORM 4028 is Used
Medical professionals fill out DA FORM 4028 whenever they prescribe medication to an Army member. The form includes detailed sections where the following information is recorded:
- Patient Identification: Includes details like name, rank, and service number.
- Medication Details: Lists the name, dose, and frequency of each medication prescribed.
- Prescriber Information: Details about the medical professional who prescribed the medication, including their name and contact information.
This structured approach helps maintain a clear and organized medication record for each individual.
Regulations Governing DA FORM 4028
DA FORM 4028 is prescribed by AR 40-66, which are the medical record administration and healthcare documentation guidelines followed by the Army. These regulations ensure that all prescribed medication forms are filled out correctly and consistently across the Army’s medical branches.
Importance of Compliance
Compliance with these guidelines is crucial because it:
- Enhances Patient Safety: Proper documentation helps prevent errors in medication administration.
- Facilitates Health Care Delivery: Accurate records help healthcare providers deliver more efficient and effective care.
- Supports Legal and Administrative Requirements: Ensures that all medical records can be used in legal contexts if necessary and supports administrative processes within the military.
Conclusion
DA FORM 4028 – Prescribed Medication is a vital tool in the management of healthcare within the Army. By providing a clear record of all medications prescribed, this form helps medical professionals ensure that they are delivering the best possible care to their patients. Understanding and using DA FORM 4028 correctly is essential for all Army healthcare providers to maintain the high standards of medical care required to support America’s soldiers.
By keeping these points in mind, individuals working with or around DA FORM 4028 can ensure they are leveraging this tool to its fullest potential, thereby supporting the overarching goal of maintaining the health and readiness of all service members.