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DA Form 4221 Diabetic Record
What Is DA Form 4221?
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 4221, 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 4221?
A: DA Form 4221 is a Diabetic Record form used by the military.
Q: Who uses DA Form 4221?
A: DA Form 4221 is used by military personnel, specifically those who are diabetic.
Q: What information is recorded on DA Form 4221?
A: DA Form 4221 records relevant information about a diabetic individual's medical history, medications, blood glucose levels, and any complications or symptoms experienced.
Q: Why is DA Form 4221 important?
A: DA Form 4221 is important for documenting and managing the medical care and treatment of diabetic military personnel, and ensuring proper monitoring and support.
Form Details:
- A 2-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 4221 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 4221 Diabetic Record
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