DA Form 2984. Very Seriously Ill/Seriously Ill/Special Category Patient Report

DA Form 2984 is a report form used to document and report the condition and status of very seriously ill, seriously ill, or special category patients within the U.S. Army medical system. This form helps provide essential information for medical personnel and administrators to ensure appropriate care and support for these patients.

The form consists of sections where the reporting individual can provide information about the patient, including their personal details, medical condition, treatment plan, and any special or requirements. It may include checkboxes or fields to indicate the severity of illness or special category designation.

Important fields in this form include accurately documenting the patient's personal information, describing their medical condition and treatment plan, and noting any special or requirements. It is crucial to provide comprehensive and up-to-date information to support effective medical care and decision-making.

Application Example: Medical personnel and within the U.S. Army use DA Form 2984 to report the condition and status of very seriously ill, seriously ill, or special category patients. This form helps ensure appropriate care and support for these patients within the military medical system.

Related Forms: Depending on the specific medical reporting and documentation requirements, additional forms or records related to patient care and management may be necessary in conjunction with DA Form 2984.