Form DD 689 PDF Details

Navigating through the intricacies of military health documentation, the DD Form 689 stands out as a vital tool, ensuring the well-being of service members is thoroughly monitored and recorded. This form, essentially an individual sick slip, serves as a clear channel of communication between unit commanders, medical officers, and the military healthcare system, enabling a structured approach to the management of illnesses and injuries within the armed forces. With sections designated for detailing the nature of the illness or injury, the patient's personal information, and the medical and command decisions regarding the service member's duty status, the form guarantees a comprehensive account of the service member's health condition. Whether it's designating a patient to duty, quarters, sick bay, or hospital, the DD Form 689 provides a standardized method for making and recording these critical decisions. Additionally, the form encapsulates remarks from both commanding and medical officers, offering insights into the circumstances surrounding the service member's health issue, including whether it occurred in the line of duty. The inclusion of specific fields for the service member’s name, rank, and service number, along with the signatures of the unit commander and medical officer, ensures accountability and traceability within the military's administrative and healthcare systems. As a document created in March 1963 and subject to updates, the DD Form 689 symbolizes an enduring commitment to the health and readiness of those serving in the military.

QuestionAnswer
Form NameForm DD 689
Form Length1 pages
Fillable?Yes
Fillable fields1
Avg. time to fill out27 sec
Other namesdd form 689, sick call slip, form sick, sick call slip army

Form Preview Example

 

 

INDIVIDUAL SICK SLIP

 

DATE

 

 

 

 

 

 

 

 

ILLNESS

INJURY

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME-FIRST NAME-MIDDLE INITIAL OF PATIENT

 

 

ORGANIZATION AND STATION

 

 

 

 

 

 

 

 

 

 

 

SERVICE NUMBER/SSN

GRADE/RATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT COMMANDER'S SECTION

 

 

MEDICAL OFFICER'S SECTION

 

 

 

 

 

 

 

 

 

 

IN LINE OF DUTY

 

 

 

IN LINE OF DUTY

 

 

 

 

 

 

 

 

 

 

 

REMARKS

 

 

 

DISPOSITION OF PATIENT

DUTY

QUARTERS

 

 

 

 

 

 

 

CHIEF COMPLAINT:

 

 

 

 

 

 

 

 

 

 

 

SICK BAY

HOSPITAL

 

 

___________________________________________________

 

 

 

 

NOT EXAMINED

OTHER (Specify):

 

 

___________________________________________________

 

 

 

 

REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF UNIT COMMANDER

SIGNATURE OF MEDICAL OFFICER

DD FORM 689, MAR 1963

PREVIOUS EDITIONS ARE OBSOLETE.

APD PE V2.00

 

 

INDIVIDUAL SICK SLIP

 

DATE

 

 

 

 

 

 

 

 

ILLNESS

INJURY

 

 

 

 

 

 

 

 

 

 

 

 

LAST NAME-FIRST NAME-MIDDLE INITIAL OF PATIENT

 

 

ORGANIZATION AND STATION

 

 

 

 

 

 

 

 

 

 

 

SERVICE NUMBER/SSN

GRADE/RATE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

UNIT COMMANDER'S SECTION

 

 

MEDICAL OFFICER'S SECTION

 

 

 

 

 

 

 

 

 

 

IN LINE OF DUTY

 

 

 

IN LINE OF DUTY

 

 

 

 

 

 

 

 

 

 

 

REMARKS

 

 

 

DISPOSITION OF PATIENT

DUTY

QUARTERS

 

 

 

 

 

 

 

CHIEF COMPLAINT:

 

 

 

 

 

 

 

 

 

 

 

SICK BAY

HOSPITAL

 

 

___________________________________________________

 

NOT EXAMINED

OTHER (Specify):

 

 

___________________________________________________

 

 

 

 

REMARKS

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SIGNATURE OF UNIT COMMANDER

SIGNATURE OF MEDICAL OFFICER

DD FORM 689, MAR 1963

PREVIOUS EDITIONS ARE OBSOLETE.

APD PE V2.00

How to Edit Form DD 689 Online for Free

In case you desire to fill out individual sick slip template, there's no need to download any programs - simply try our online tool. In order to make our editor better and less complicated to work with, we constantly work on new features, taking into account feedback coming from our users. Getting underway is simple! All you need to do is take the next easy steps below:

Step 1: Simply press the "Get Form Button" at the top of this webpage to open our form editing tool. Here you'll find everything that is required to fill out your file.

Step 2: With our state-of-the-art PDF tool, you may accomplish more than just fill out blank fields. Try all of the functions and make your documents seem high-quality with customized text added, or optimize the original content to excellence - all that accompanied by an ability to add stunning graphics and sign it off.

As for the blank fields of this precise form, here is what you should know:

1. It is very important fill out the individual sick slip template correctly, therefore be attentive while filling out the parts including these specific blanks:

sick slip completion process described (step 1)

2. Soon after finishing this step, go to the subsequent step and enter the essential particulars in these fields - INDIVIDUAL SICK SLIP, ILLNESS, INJURY, DATE, LAST NAMEFIRST NAMEMIDDLE INITIAL, ORGANIZATION AND STATION, SERVICE NUMBERSSN, GRADERATE, UNIT COMMANDERS SECTION, MEDICAL OFFICERS SECTION, IN LINE OF DUTY, IN LINE OF DUTY, REMARKS, CHIEF COMPLAINT, and DISPOSITION OF PATIENT.

sick slip writing process explained (part 2)

3. This next part should also be pretty straightforward, SIGNATURE OF UNIT COMMANDER, SIGNATURE OF MEDICAL OFFICER, DD FORM MAR, PREVIOUS EDITIONS ARE OBSOLETE, and APD PE v - each one of these form fields needs to be completed here.

Writing segment 3 of sick slip

You can easily get it wrong when filling in your SIGNATURE OF MEDICAL OFFICER, thus make sure you reread it before you decide to send it in.

Step 3: Right after double-checking the filled in blanks, press "Done" and you're all set! Make a 7-day free trial subscription at FormsPal and get instant access to individual sick slip template - download, email, or edit in your FormsPal account page. FormsPal guarantees your information privacy by using a secure system that never saves or shares any kind of private data involved in the process. Feel safe knowing your documents are kept protected any time you work with our editor!