The Army Da Form 5484 is a form used to document Soldier's medical history. The form is also used to document medical and dental treatment and procedures undergone by the Soldier. The form must be completed by the Soldier's unit commander, healthcare provider, or dental care provider as appropriate. The information on the form helps commanders and healthcare providers make informed decisions about a Soldier's ability to continue to serve in the military. Incomplete or inaccurate information on the form can lead to misinformed decisions and may have negative consequences for the Soldier. It is important that the information on the form be complete and accurate so that commanders and healthcare providers can make informed decisions about a Soldier's health.
Question | Answer |
---|---|
Form Name | Da Form 5484 |
Form Length | 1 pages |
Fillable? | No |
Fillable fields | 0 |
Avg. time to fill out | 15 sec |
Other names | army 5484, da form 5484 pdf, form 5484e pdf, da form 5484 |
MISSION SCHEDULE/BRIEF
For use of the form, see AR
DATE*
AC#*
PC*
PI*
CREWMEMBERS*
FLIGHT* COND
MISSION*
ETD /*
ETE
INITIALS
PC |
BRIEFER |
|
|
RAV*
MS*
REMARKS
LEGEND
FLIGHT CONDITION
1. |
DAY |
4. |
IMC/SIM IMC |
2. |
NIGHT |
5. |
MULTI A/C |
3. |
ND |
6. |
TERRAIN FLT |
|
MS |
MISSION STATUS |
|
|
* MANDATORY FOR ALL FLIGHTS
DA FORM 5484, JAN 2006 |
PREVIOUS EDITIONS ARE OBSOLETE. |
APD PE v1.00 |