DA Form 5669. Preventive Medicine Counseling Record

DA Form 5669 is used for documenting Preventive Medicine Counseling.

The form includes sections where information about preventive medicine counseling sessions, including counseling topics, recommendations, and follow-up actions, is entered. It serves to document discussions and recommendations related to preventive health measures.

Crucial fields in this form encompass counseling session details, topics discussed, recommendations, and any follow-up actions. Accurate completion of this record is important for maintaining a record of preventive medicine counseling and ensuring individuals receive appropriate health advice.

Application Example: A healthcare provider completes DA Form 5669 after conducting a preventive medicine counseling session with a patient. By accurately recording counseling topics and recommendations, the form aids in tracking preventive health measures and promoting individual well-being.