DA Form 7303 Donor / Recipient History Interview

DA Form 7303 Donor / Recipient History Interview

What Is DA Form 7303?

This is a military form that was released by the U.S. Department of the Army (DA) on January 1, 1994. The form, often mistakenly referred to as the DD Form 7303, 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 the DA Form 7303?
A: The DA Form 7303 is a form used for the Donor/Recipient History Interview.

Q: What is the purpose of the Donor/Recipient History Interview?
A: The purpose of the interview is to gather information about a person's medical history and lifestyle to assess their eligibility to donate or receive blood or tissue.

Q: Who uses the DA Form 7303?
A: The form is used by medical personnel conducting the Donor/Recipient History Interview.

Q: What type of information is collected in the interview?
A: The interview collects information about the individual's medical history, current medications, lifestyle, and any potential risk factors for infectious diseases.

Q: Is the information collected in the interview confidential?
A: Yes, the information collected is confidential and protected by medical privacy laws.

Q: Can the DA Form 7303 be completed electronically?
A: Yes, the form can be completed electronically or on paper, depending on the preferences of the medical facility.

Q: Can individuals refuse to participate in the interview?
A: Yes, individuals have the right to refuse to participate in the Donor/Recipient History Interview.

Q: How long does the interview typically take?
A: The interview can vary in length depending on the individual, but it generally takes about 15-30 minutes to complete.

Q: Are there any specific requirements to be eligible to donate blood or tissue?
A: Yes, there are specific requirements such as age, weight, and overall health that must be met to be eligible to donate blood or tissue.

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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 7303 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 7303 Donor / Recipient History Interview

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