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DA Form 7595-1-14 Initiate Treatment for an Amputation
What Is DA Form 7595-1-14?
This is a military form that was released by the U.S. Department of the Army (DA) on April 1, 2014. The form, often mistakenly referred to as the DD Form 7595-1-14, 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 7595-1-14?
A: DA Form 7595-1-14 is a form used to initiate treatment for an amputation.
Q: What does the form initiate?
A: The form initiates treatment for an amputation.
Q: Who uses DA Form 7595-1-14?
A: This form is used by medical personnel to initiate treatment for an amputation.
Q: What is the purpose of the form?
A: The purpose of the form is to ensure proper documentation and treatment for an amputation.
Q: What information is required on the form?
A: The form requires information about the patient, the type of amputation, and the treatment being initiated.
Q: Is the form mandatory for amputation treatment?
A: Yes, the form is mandatory for initiating treatment for an amputation.
Q: When should the form be submitted?
A: The form should be submitted as soon as possible after an amputation occurs.
Q: Can the form be submitted electronically?
A: Electronic submission may be available, but it is best to check with your medical provider or military installation for their preferred method.
Q: Are there any additional documents required?
A: Additional medical records and documentation related to the amputation may be required, depending on the circumstances.
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 7595-1-14 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
