DA Form 5007b. Medical Record - Allergy Immunotherapy Record (Double Extract)

Form DA 5007b is a Medical Record - Allergy Immunotherapy Record (Double Extract). This form serves the same purpose as Form DA 5007a but is used when there are two or more extracts for allergy immunotherapy treatment. The form allows for documentation of multiple allergy extracts and their respective dosages.

The form consists of sections similar to Form DA 5007a, where information about the patient's allergies, immunotherapy treatment plan, and dosage schedule for each extract are recorded. The form may also include sections for documenting the patient's response to each treatment and any adverse reactions experienced.

Important fields in this form include accurate and comprehensive information about each allergy extract and the patient's response to treatment for each one. Properly documenting multiple allergy immunotherapy treatments is essential for monitoring the patient's progress and ensuring their safety during treatment.

Application Example: The military healthcare provider uses Form DA 5007b for a patient undergoing immunotherapy for multiple allergies. By using this form, the healthcare provider can keep a clear record of each extract's administration and assess the patient's overall response to treatment.