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DA Form 4856 Examples: A Comprehensive Guide for Understanding and Completing the Form
Navigating the world of military paperwork can be daunting, especially when dealing with forms that dictate crucial aspects of your service. The DA Form 4856, the "Record of Medical Examination," is one such form, crucial for documenting a soldier's medical fitness and history. This comprehensive guide provides multiple DA Form 4856 examples, detailed explanations, and insights to help you understand its purpose and how to complete it accurately. Whether you're a soldier preparing for deployment, a medical professional recording examination results, or simply curious about this important document, this post will equip you with the knowledge you need.
Understanding the DA Form 4856: Purpose and Key Sections
The DA Form 4856 serves as a standardized record of a soldier's medical examination. It's not just a simple checklist; it's a critical document used for various purposes, including:
Determining Medical Fitness: This form plays a vital role in assessing a soldier's physical and mental fitness for duty, deployment, or specific roles within the military.
Tracking Medical History: It meticulously documents a soldier's medical history, including past injuries, illnesses, and treatments, providing a complete picture of their overall health.
Supporting Medical Claims: The information recorded on this form can be essential in supporting medical claims or disability applications.
Facilitating Medical Transfers: When soldiers transfer between units or installations, this form ensures a seamless transition of their medical records.
The form itself is divided into several key sections:
1. Soldier Information:
This section requires the accurate and complete input of the soldier's personal details, including name, rank, social security number, and unit information. Accuracy here is paramount to prevent any confusion or misidentification.
2. Date and Time of Examination:
This section clearly indicates when the medical examination took place. Precise timestamps are crucial for maintaining the integrity of the medical record.
3. Examining Physician Information:
This area identifies the medical professional conducting the examination, including their name, rank, and contact information.
4. Examination Findings:
This is the most comprehensive section of the form. It details the results of the physical examination, including vital signs, visual acuity, auditory acuity, and other relevant findings. Specific areas of concern are meticulously noted, often with further explanation.
5. Diagnoses and Treatment Recommendations:
Any diagnoses made during the examination are recorded here, along with any recommended treatment plans, medications, or follow-up appointments.
6. Administrative Sections:
This section includes spaces for signatures, dates, and other administrative information required for proper documentation and record-keeping.
DA Form 4856 Examples: Scenarios and Interpretations
While it's impossible to provide actual filled-out forms due to privacy concerns, let's explore hypothetical scenarios illustrating how the form might be completed:
Example 1: Routine Physical Examination
This example would show a normal physical examination with all results within acceptable ranges. The "Diagnoses and Treatment Recommendations" section would likely be blank or note "No significant findings."
Example 2: Post-Injury Examination
This example would document a soldier's examination following a training injury. It would detail the injury, including location, severity, and treatment received. The diagnoses would include the specific injury (e.g., sprained ankle), and treatment recommendations might include physical therapy or medication.
Example 3: Pre-Deployment Medical Screening
This scenario showcases a comprehensive examination performed before deployment. The form would meticulously document the soldier's overall health to ensure fitness for deployment. Any pre-existing conditions would be noted, along with any necessary accommodations or limitations.
Tips for Completing the DA Form 4856 Accurately
Accuracy is Key: Ensure all information is accurate and complete. Errors can lead to delays and complications.
Clarity is Crucial: Use clear and concise language when documenting findings and recommendations.
Follow Instructions: Carefully follow the instructions provided with the form.
Seek Clarification: If you have any questions or uncertainties, consult with the appropriate medical professional.
Maintain Confidentiality: Treat the information on this form with the utmost confidentiality.
Conclusion
The DA Form 4856 is a fundamental document in the military medical system. Understanding its purpose and how to complete it correctly is crucial for both soldiers and medical personnel. By following the guidelines provided in this guide, you can ensure that this important form is accurately completed and contributes to the efficient and effective management of military healthcare.
FAQs
1. Where can I find a blank DA Form 4856? You can usually find printable versions on the official Army website or through your unit's administrative channels.
2. What happens if I make a mistake on the form? If you make a mistake, don't try to correct it yourself. Inform the medical professional who completed the form, and a corrected version will be issued.
