DA FORM 4700 Fillable – Army Pubs 4700 PDF

DAFORMFILLABLE.COM | DA FORM 4700 Fillable – Army Pubs 4700 PDF – DA FORM 4700, titled Medical Record – Supplemental Medical Data, is an essential document used within the military medical system. This form, last updated on February 1, 2003, serves to document additional medical data that supplements existing medical records. Below, we will explore the purpose, usage, and significance of DA FORM 4700, ensuring a clear understanding for those needing to utilize this form in their professional duties.

DA FORM 4700 – Medical Record – Supplemental Medical Data

Form Number DA Form 4700
Form Title Medical Record – Supplemental Medical Data
Form Date 02/01/2003
Form Proponent TSG

Purpose of DA FORM 4700

DA FORM 4700 is primarily used to capture supplemental medical information that is not included in the standard medical records. This form helps ensure that all pertinent medical data is thoroughly documented, providing a comprehensive overview of a service member’s health status. The detailed data recorded on this form can be crucial for making informed medical decisions and for maintaining accurate medical histories.

Usage of DA FORM 4700

When to Use DA FORM 4700

DA FORM 4700 should be used whenever additional medical data needs to be documented beyond what is typically included in standard medical records. This might include specialized test results, extended treatment plans, or unique health observations that require detailed recording. The form ensures that no critical information is overlooked, thus supporting thorough medical care.

How to Fill Out DA FORM 4700

Filling out DA FORM 4700 involves several steps to ensure all necessary information is accurately captured:

  1. Patient Identification: Begin by documenting the patient’s identifying information, including name, rank, and medical identification number.
  2. Supplemental Data Entry: Record the specific supplemental medical data, ensuring clarity and completeness. This may include detailed notes on medical observations, specific test results, or extended treatment protocols.
  3. Signatures and Dates: Ensure that the form is signed by the appropriate medical personnel and dated to authenticate the information provided.

Importance of DA FORM 4700

Enhancing Medical Records

DA FORM 4700 plays a vital role in enhancing the completeness of medical records. By documenting supplemental data, healthcare providers can access a full spectrum of information, leading to better-informed medical decisions and improved patient care. This comprehensive documentation is particularly crucial in the military setting, where accurate and complete medical records are essential for ongoing health monitoring and treatment.

Compliance with AR 40-66

The use of DA FORM 4700 is prescribed by AR 40-66, the Army Regulation governing medical records. Compliance with this directive ensures that all medical data is consistently and accurately recorded, supporting the overall integrity and reliability of the military medical system.

Distribution and Accessibility

DA FORM 4700 is classified as UNCLASSIFIED and has a distribution restriction code of A, meaning it is approved for public release and distribution is unlimited. This ensures that the form is readily accessible for all medical personnel who need to use it.

Electronic Availability

Notably, DA FORM 4700 is only produced in electronic media, reflecting modern practices of digital record-keeping. This electronic availability facilitates easy access and efficient completion, ensuring that medical personnel can quickly document necessary supplemental medical data.


In summary, DA FORM 4700 – Medical Record – Supplemental Medical Data is a critical tool in the military medical system, ensuring that all supplemental medical data is thoroughly documented. Its proper use enhances the completeness and accuracy of medical records, supporting better patient care and compliance with regulatory directives. Understanding the purpose, usage, and importance of this form is essential for all medical personnel within the military framework.

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