DA Form 8001 PDF Details

Your health record is maintained as the property of the U.S. Government.

Safety: if you threaten to harm yourself, we may seek hospitalization and/or contact others to ensure your safety.

Threats to another: if you threaten serious bodily harm to another, we are required to take protective actions.

Legal: if you are involved in legal actions/proceedings, your records may be subject to subpoena or court order.

Outside the clinic: in most cases, your information will not be disclosed outside the clinic/hospital setting without your written permission.

Accountability: your commander may confirm that you attended a scheduled appointment for accountability.

QuestionAnswer
Form NameDA Form 8001
Form Length1 page
Fillable?Yes
Fillable fields10
Avg. time to fill out2 min
EditionMAR 2019
Proponent agencyOffice of The Surgeon General (AR 40-66)
Matches the agency's fileYes, checked October 4, 2026
Other namesDA Form 8001, DA 8001, Army 8001, Limits of Confidentiality
Official sourceDA Form 8001 (MAR 2019), Office of The Surgeon General