DA

DA Form 5192. Family Identification Sheet for a Child Receiving Service

DA Form 5192. Family Identification Sheet for a Child Receiving Service

DA Form 5192 serves as a family identification sheet for children receiving services within the Army's support systems. This form aids in maintaining accurate records of family details and facilitating communication and coordination for services.

The form consists of sections where the child's family provides their contact information, family structure, household members, and any relevant medical or support needs. Additional sections may include emergency contact information and consent for sharing information.

DA Form 5191. Information on Individual With Disability

DA Form 5191. Information on Individual With Disability

DA Form 5191 is employed to gather information about individuals with disabilities, aiding in the documentation and understanding of their unique needs. This form supports the Department of the Army's commitment to inclusivity and provision of appropriate accommodations.

The form consists of sections where individuals or their caregivers provide personal details, specific disability information, and required accommodations or support. It may also include sections for medical history, treatment plans, and contact information.

DA Form 5190. Clinician`s Information

DA Form 5190. Clinician`s Information

DA Form 5190 serves as a means to collect and document essential information about clinicians within the Department of the Army's healthcare system. This form aids in maintaining accurate records of clinician details and expertise for administrative and staffing purposes.

The form consists of sections where clinicians provide their personal information, professional credentials, specialized areas of expertise, and relevant contact details. Additional sections may include employment history, education, and references.

DA Form 5187. Application for Respite Caregivers

DA Form 5187. Application for Respite Caregivers

DA Form 5187, Application for Respite Caregivers, is utilized by military families seeking respite care services for their family members with special needs. The form facilitates the application process and helps determine the eligibility and specific requirements for respite care assistance.

The form consists of sections where the applicant provides their family and contact information, details about the family member requiring care, the nature of the special needs, and the requested duration and type of respite care services needed.

DA Form 5181. Screening Note of Acute Medical Care

DA Form 5181. Screening Note of Acute Medical Care

DA Form 5181, Screening Note of Acute Medical Care, is used by medical personnel to document initial assessments and observations of patients receiving acute medical care. The form aids in recording critical information for proper diagnosis and treatment.

The form consists of sections where the healthcare provider records patient identification, medical history, vital signs, presenting symptoms, physical examination findings, initial diagnoses, and recommended treatments. Additionally, space is provided for documenting follow-up plans and any changes in the patient's condition.

DA Form 5179-1. Intraoperative Document

DA Form 5179-1. Intraoperative Document

DA Form 5179-1, Intraoperative Document, serves as a crucial record during surgical procedures to document important information and actions taken during the operation. This form is used to ensure accurate communication between the surgical team and to maintain a comprehensive record for post-operative assessment.

The form consists of sections where the surgical team records patient information, surgical procedure details, anesthesia information, equipment used, medications administered, and any unexpected events or complications encountered during surgery.

DA Form 7820-1. Law Enforcement Day Pistol Qualification Scorecard

DA Form 7820-1. Law Enforcement Day Pistol Qualification Scorecard

DA Form 7820-1 - Law Enforcement Day Pistol Qualification Scorecard is used to record and document law enforcement personnel's pistol qualification scores during training.

The form comprises sections for trainee information, qualification details, scores, and instructor verification. It might also involve sections for classification and authentication.

DA Form 918a. Agreement for Establishment and Maintenance of an Army Senior Reserve Officers' Training Corps Unit

DA Form 918a. Agreement for Establishment and Maintenance of an Army Senior Reserve Officers' Training Corps Unit

DA Form 918a - Agreement for Establishment and Maintenance of an Army Senior Reserve Officers' Training Corps Unit is used to formalize the agreement between the Army and an educational institution for the establishment and maintenance of an Army Senior ROTC unit.

The form includes sections where the terms and conditions of the agreement are outlined, including responsibilities, obligations, resources, and commitments from both parties.