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DA Form 5569 Isoniazid (Inh) Clinic Flow Sheet
What Is DA Form 5569?
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 5569, 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 DA Form 5569?A: DA Form 5569 is a form used to record information about the administration of Isoniazid (Inh) in a clinic.
Q: What is Isoniazid?A: Isoniazid is a medication used to treat tuberculosis.
Q: What is a clinic flow sheet?A: A clinic flow sheet is a document used to track and record patient information during a clinic visit.
Q: Why is DA Form 5569 used?A: DA Form 5569 is used to accurately document the administration of Isoniazid in a clinic setting.
Q: Who fills out DA Form 5569?A: The healthcare provider or clinic staff responsible for administering Isoniazid fills out DA Form 5569.
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.
Download an up-to-date fillable DA Form 5569 down below in PDF format or browse hundreds of other DA Forms stored in our online database.
