DA Form 4665 Patients' Trust Fund - Daily Summary Record

What Is DA Form 4665?

This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2000. The form, often mistakenly referred to as the DD Form 4665, 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 DA Form 4665?
A: DA Form 4665 is the Patients' Trust Fund - Daily Summary Record.

Q: What is the purpose of DA Form 4665?
A: The purpose of DA Form 4665 is to record the daily summary of the Patients' Trust Fund.

Q: What is the Patients' Trust Fund?
A: The Patients' Trust Fund is a fund used for the benefit of patients in medical facilities.

Q: Why is it important to keep a daily summary record?
A: Keeping a daily summary record helps in accurately tracking and managing the Patients' Trust Fund.

Q: Who is responsible for maintaining DA Form 4665?
A: The person designated by a medical facility is responsible for maintaining DA Form 4665.

Q: What information is recorded on DA Form 4665?
A: DA Form 4665 includes information such as the date, starting balance, receipts, disbursements, ending balance, and other relevant details.

Q: Are there any specific guidelines for filling out DA Form 4665?
A: Yes, there are specific guidelines provided for filling out DA Form 4665, which should be followed to ensure accuracy and compliance.

Q: Is DA Form 4665 used only in the United States?
A: DA Form 4665 is primarily used in the United States and may not be applicable in other countries.

Q: Can patients access the Patients' Trust Fund?
A: No, the Patients' Trust Fund is managed by the medical facility and cannot be accessed directly by patients.

Q: What happens to the Patients' Trust Fund if a patient is discharged?
A: If a patient is discharged, any remaining balance in the Patients' Trust Fund may be refunded to them or utilized for future patients' needs as per facility guidelines.