Loading
Get Da Form 4700
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the Da Form 4700 online
The Da Form 4700 is a crucial document used for medical record documentation within the military. This guide provides clear, step-by-step instructions on how to complete the form online, ensuring a smooth and efficient process.
Follow the steps to complete the Da Form 4700 effectively.
- Click ‘Get Form’ button to access the form and open it in your preferred online editor.
- Begin by filling out the report title section. Enter the date in the 'YYYYMMDD' format to indicate when the report is prepared.
- Provide the department, service, or clinic information related to the medical record. Clearly specify which area the report pertains to.
- In the prepared by section, include the signature and title of the individual completing the form, ensuring their role is clearly indicated.
- Fill out the patient's identification details by entering their name (first, middle, last), grade, date, and the name of the hospital or medical facility.
- Record the date in the specified 'YYYYMMDD' format.
- Complete the history/physical section, along with any relevant flow chart entries that may apply to the patient's medical assessment.
- If applicable, include information in the other examination or evaluation section, specifying what other factors were examined.
- Detail any diagnostic studies conducted, summarizing the findings and their implications for the patient’s health.
- Provide a comprehensive outline of the treatment plan in the treatment section, ensuring clarity and thoroughness.
- Once all fields are completed, save your changes, then choose to download, print, or share the form as needed.
Start completing your documents online today for a seamless experience.
Related links form
A DA Form 4187 will be used by the Department of the Army. This particular form is known as a Personnel Action form. It is used by a soldier who wants to request a personnel action on their own behalf. This could include training, reassignment, extra rations, name changes, and more.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.