DA Form 8004. Army Sustance Abuse Program (Asap) Outpatient Medical Records - Privacy Act Information

DA Form 8004 - Army Substance Abuse Program (ASAP) Outpatient Medical Records - Privacy Act Information is used to provide information to participants about the collection and use of their medical records in the ASAP.

The form consists of sections that explain the purpose and use of medical records, privacy act information, and participant acknowledgment. It may also include sections for classification and privacy act compliance.

Important fields in this form include the explanation of medical record use, the participant's acknowledgment, and privacy act compliance information. Accurate completion is important to ensure participants understand how their medical records will be used and disclosed.

Application Example: The form is used to inform participants in the ASAP about the collection and use of their medical records for treatment and program evaluation. Properly completed forms help participants make informed decisions about their participation and the use of their medical information.