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DA Form 2984 Very Seriously Ill / Seriously Ill / Special Category Patient Report
What Is DA Form 2984?
This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2009. The form, often mistakenly referred to as the DD Form 2984 Component Privacy and Civil Liberties Report (42 U.s.c. 2000ee-1), 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 2984?
A: DA Form 2984 is a document used to report the status of very seriously ill, seriously ill, or special category patients.
Q: Who uses DA Form 2984?
A: DA Form 2984 is used by medical personnel, typically in the military, to report the status of patients.
Q: What information is included in DA Form 2984?
A: DA Form 2984 includes information such as the patient's personal details, diagnosis, treatment, and medical status.
Q: Why is DA Form 2984 important?
A: DA Form 2984 is important because it provides a standardized way to document and communicate the status of very seriously ill, seriously ill, or special category patients.
Q: Can civilians use DA Form 2984?
A: No, DA Form 2984 is typically used by medical personnel in the military and is not intended for civilian use.
Q: Is DA Form 2984 used in both the USA and Canada?
A: No, DA Form 2984 is primarily used by the United States Army and may not be used in Canada or other countries.
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 2984 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
