DA 4700 1978 free printable template
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MEDICAL RECORD-SUPPLEMENTAL MEDICAL DATA For use of this form, see AR 40-66; the proponent agency is the Office of The Surgeon General REPORT TITLE Physical Therapy Re-Evaluation Form No Neck Pain
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How to fill out DA 4700
01
Obtain a copy of DA Form 4700 from the appropriate military or government source.
02
Enter your personal information at the top of the form, including your name, social security number, and unit information.
03
Complete the sections regarding the nature of the injury or illness, including dates and details.
04
Provide information about any medical treatment received, including facility names and dates of service.
05
Carefully review the certifications and affirmations at the end of the form.
06
Sign and date the form before submitting it to the appropriate office.
Who needs DA 4700?
01
DA 4700 is needed by service members seeking a medical evaluation board or those who have incurred injuries or illnesses during military service.
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What is DA 4700?
DA 4700 is a form used by the United States Army to report a soldier's dietary requirements and food preferences.
Who is required to file DA 4700?
Soldiers who have specific dietary needs, such as allergies or other medical conditions, are required to file DA 4700 to ensure their food requirements are met.
How to fill out DA 4700?
To fill out DA 4700, individuals must provide personal information, detail their dietary needs, and specify any food preferences or restrictions as applicable.
What is the purpose of DA 4700?
The purpose of DA 4700 is to ensure that soldiers' dietary needs are accurately recorded and addressed in military dining facilities.
What information must be reported on DA 4700?
DA 4700 requires reporting of personal information, dietary restrictions, allergies, and any specific food preferences that need to be accommodated.
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