3. Is this form used for all branches of the military? While the exact form might vary slightly, all branches of the US military use similar forms to record medical examinations.
4. Can I access my own DA Form 4856 records? You should be able to access your medical records through your military medical provider or through the appropriate channels within your branch of service.
5. What if I disagree with information on my DA Form 4856? If you disagree with any information on the form, you should discuss your concerns with the medical professional who completed it and follow the chain of command for addressing discrepancies.
| da form 4856 examples: Leadership Counseling , 1985 |
| da form 4856 examples: Infantry , 1991 |
| da form 4856 examples: Army Leadership and the Profession (ADP 6-22) Headquarters Department of the Army, 2019-10-09 ADP 6-22 describes enduring concepts of leadership through the core competencies and attributes required of leaders of all cohorts and all organizations, regardless of mission or setting. These principles reflect decades of experience and validated scientific knowledge.An ideal Army leader serves as a role model through strong intellect, physical presence, professional competence, and moral character. An Army leader is able and willing to act decisively, within superior leaders' intent and purpose, and in the organization's best interests. Army leaders recognize that organizations, built on mutual trust and confidence, accomplish missions. Every member of the Army, military or civilian, is part of a team and functions in the role of leader and subordinate. Being a good subordinate is part of being an effective leader. Leaders do not just lead subordinates--they also lead other leaders. Leaders are not limited to just those designated by position, rank, or authority. |
| da form 4856 examples: The Mentor Mark Gerecht, 2002-02-01 The most comprehensive guide on leadership and counseling detailing how to make counseling sessions productive. Contains examples of corrective training with 100's of bullets used in the enlisted evaluation process includes many web sites that benefit military personnel. |
| da form 4856 examples: Adaptive Leadership , 2008 |
| da form 4856 examples: Leadership Lessons from the Ancient World Arthur Cotterell, Roger Lowe, Ian Shaw, 2006-07-11 As the demand for comparative studies of leadership rises, managers and trainers are looking harder than ever for new studies to which trainees will not bring preconceived idea. This unique book delivers just that. Though the contexts have changed, the examination of ancient events from a business perspective provides a wealth of useful insights on how the process of leadership works. From China’s first emperor Liu Bang on vision and Pericles on integrity to Alexander the Great on communication and Ramesses II on courage, Leadership Lessons from the Ancient World combines history with business to show that the universal strategies used by great leaders of the past are still relevant today. |
| da form 4856 examples: Assessment of the FY 05 Basic Officer Leader Course (BOLC) Phase II Robert J. Pleban, 2006 This report documents the BOLC II cadre Instructor Certification Program (ICP) and the single-site initial implementation conducted during FY 05. BOLC entails a three phase process of officer initial entry training. After Phase I (precommissioning), all lieutenants receive a common core program (Phase II) focusing on leadership, counseling, and fieldcraft in a hands-on, field intensive environment. Phase III focuses on branch-specific officer training. Training observations from the ICP indicated that a disproportionate amount of time was spent on individual skill training versus training the cadre on how to teach, coach, and mentor lieutenants. Critical soft skills training was either abbreviated or not conducted. The training focus of the single-site implementation mirrored that of the ICP. The lieutenants' survey ratings showed significant improvements in how prepared they felt they were to lead a platoon in executing the Warrior battle drills and their confidence in executing the Warrior tasks following BOLC II. However, important gaps in leadership training were identified. Survey results showed that the BOLC training did not meet the lieutenants' expectations of the course. Recommendations based, in part, on these findings, have resulted in noticeable changes in the next ICP and the two-site initial implementation. ARI will continue to monitor these changes and their effects on both cadre preparation and the quality of leadership training received by lieutenants during BOLC II.--Stinet. |
| da form 4856 examples: U. S. Army Board Study Guide , 2006-06 |
| da form 4856 examples: Tactical Leadership , 2005 Health and social indicators of Thailand. |
| da form 4856 examples: Developmental Leadership , 2005 |
