DA Form 4160. Patient`s Personal Effects and Clothing Record

The DA Form 4160, also referred to as the "Patient's Personal Effects and Clothing Record," used to document and track the personal belongings and clothing of patients admitted a medical treatment facility.

This form consists of multiple sections that need to be completed accurately. The first section requires the patient's personal information, including their name, rank, social security number, and contact details. The second section focuses on recording the patient's personal effects, such as jewelry, money, and other valuable items, along with a description and estimated value of each item.

Another important section of the form is dedicated to documenting the patient's clothing. This includes listing the types and quantities of clothing items provided to the patient upon admission, well as any additional clothing items acquired during their stay at the medical treatment facility.

It crucial to carefully document and account for the patient's personal effects and clothing to ensure their safekeeping and prevent loss or misplacement. This form helps establish a record of the patient's belongings and serves a reference for both the medical staff and the patient.

The parties involved in this form are the patient, the medical staff responsible for admitting and caring for the patient, and the administrative personnel responsible for maintaining the records.

Examples of application and use cases for the DA Form 4160 include situations where a patient is admitted to a medical treatment facility for an extended period, such as during hospitalization or rehabilitation. is essential to accurately document the patient's personal effects and clothing to facilitate their return upon discharge.

An alternative form that may be used in certain circumstances is the DD Form 139, which is specifically designed for documenting personal property of military personnel being separated from the service. However, the DA Form 0 is primarily used for tracking personal belongings and clothing within a medical treatment facility.