Military Form DA 7809

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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What is a DA 7809 used for?

DA Form 7809 is used by military personnel to document medical care received from civilian healthcare providers. This form helps ensure that essential medical information is accurately communicated to military medical facilities, promoting continuity of care for service members.

Who needs to fill out a DA 7809 form

Military personnel who have received medical care from non-military healthcare providers.

How to fill out a DA 7809 online?

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Access the form in the PDF editor.
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Complete all mandatory fields with accurate information.
Step 3
Step 3
Detail the medical care provided.
Step 4
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Frequently Asked Questions

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DA Form 7809 is a document that summarizes medical care provided to military personnel by non-military healthcare providers.

The form is not needed if care is received at a military treatment facility or if there have been no evaluations by civilian providers.

The form should be submitted promptly following the civilian medical encounter, as directed by military guidelines.

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