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DA Form 8004 Army Sustance Abuse Program (Asap) Outpatient Medical Records - Privacy Act Information
What Is DA Form 8004?
This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2003. The form, often mistakenly referred to as the DD Form 8004, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.
FAQ
Q: What is the DA Form 8004?
A: The DA Form 8004 is the Army Substance Abuse Program (ASAP) Outpatient Medical Records - Privacy Act Information form.
Q: What is the purpose of the DA Form 8004?
A: The purpose of the DA Form 8004 is to provide privacy act information for outpatient medical records in the Army Substance Abuse Program (ASAP).
Q: What is the Army Substance Abuse Program (ASAP)?
A: The Army Substance Abuse Program (ASAP) is a program designed to prevent and treat substance abuse in the Army.
Q: What does the DA Form 8004 contain?
A: The DA Form 8004 contains privacy act information, such as the purpose for collecting the information and the authority for collecting it.
Q: Who is required to fill out the DA Form 8004?
A: Individuals receiving outpatient treatment in the Army Substance Abuse Program (ASAP) are required to fill out the DA Form 8004.
Q: Is the information on the DA Form 8004 confidential?
A: Yes, the information on the DA Form 8004 is confidential and protected under the Privacy Act.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- Editable, free, and easy to use;
- Fill out the form in our online filing application.
Download an up-to-date fillable DA Form 8004 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
