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U.S. DOD Form dod-da-5181 SCREENING NOTE OF ACUTE MEDICAL CARE For use of this form see AR 40-66 the proponent agency is the Office of The Surgeon General. TIME PATIENT DEPARTS UNIT From DD Form 689 DATE YYYYMMDD SCREENER LOCATION TIME PATIENT ARRIVES BARRACKS CHIEF COMPLAINT PATIENT RESIDENCE TIME ENCOUNTER BEGINS DURATION VITAL SIGNS TEMPERATURE OFF POST POST HOUSING PULSE FIRST VISIT FOR THIS COMPLAINT YES NO TRANSIENT YES ALLERGIES BP RESP ...
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What is da 5181?
DA 5181 is a form used for reporting certain information to the authorities.
Who is required to file da 5181?
Entities or individuals specified by the authorities are required to file DA 5181.
How to fill out da 5181?
DA 5181 can be filled out by providing the requested information in each section of the form.
What is the purpose of da 5181?
The purpose of DA 5181 is to gather specific information for regulatory or compliance purposes.
What information must be reported on da 5181?
DA 5181 requires the reporting of specific information as determined by the authorities.
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