DA Form 7809. Summary of Care by Non-Military Medical Provider
The DA Form 7809, Summary of Care by Non-Military Medical Provider, is a document used to provide a summary of medical care provided to military personnel by non-military healthcare providers. The primary purpose of this form is to ensure that the military healthcare system has access to complete and accurate medical records for service members.
The form consists of several parts, including the patient's personal information, such as name and military identification number, the name and contact information of the non-military healthcare provider, and a summary of the care provided. There are also sections for the healthcare provider to indicate any follow-up care that may be needed and to certify that the information provided is true and accurate.
Important fields on the form include the date of the care provided, any diagnoses made, and any medications prescribed. It is essential to ensure that all information provided on the form is accurate and complete, as incomplete or inaccurate information could lead to delays in care or other complications.
Parties involved in filling out this form include the patient, the non-military healthcare provider, and military healthcare providers who will use the information to provide ongoing care to the service member.
When filling out the form, data required includes the patient's personal information, details of the care provided, and any follow-up care recommended by the non-military healthcare provider. Additionally, any relevant medical documents or test results should be attached to the form to provide a complete record of the care provided.
Examples of application and use cases for the DA Form 7809 include when a service member receives medical care while on leave, during temporary duty assignments, or while stationed overseas where military medical facilities are not available. The form ensures that the military healthcare system has access to complete and accurate medical records for service members, which can help improve the quality of care provided.
Strengths of the form include its ability to provide a comprehensive summary of care received from non-military healthcare providers, ensuring that military healthcare providers have access to accurate and complete medical records. A weakness of the form may be the potential for incomplete or inaccurate information if healthcare providers do not take the necessary time to ensure all details are recorded correctly.
Related forms include the DD Form 2766, Adult Preventive and Chronic Care Flowsheet, which is used to track medical care provided to service members by military healthcare providers, and the DD Form 2795, Pre-Deployment Health Assessment, which is used to assess a service member's health prior to deployment.
The DA Form 7809 differs from these forms in that it is specifically designed for use when a service member receives medical care from a non-military healthcare provider.
Submitting the form typically involves providing it to military healthcare providers who will then incorporate the information into the service member's medical record. The form should be stored in accordance with applicable regulations and policies governing the storage of medical records.