DA Form 4159 Request for Medical Care in a Federal Medical Treatment Facility Outside Department of Defense

What Is DA Form 4159?

This is a military form that was released by the U.S. Department of the Army (DA) on May 1, 2009. The form, often mistakenly referred to as the DD Form 4159, 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 4159?
A: DA Form 4159 is the Request for Medical Care in a Federal Medical Treatment Facility Outside Department of Defense.

Q: What is the purpose of DA Form 4159?
A: The purpose of DA Form 4159 is to request medical care in a federal medical treatment facility outside the Department of Defense.

Q: Who uses DA Form 4159?
A: DA Form 4159 is used by military personnel and their dependents to request medical care.

Q: Is DA Form 4159 mandatory?
A: Yes, DA Form 4159 is mandatory for military personnel and their dependents seeking medical care outside the Department of Defense.

Q: Can civilians use DA Form 4159?
A: No, DA Form 4159 is specifically for military personnel and their dependents.

Q: Are there any fees associated with using DA Form 4159?
A: There may be fees associated with medical care provided in a federal medical treatment facility outside the Department of Defense, but these fees are not related to the form itself.

Q: What information is required on DA Form 4159?
A: DA Form 4159 requires information such as the patient's personal information, the nature of the medical condition, and the desired treatment facility.

Q: How long does it take to process a request on DA Form 4159?
A: The processing time may vary, but it is recommended to submit the form well in advance to allow for sufficient processing time.

Q: Can I submit a request for non-emergency medical care on DA Form 4159?
A: Yes, DA Form 4159 can be used to request non-emergency medical care in a federal medical treatment facility outside the Department of Defense.