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DA Form 3647-1 Inpatient Treatment Record Cover Sheet (For Plate Imprinting)
What Is DA Form 3647-1?
This is a military form that was released by the U.S. Department of the Army (DA) on May 1, 1979. The form, often mistakenly referred to as the DD Form 3647-1, 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 3647-1?
A: DA Form 3647-1 is the Inpatient Treatment Record Cover Sheet.
Q: What is the purpose of DA Form 3647-1?
A: The purpose of DA Form 3647-1 is for Plate Imprinting on the Inpatient Treatment Record.
Q: What information is included in DA Form 3647-1?
A: DA Form 3647-1 includes information related to the inpatient treatment record, such as patient details and medical information.
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 3647-1 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
Download DA Form 3647-1 Inpatient Treatment Record Cover Sheet (For Plate Imprinting)
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