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Sample DA Form 4700 Medical Record - Supplemental Medical Data - U.S. Army Medical Department, General Leonard Wood Army Community Hospital
What Is DA Form 4700?
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 4700, 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 4700?
A: The DA Form 4700 is a Medical Record - Supplemental Medical Data form used by the U.S. Army Medical Department.
Q: What is the purpose of DA Form 4700?
A: The purpose of the DA Form 4700 is to gather supplemental medical data for US Army personnel.
Q: What information is collected on the DA Form 4700?
A: The DA Form 4700 collects information such as patient's personal details, medical history, and relevant medical data.
Q: Who uses the DA Form 4700?
A: The DA Form 4700 is used by the U.S. Army Medical Department and healthcare providers.
Form Details:
- A 1-page document available for download in PDF;
- The latest version available from the Army Publishing Directorate;
- A printable and free sample of DA Form 4700;
- Fill out the form in our online filing application.
Download an up-to-date printable DA Form 4700 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
