DAFORMFILLABLE.COM | DA FORM 8005-4, titled Outpatient Treatment Records, is a crucial document in military medical administration. Published on November 1, 2012, this form is designed to maintain and organize outpatient treatment records for military personnel. It plays a vital role in the healthcare management system, ensuring that medical histories are accurately recorded and easily accessible for ongoing and future treatment.
DA FORM 8005-4 – Outpatient Treatment Records
| Form Number | DA FORM 8005-4 |
| Form Title | Outpatient Treatment Records |
| Form Date | 11/01/2012 |
| Form Proponent | TSG |
Purpose and Use of DA FORM 8005-4
The primary purpose of DA FORM 8005-4 is to document the outpatient medical treatment of military personnel. This form is part of the medical records that healthcare providers use to track a patient’s medical history, diagnoses, treatments, and follow-ups. Proper documentation using this form ensures continuity of care and facilitates efficient medical management.
Key Features
- Publication Number: DA FORM 8005-4
- Publication Date: November 1, 2012
- Title: Outpatient Treatment Records
- Unit of Issue: CS, FL
- Proponent: TSG (The Surgeon General)
- Status: Active
- Prescribing Directive: AR 40-66
- Footnote: 44-Critical Item
- Security Classification: Unclassified
- Distribution Restriction Code: A (Approved for public release; distribution is unlimited)
- Publication IDN: 990001
- Publication PIN: 069422
Importance in Military Medical Administration
Record Keeping and Continuity of Care
Accurate record-keeping using DA FORM 8005-4 is essential for maintaining the health and readiness of military personnel. The form allows healthcare providers to document patient interactions systematically, which is crucial for tracking treatment progress and making informed medical decisions.
Compliance with Regulations
The use of DA FORM 8005-4 is mandated by AR 40-66, ensuring that all medical records meet the required standards. Compliance with this regulation is critical for maintaining the integrity and accuracy of medical documentation within the military healthcare system.
How to Fill Out DA FORM 8005-4
Sections of the Form
DA FORM 8005-4 is divided into several sections, each serving a specific purpose:
- Patient Identification Information: This section includes the patient’s name, rank, social security number, and other identifying details.
- Medical History: This part records the patient’s past medical history, including previous illnesses, surgeries, and chronic conditions.
- Current Medical Complaints and Diagnoses: Here, healthcare providers document the patient’s current health issues and diagnoses.
- Treatment and Medication: This section details the treatments administered and medications prescribed to the patient.
- Follow-Up and Referrals: Any follow-up appointments or referrals to specialists are recorded in this part of the form.
Tips for Accurate Completion
- Ensure Legibility: Write clearly to avoid any misinterpretation of the information.
- Provide Complete Information: Include all relevant details to ensure comprehensive documentation.
- Update Regularly: Keep the form updated with the latest medical information to maintain an accurate record.
Security and Accessibility
DA FORM 8005-4 is classified as UNCLASSIFIED, which means it does not contain sensitive information requiring restricted access. However, it is critical to handle these forms with care to protect patient confidentiality and comply with HIPAA (Health Insurance Portability and Accountability Act) regulations.
Conclusion
DA FORM 8005-4 – Outpatient Treatment Records is an indispensable tool in military healthcare administration. Its systematic use ensures accurate record-keeping, compliance with regulations, and continuity of care for military personnel. By understanding the purpose, importance, and proper usage of this form, healthcare providers can significantly enhance the quality and efficiency of medical services provided to service members.