Dd Form 2343 PDF Details

In the landscape of United States military services, the health and well-being of animals associated with service members hold significant importance. The DD Form 2343, titled "Veterinary Health Record," serves as a comprehensive document for tracking the health care of animals under the Department of Defense's care. Rooted in the authority granted by various legislative and regulatory sources, including 10 U.S.C. 136, DoD Directive 5136.01, and others, this form fulfills a critical role in establishing and maintaining detailed health records for these animals. It is designed with the principal purpose of not only recording the care or treatment received by an animal but also facilitating the follow-up communication with animal owners. Furthermore, it supports preventive health and communicable disease control programs by enabling the sharing of medical conditions as mandated by law with federal, state, and local agencies. The voluntary nature of the form underscores the importance of the information it collects, as failure to provide the necessary data can result in an animal being denied veterinary care. Detailed sections on the form capture sponsor data, including name and contact information, and comprehensive animal data like species, breed, and medical history, including immunizations and laboratory procedures. The DD Form 2343 stands as a vital tool in the operational readiness and health surveillance of animals associated with the United States military, ensuring their well-being and ability to fulfill their roles alongside service members.

QuestionAnswer
Form NameDd Form 2343
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other namesform veterinary health record, dd form 2343, dd form health record, dd form 2343 pdf

Form Preview Example

VETERINARY HEALTH RECORD

PRIVACY ACT STATEMENT

AUTHORITY: 10 U.S.C. 136; DoD DIrective 5136.01; Army Regulation 40-905, SECNAVINST 6401-1B; AFI 48-131.

PRINCIPAL PURPOSE(S): To establish and maintain health records of animals and to locate animal owners for follow-up notification of care or treatment received.

ROUTINE USE(S): The information may be used to aid in preventive health and communicable disease control programs, report medical conditions required by law to Federal, state, and local agencies. The DoD Blanket Routine Uses found at: http://dpclo.defense.gov/privacy/SORNs/blanket_routine_uses.html may also apply.

DISCLOSURE: Voluntary. However, if you fail to provide the requested information, the animal will not be provided veterinary care.

1. SPONSOR DATA

 

 

 

 

 

 

 

 

a. NAME (Last, First, Middle Initial)

 

 

 

 

b. GRADE OR RANK

 

 

 

 

 

 

 

 

 

 

c. HOME ADDRESS (Street, City, State, Zip Code)

d. PERSONAL TELEPHONE NO. (Include Area Code)

 

 

 

 

 

 

 

 

 

 

 

e. DUTY STATUS (X one)

f. RESIDENCE (X one)

 

 

 

ACTIVE

 

RETIRED

 

ON POST

 

OFF POST

 

 

 

 

 

 

 

 

 

g. ORGANIZATION

 

 

 

 

h.

DUTY PHONE (Include Area Code)

 

 

 

 

 

 

 

 

 

2. ANIMAL DATA

a. NAME

b. SPECIES

c. BREED

d. COLOR

e. DATE OF BIRTH

f. SEX

g. MICROCHIP #

3. IMMUNIZATION DATA

 

 

a. DATE

b. VACCINE

c. MANUFACTURER

d. LOT

TYPE

NUMBER

 

 

a. DATE

b.VACCINE TYPE

c. MANUFACTURER

d.LOT

NUMBER

DD FORM 2343, AUG 2013

PREVIOUS EDITION IS OBSOLETE.

Adobe Professional X

4. LABORATORY PROCEDURES

a. DATE

b. LABORATORY TEST - RESULT - REMARKS

a. DATE

b. LABORATORY TEST - RESULT - REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5. MASTER PROBLEM LIST

a. PROBLEM NO.

b. DESCRIPTION

c. DATE

d. DATE

ENTERED

RESOLVED

 

 

DD FORM 2343 (BACK), AUG 2013

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DD FORM  AUG, DD FORM  AUG, and PREVIOUS EDITION IS OBSOLETE Adobe of form veterinary record online

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