DD Form 503. Health Assessment Certificate for Segregation

DD Form 503 - Health Assessment Certificate for Segregation is used to document the medical assessment of a prisoner's physical and mental health before placing them in segregation within the Department of Defense confinement facilities.

The form consists of sections where the medical assessment results, including the prisoner's health status, any medical conditions, and any recommended accommodations, are recorded. It serves as a record of the health assessment before segregation.

Key fields in this form include the prisoner's medical information, assessment results, any medical conditions, and recommended accommodations. Accurate completion is crucial to ensure that the prisoner's health status and any necessary accommodations are documented.

Application Example: Before placing a prisoner in segregation, medical personnel complete DD Form 503, conducting a health assessment and documenting the prisoner's health status, medical conditions, and recommended accommodations. Proper completion ensures the prisoner's health needs are considered before segregation.

There are no direct analogues to this form, as it specifically addresses the need to document the health assessment before placing a prisoner in segregation within the Department of Defense confinement facilities.