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Get Da 4049 1973-2025
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How to fill out the DA 4049 online
The DA 4049 form is essential for documenting a patient's clearance during discharge. This guide provides clear, step-by-step instructions to assist users in accurately completing the form online.
Follow the steps to fill out the DA 4049 form online.
- Click ‘Get Form’ button to access the DA 4049 form and open it in your preferred online editor.
- In the ‘Date of Discharge’ field, input the date when the patient is scheduled to be discharged. Ensure that the format matches any specified requirements.
- Enter the ‘Time of Discharge’ in the designated field. It is important to provide the correct time to avoid confusion.
- Have the ward officer sign in the ‘Signature of Ward Officer’ section, confirming the clearance for the patient.
- In the ‘Patient's Identification’ section, enter the necessary identifying information about the patient. This could include name, military ID number, and other relevant details.
- For ‘Activity Clearance’, indicate whether this is a military or non-military clearance by selecting the appropriate option.
- Complete the initials section marked with asterisks, ensuring that you include the initials of the person authorizing the clearance.
- Fill in the relevant sections regarding the initial activities the patient needs to clear, such as Patient's Trust Fund, Medical Services Account Officer, Clothing and Baggage, and others as needed.
- If there are any remarks or special notes regarding the discharge, include them in the ‘Remarks’ section provided.
- Lastly, have the patient administrator sign in the ‘Signature of Patient Administrator’ section to authorize the completion of the form.
- After completing all sections, ensure to save your changes, download the document for your records, print if necessary, or share it with the relevant parties.
Start filling out your DA 4049 form online today!
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