DD Form 3111 Routine Immunization Screening Form: Adult

DD Form 3111 Routine Immunization Screening Form: Adult

What Is DD Form 3111?

This is a form that was released by the U.S. Department of Defense (DoD) on March 1, 2020. The form, often mistakenly referred to as the DA Form 3111 , 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 DoD.

FAQ

Q: What is DD Form 3111?
A: DD Form 3111 is the name of a Routine Immunization Screening Form for Adults.

Q: What is the purpose of DD Form 3111?
A: The purpose of DD Form 3111 is to screen adults for routine immunizations.

Q: Who uses DD Form 3111?
A: DD Form 3111 is used by healthcare providers to screen adults for routine immunizations.

Q: What information is included in DD Form 3111?
A: DD Form 3111 includes information about the individual's immunization history, current immunizations, and recommendations for future immunizations.

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Form Details:

  • A 2-page document available for download in PDF;
  • The latest version available from the Executive Services Directorate;
  • Editable, printable, and free to use;
  • Fill out the form in our online filing application.

Download an up-to-date fillable DD Form 3111 down below in PDF format or browse hundreds of other DoD Forms compiled in our online library.

Download DD Form 3111 Routine Immunization Screening Form: Adult

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