We use cookies to improve security, personalize the user experience, enhance our marketing activities (including cooperating with our marketing partners) and for other business use.
Click "here" to read our Cookie Policy. By clicking "Accept" you agree to the use of cookies. Read less
Read more
Accept
Loading
Form preview
  • US Legal Forms
  • Form Library
  • More Forms
  • More Multi-State Forms
  • Da Form 4700

Get Da Form 4700

Rse) DEPARTMENT/SERVICE/CLINIC PREPARED BY (Signature & Title) PATIENT'S IDENTIFICATION (For typed or written entries give: Name first, middle; grade; date; hospital or medical facility) DATE (YYYYMMDD) last, HISTORY/PHYSICAL FLOW CHART OTHER EXAMINATION OR EVALUATION OTHER (Specify) DIAGNOSTIC STUDIES TREATMENT DA FORM 4700, FEB 2003 EDITION OF MAY 78 IS OBSOLETE. APD LC v1.01ES.

How it works

  1. Open form

    Open form follow the instructions

  2. Easily sign form

    Easily sign the form with your finger

  3. Share form

    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.

  1. Click ‘Get Form’ button to access the form and open it in your preferred online editor.
  2. Begin by filling out the report title section. Enter the date in the 'YYYYMMDD' format to indicate when the report is prepared.
  3. Provide the department, service, or clinic information related to the medical record. Clearly specify which area the report pertains to.
  4. In the prepared by section, include the signature and title of the individual completing the form, ensuring their role is clearly indicated.
  5. 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.
  6. Record the date in the specified 'YYYYMMDD' format.
  7. Complete the history/physical section, along with any relevant flow chart entries that may apply to the patient's medical assessment.
  8. If applicable, include information in the other examination or evaluation section, specifying what other factors were examined.
  9. Detail any diagnostic studies conducted, summarizing the findings and their implications for the patient’s health.
  10. Provide a comprehensive outline of the treatment plan in the treatment section, ensuring clarity and thoroughness.
  11. 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.

Get form

Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Get form

Related content

Regulations.gov
... Medical, and Fitness Forms; PFPA Form 1400, PFPA Form 6040, PFPA Form 1407, PFPA Form...
Learn more
Army Reguation 40-66: Medical Record...
Examples of forms that may be used for this purpose are DA Form 4700 (Medical...
Learn more
M9C - UserManual.wiki
ARMY TM 8-1005-317-23&P NAVY SW 370.AA-MMO-OlOl8mm AIR FORCE TO llW3-3-5-4 MARINE CORPS TM...
Learn more

Related links form

2001 Form 8404, (Fill-in Version). Interest Charge On DISC-Related Deferred Tax Liability Persons With Respect To Certain Foreign Corporations See Separate Instructions Form 8849 (Schedule 3) (Rev. January 2002). Gasohol Blending 2001 Form 8865 (Schedule O). Transfer Of Property To A Foreign Partnership

Questions & Answers

Get answers to your most pressing questions about US Legal Forms API.

Contact support

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.

The DA Form 4856 is a form used by the Department of the Army. It is a Developmental Counseling Form. This form is used to document counseling sessions given from counselors to soldiers in the Army. ... A copy of the DA Form 4856 should be kept by both parties.

DA FORM 3340. Pub/Form Date. 06/01/2018. Pub/Form Title. REQUEST FOR CONTINUED SERVICE IN THE REGULAR ARMY.

Form 5872 is completed by individuals and organizations applying to contract with the Texas Health and Human Services Commission (HHSC) to confirm they read the Pre-Application Orientation Guide required for the following contracts: Community Living Assistance and Support Services (CLASS)

A fillable DA 4187 Form is used by US Army soldiers to request personnel action. Also known as a Personnel Action Form, the soldier completes the form to request additional training, reassignment, extra rations, and name changes.

A DEPARTMENT OF DEFENSE (DOD) INSTRUCTION is a DoD issuance that implements the policy, or prescribes the manner or a specific plan or action for carrying out the policy, operating a program or activity, and assigning responsibilities.

What is a dd2058? What is a DD Form 2058 and what is it used for? The DD Form 2058, State of Legal Residence Certificate, can be found in the Finance Office and is used by the Defense Finance and. Accounting Service (DFAS) to indicate that you have changed your domicile for military pay purposes.

To view DOD Forms, Directives, and Instructions, visit the following link: https://www.esd.whs.mil/DD/. From this main page, click on the DOD Forms or DOD Issuances drop-down menus in the toolbar to search for a specific form, directive or instruction by issuance number or subject matter.

Requested copies are mailed from the Military Personnel Records Center. Most veterans who separated from their service generally pre-1992 can obtain their DD 214 from the National Personnel Records Center, ("NPRC"). The NPRC has two distinct tracks available to obtain records for veterans.

To view DOD Forms, Directives, and Instructions, visit the following link: https://www.esd.whs.mil/DD/. From this main page, click on the DOD Forms or DOD Issuances drop-down menus in the toolbar to search for a specific form, directive or instruction by issuance number or subject matter.

Get This Form Now!

Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
Get form
If you believe that this page should be taken down, please follow our DMCA take down processhere.

Industry-leading security and compliance

US Legal Forms protects your data by complying with industry-specific security standards.
  • In businnes since 1997
    25+ years providing professional legal documents.
  • Accredited business
    Guarantees that a business meets BBB accreditation standards in the US and Canada.
  • Secured by Braintree
    Validated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.
Get Da Form 4700
Get form
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate WorkFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232