DAFORMFILLABLE.COM | DA FORM 8004 Fillable – Army Pubs 8004 PDF – The DA FORM 8004, officially titled “Army Substance Abuse Program (ASAP) Outpatient Medical Records – Privacy ACT Information,” is a crucial document used within the U.S. Army. This form, published on February 1, 2003, plays an essential role in managing the outpatient medical records associated with the Army’s Substance Abuse Program (ASAP).
DA FORM 8004 – Army Sustance Abuse Program (ASAP) Outpatient Medical Records – Privacy ACT Information
| Form Number | DA FORM 8004 |
| Form Title | Army Sustance Abuse Program (ASAP) Outpatient Medical Records – Privacy ACT Information |
| Form Date | 2/1/2003 |
| Form Proponent | TSG |
Overview of DA FORM 8004
What is DA FORM 8004?
DA FORM 8004 is a standardized document utilized by the U.S. Army to manage and record medical information related to the Army Substance Abuse Program (ASAP). This form ensures that the sensitive data of individuals undergoing substance abuse treatment is handled in compliance with the Privacy Act.
Key Information About DA FORM 8004
- Pub/Form Number: DA FORM 8004
- Pub/Form Date: 02/01/2003
- Pub/Form Title: Army Substance Abuse Program (ASAP) Outpatient Medical Records – Privacy ACT Information
- Pub/Form Proponent: TSG (The Surgeon General)
- Pub/Form Status: Active
- Prescribing Directive: AR 40-66
- Security Classification: Unclassified
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Pub/Form IDN: 990001
- Pub/Form PIN: 080725
Importance of DA FORM 8004
The DA FORM 8004 is vital for maintaining the confidentiality and integrity of medical records in the ASAP. It ensures that the Army complies with the Privacy Act, which safeguards the personal information of service members undergoing substance abuse treatment.
Components of DA FORM 8004
Privacy ACT Information
The form includes detailed Privacy Act Information, ensuring that all personnel understand the importance of protecting sensitive medical data. This section informs users about the legal requirements and the potential consequences of mishandling personal information.
Outpatient Medical Records
Outpatient medical records are a significant aspect of the form. These records track the treatment and progress of individuals enrolled in the ASAP, ensuring that they receive the appropriate care and support. The DA FORM 8004 facilitates accurate and secure documentation of this information.
Using DA FORM 8004 in Professional Settings
Compliance with AR 40-66
DA FORM 8004 is prescribed by AR 40-66, which outlines the policies and procedures for managing medical records within the Army. Compliance with AR 40-66 is mandatory, and the form ensures that all records are maintained according to these standards.
Electronic Media
One notable feature of the DA FORM 8004 is that it is only produced in electronic media. This ensures easier access and more efficient management of records, aligning with modern practices in data handling and storage.
Unclassified and Publicly Available
The form is classified as unclassified, meaning it does not contain sensitive national security information. It is also approved for public release, making it accessible to anyone who needs to use or understand it.
Conclusion
DA FORM 8004 – Army Substance Abuse Program (ASAP) Outpatient Medical Records – Privacy ACT Information is a pivotal document within the U.S. Army’s efforts to manage substance abuse treatment records securely and efficiently. By adhering to the guidelines set forth in AR 40-66 and the Privacy Act, this form helps protect the personal information of service members while ensuring they receive the care and support they need.
Understanding and correctly utilizing DA FORM 8004 is essential for all Army personnel involved in the ASAP. It not only ensures compliance with legal requirements but also upholds the integrity and confidentiality of the medical records under their care.
DA FORM 8004 Fillable – Army Pubs 8004 PDF DOWNLOAD
