DA Form 5007a Medical Record - Allergy Immunotherapy Record (Single Extract)

DA Form 5007a Medical Record - Allergy Immunotherapy Record (Single Extract)

What Is DA Form 5007a?

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 5007a, 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 5007a?
A: DA Form 5007a is a medical record for Allergy Immunotherapy Record (Single Extract).

Q: What information does DA Form 5007a contain?
A: DA Form 5007a contains information related to allergy immunotherapy, including details of the treatment and any adverse reactions.

Q: Who uses DA Form 5007a?
A: DA Form 5007a is used by medical personnel to track and monitor allergy immunotherapy treatment.

Q: Is DA Form 5007a required for all allergy immunotherapy treatments?
A: Yes, DA Form 5007a is required to document and track all allergy immunotherapy treatments.

Q: Can I access my own DA Form 5007a?
A: Yes, you should be able to request a copy of your own DA Form 5007a from the medical facility where you received allergy immunotherapy treatment.

Q: What should I do if I experience an adverse reaction during allergy immunotherapy?
A: If you experience an adverse reaction during allergy immunotherapy, you should immediately notify the medical personnel administering the treatment.

Q: Can DA Form 5007a be used for other medical records?
A: No, DA Form 5007a is specifically designed for allergy immunotherapy records and should not be used for other medical purposes.

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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;

Download an up-to-date fillable DA Form 5007a down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 5007a Medical Record - Allergy Immunotherapy Record (Single Extract)

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  • DA Form 5007a Medical Record - Allergy Immunotherapy Record (Single Extract), Page 1
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