What is DA Form 7809?
DA Form 7809, Summary of Care by Non-Military Medical Provider, is essential for documenting medical care received by military personnel from non-military healthcare providers. This form ensures that all relevant medical information is communicated accurately to military healthcare facilities. By providing a clear summary of care, it helps maintain continuity in treatment and supports the health and well-being of service members. Completing this form correctly is crucial for accessing benefits and ensuring that medical records are up to date.
What is DA Form 7809 used for?
DA Form 7809 is used to document patient care. It serves to:
- to provide a summary of medical services rendered.
- to ensure continuity of care for patients.
- to facilitate communication between providers.
How to fill out DA Form 7809?
- 1
Open the form in the PDF editor.
- 2
Fill out all required fields, including patient and provider information.
- 3
Provide detailed descriptions of care received.
- 4
Review the completed form for accuracy.
- 5
Create an electronic signature.
- 6
Click Done to download your form.
- 7
Submit the printed form according to the guidelines provided.
Who is required to fill out DA Form 7809?
Soldiers receiving care from non-military providers need this form completed by their civilian healthcare provider. Civilian providers fill it out to detail the services they rendered to the soldier.
When is DA Form 7809 not required?
If a soldier visits a military treatment facility (MTF), they do not need to fill out DA Form 7809. This form is unnecessary for care received in these military settings.
Additionally, if a soldier has not undergone any medical evaluations or treatments by a civilian provider, the form does not apply. Lastly, if the soldier's condition is already documented through other forms or records, DA Form 7809 may not be required.
When is DA Form 7809 due?
The deadline for DA Form 7809 is within 7 business days of the civilian care encounter. This ensures timely communication of any medical concerns that could affect the soldier's physical capacity, deployability, or ability to perform duties.
Soldiers must deliver the completed form to their Primary Care Manager (PCM) and Regional Care Coordinator (RCC), as well as provide it to their unit chain of command. Following these steps helps maintain proper medical records and supports the soldier's readiness.
How to get a blank DA Form 7809?
To obtain a blank DA Form 7809, you can access it directly through our website. The form is issued by the U.S. Army and is ready for you to fill out in our PDF editor.
How to sign DA Form 7809 online?
To sign the DA Form 7809 using PDF Guru, first, open the form in the PDF editor. Fill out all necessary fields, and when you're ready to sign, create a simple electronic signature within the platform.
After completing the form and adding your signature, click "Done" to download your signed document. Always consult official sources for specific signature requirements related to your form to ensure compliance.
Where to file DA Form 7809?
DA Form 7809 must be submitted to the to the following authorities:
- The soldier's Primary Care Manager (PCM)
- The soldier's Regional Care Coordinator (RCC)
- The soldier's unit chain of command1
Submission methods: online, mail or in-person.
