DA Form 5007a. Medical Record - Allergy Immunotherapy Record (Single Extract)

Form DA 5007a is a Medical Record - Allergy Immunotherapy Record (Single Extract). This form is used to document the administration of allergy immunotherapy to military personnel or their dependents. The purpose of this form is to maintain a comprehensive record of the patient's allergy treatment and track their progress over time.

The form consists of sections where information about the patient's allergies, immunotherapy treatment plan, and dosage schedule are recorded. The form may also include sections for documenting the patient's response to treatment and any adverse reactions they may experience.

Important fields in this form include accurate and up-to-date information about the patient's allergies, treatment plan, and medication administration. Properly documenting allergy immunotherapy is crucial for tracking the patient's progress, ensuring their safety, and making informed decisions about their treatment.

Application Example: The military healthcare provider uses Form DA 5007a to document the administration of allergy immunotherapy to a service member's dependent. By using this form, the healthcare provider can monitor the patient's response to treatment and adjust the dosage or treatment plan as needed.

Related Forms: There may be other forms used for documenting medical treatments and procedures in military healthcare facilities.