DA FORM 7625-2 NOV 2006 Page 1 of 2 APD LC v1. 01ES 6. Potential for life threatening event for example allergic reaction seizure heat exhaustion 7.
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How to fill out the DA 7625 2 Form online
Filling out the DA 7625 2 Form online can streamline your process and ensure that all necessary information is accurately captured. This guide will provide step-by-step instructions to help you through each section of the form.
Follow the steps to complete the form efficiently.
- Click 'Get Form' button to access the DA 7625 2 Form. This allows you to obtain the document and open it for editing.
- In Part A - General Information, fill in the child's name, date of birth in the format YYYYMMDD, type of placement requested, and the date of review also in the format YYYYMMDD.
- Proceed to Part B - Medical Factors. Here, provide detailed information about medications, including type, dosage, and frequency. If there are none, indicate that as well.
- Continue in Part B by addressing physical accommodations. Include any facility accessibility assessments, assistive devices or technology needed, and explain any other accommodations required.
- Detail assistance with activities of daily living in Part B. Specify if assistance is needed with dressing, eating, toileting/diapering, or any other activities.
- List any dietary restrictions in Part B. Include food allergies, special diet requirements, and any other dietary information that needs to be explained.
- Describe any routine medical procedures required in Part B, such as glucose monitoring, use of nebulizers, or any other medical procedures that apply.
- Assess the potential for life-threatening events in Part B, such as allergic reactions or seizures, and provide relevant details.
- In Part C - Staff Training, indicate the type of training required, the trainer's name, the projected training date in YYYYMMDD format, the frequency of training, and the location where training will occur.
- Finally, ensure you include the signature of the Army Public Health Nurse and the corresponding date in the format YYYYMMDD at the end of Part C.
- After completing the form, review all entries for accuracy. You can save your changes, download the completed document, print it, or share it as needed.
Complete your DA 7625 2 Form online today and ensure a smooth application process.
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