DA Form 7760 Medical Clinic Clearance for Respirator Use

DA Form 7760 Medical Clinic Clearance for Respirator Use

What Is DA Form 7760?

This is a military form that was released by the U.S. Department of the Army (DA) on March 1, 2016. The form, often mistakenly referred to as the DD Form 7760, 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 7760?A: DA Form 7760 is a Medical Clinic Clearance form for Respirator Use.

Q: What is the purpose of DA Form 7760?A: The purpose of DA Form 7760 is to assess an individual's medical fitness for respirator use.

Q: Who requires a DA Form 7760?A: Individuals who need to use a respirator are required to complete and submit a DA Form 7760.

Q: What information is required on a DA Form 7760?A: A DA Form 7760 requires personal identification information, medical history, and the signature of a qualified medical professional.

Q: How long is a DA Form 7760 valid?A: The validity of a DA Form 7760 is determined by the medical clinic and may vary depending on the individual's medical condition and the specific respirator being used.

Q: What should I do if my DA Form 7760 expires?A: If your DA Form 7760 expires, you should contact your medical clinic to schedule a new assessment.

Q: Can I use a DA Form 7760 from a previous unit?A: No, DA Forms 7760 are not transferable between units. You will need to complete a new form for your current unit.

Q: Can I use a respirator without a DA Form 7760?A: No, a DA Form 7760 is required to ensure that individuals are medically cleared to use a respirator.

Q: Can I submit a photocopy of a DA Form 7760?A: No, only original copies of DA Form 7760 are accepted by medical clinics.

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Form Details:

  • A 2-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 7760 down below in PDF format or browse hundreds of other DA Forms stored in our online database.

Download DA Form 7760 Medical Clinic Clearance for Respirator Use

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