Get the free DA Form 7404

ESCORT BRIEFING CHECKLIST For use of this form, see DA PAM 6382; the proponent agency is DEEPER INITIAL BLOCKS WHEN COMPLETED 1. INFORMATION Escort duties as prescribed in DA PAM 6382, paragraphs

How to fill out da form 7404

1. Start by obtaining a copy of DA Form 7404, which is also known as the Field Medical Card. This form is used to document medical treatment provided to military personnel during field exercises or combat operations.
2. Begin filling out the form by entering the patient's information in the designated fields. This includes their name, rank, social security number, and date of birth. Make sure to double-check that you have accurately entered this information to avoid any mistakes.
3. Next, document the date and time of the initial treatment. This refers to the moment when the healthcare provider first administered medical assistance to the patient. It is important to be as precise as possible when recording this information.
4. Beneath the initial treatment section, include details about the patient's medical history, allergies, and current medications. This information is vital for healthcare providers to have a comprehensive understanding of the patient's health status.
5. Moving down the form, provide a brief description of the injury or illness that the patient is experiencing. Be concise yet specific in describing the symptoms and circumstances surrounding the medical condition.
6. In the treatment section, outline the specific medical interventions or procedures that were performed to address the patient's medical needs. This can include administering medication, providing first aid, or conducting further diagnostic tests.
7. Indicate the medication and dosage given to the patient, if applicable. Additionally, note any changes made to the patient's prescription during the course of treatment.
8. Remember to accurately record the healthcare provider's name, signature, and title. This verifies that the treatment was provided by a qualified medical professional.
9. Lastly, ensure that any additional documentation or notes related to the patient's treatment are attached to the back of the form. This ensures that important information is not overlooked or lost.

As for who needs DA Form 7404, it is primarily used by military healthcare providers in the field. This includes medics, corpsmen, doctors, nurses, and other medical personnel who are responsible for providing medical assistance to military personnel during operations or exercises. The form plays a crucial role in documenting the treatment provided and helps maintain accurate medical records for the military personnel.

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What is da form 7404?

Da Form 7404 is a form used by the military to report hazardous materials in use.

Who is required to file da form 7404?

All military personnel and civilian employees who handle hazardous materials are required to file Da Form 7404.

How to fill out da form 7404?

Da Form 7404 must be filled out accurately and completely, including all information about the hazardous materials being reported.

What is the purpose of da form 7404?

The purpose of Da Form 7404 is to ensure the safe handling and reporting of hazardous materials within the military.

What information must be reported on da form 7404?

Information such as the type of hazardous material, quantity, location, and any safety precautions must be reported on Da Form 7404.