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

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

What Is DA Form 8004?

This is a military form that was released by the U.S. Department of the Army (DA) on February 1, 2003. The form, often mistakenly referred to as the DD Form 8004, is a military form used by and within the U.S. Army. As of today, no separate instructions for the form are provided by the DA.

FAQ

Q: What is the DA Form 8004?A: The DA Form 8004 is the Army Substance Abuse Program (ASAP) Outpatient Medical Records - Privacy Act Information form.

Q: What is the purpose of the DA Form 8004?A: The purpose of the DA Form 8004 is to provide privacy act information for outpatient medical records in the Army Substance Abuse Program (ASAP).

Q: What is the Army Substance Abuse Program (ASAP)?A: The Army Substance Abuse Program (ASAP) is a program designed to prevent and treat substance abuse in the Army.

Q: What does the DA Form 8004 contain?A: The DA Form 8004 contains privacy act information, such as the purpose for collecting the information and the authority for collecting it.

Q: Who is required to fill out the DA Form 8004?A: Individuals receiving outpatient treatment in the Army Substance Abuse Program (ASAP) are required to fill out the DA Form 8004.

Q: Is the information on the DA Form 8004 confidential?A: Yes, the information on the DA Form 8004 is confidential and protected under the Privacy Act.

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Form Details:

  • A 1-page document available for download in PDF;
  • The latest version available from the Army Publishing Directorate;
  • Editable, free, and easy to use;
  • Fill out the form in our online filing application.

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

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