DA Form 4574-r Radiopharmaceutical Record

DA Form 4574-r Radiopharmaceutical Record

What Is DA Form 4574-r?

This is a military form that was released by the U.S. Department of the Army (DA) on November 1, 1976. The form, often mistakenly referred to as the DD Form 4574-r, 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 a DA Form 4574-r?
A: DA Form 4574-r is a Radiopharmaceutical Record form used in the military.

Q: What is the purpose of DA Form 4574-r?
A: The purpose of DA Form 4574-r is to record the use and disposal of radiopharmaceuticals in a military setting.

Q: Who uses DA Form 4574-r?
A: DA Form 4574-r is used by military personnel who handle radiopharmaceuticals.

Q: What information is recorded on DA Form 4574-r?
A: DA Form 4574-r records information such as the date, time, patient's name, type and quantity of radiopharmaceutical administered, and the individual administering the medication.

Q: Is DA Form 4574-r mandatory?
A: Yes, DA Form 4574-r is mandatory for the proper documentation and tracking of radiopharmaceutical usage in the military.

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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 4574-r down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 4574-r Radiopharmaceutical Record

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  • DA Form 4574-r Radiopharmaceutical Record, Page 1
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