| da form 4856 examples: Concrete Mathematics Ronald L. Graham, Donald E. Knuth, Oren Patashnik, 1994-02-28 This book introduces the mathematics that supports advanced computer programming and the analysis of algorithms. The primary aim of its well-known authors is to provide a solid and relevant base of mathematical skills - the skills needed to solve complex problems, to evaluate horrendous sums, and to discover subtle patterns in data. It is an indispensable text and reference not only for computer scientists - the authors themselves rely heavily on it! - but for serious users of mathematics in virtually every discipline. Concrete Mathematics is a blending of CONtinuous and disCRETE mathematics. More concretely, the authors explain, it is the controlled manipulation of mathematical formulas, using a collection of techniques for solving problems. The subject matter is primarily an expansion of the Mathematical Preliminaries section in Knuth's classic Art of Computer Programming, but the style of presentation is more leisurely, and individual topics are covered more deeply. Several new topics have been added, and the most significant ideas have been traced to their historical roots. The book includes more than 500 exercises, divided into six categories. Complete answers are provided for all exercises, except research problems, making the book particularly valuable for self-study. Major topics include: Sums Recurrences Integer functions Elementary number theory Binomial coefficients Generating functions Discrete probability Asymptotic methods This second edition includes important new material about mechanical summation. In response to the widespread use of the first edition as a reference book, the bibliography and index have also been expanded, and additional nontrivial improvements can be found on almost every page. Readers will appreciate the informal style of Concrete Mathematics. Particularly enjoyable are the marginal graffiti contributed by students who have taken courses based on this material. The authors want to convey not only the importance of the techniques presented, but some of the fun in learning and using them. |
| da form 4856 examples: From One Leader to Another Combat Studies Institute Press, 2013-05 This work is a collection of observations, insights, and advice from over 50 serving and retired Senior Non-Commissioned Officers. These experienced Army leaders have provided for the reader, outstanding mentorship on leadership skills, tasks, and responsibilities relevant to our Army today. There is much wisdom and advice from one leader to another in the following pages. |
| da form 4856 examples: Violence at Work Duncan Chappell, Vittorio Di Martino, International Labour Office, 2006 Violence at work, ranging from bullying and mobbing, to threats by psychologically unstable co-workers, sexual harassment and homicide, is increasing worldwide and has reached epidemic levels in some countries. This updated and revised edition looks at the full range of aggressive acts, offers new information on their occurrence and identifies occupations and situations at particular risk. It is organised in three sections: understanding violence at work; responding to violence at work; future action. |
| da form 4856 examples: Introductory Statistics 2e Barbara Illowsky, Susan Dean, 2023-12-13 Introductory Statistics 2e provides an engaging, practical, and thorough overview of the core concepts and skills taught in most one-semester statistics courses. The text focuses on diverse applications from a variety of fields and societal contexts, including business, healthcare, sciences, sociology, political science, computing, and several others. The material supports students with conceptual narratives, detailed step-by-step examples, and a wealth of illustrations, as well as collaborative exercises, technology integration problems, and statistics labs. The text assumes some knowledge of intermediate algebra, and includes thousands of problems and exercises that offer instructors and students ample opportunity to explore and reinforce useful statistical skills. This is an adaptation of Introductory Statistics 2e by OpenStax. You can access the textbook as pdf for free at openstax.org. Minor editorial changes were made to ensure a better ebook reading experience. Textbook content produced by OpenStax is licensed under a Creative Commons Attribution 4.0 International License. |
| da form 4856 examples: Adaptive team leadership , 2008 |
| da form 4856 examples: Guidelines for Determining Flood Flow Frequency Water Resources Council (U.S.). Hydrology Committee, 1975 |
| da form 4856 examples: INIS Atomindex , 1986 |
| da form 4856 examples: Color and Light James Gurney, 2010-11-30 Unlike many other art books only give recipes for mixing colors or describe step-by-step painting techniques, *Color and Light* answers the questions that realist painters continually ask, such as: What happens with sky colors at sunset?, How do colors change with distance?, and What makes a form look three-dimensional? Author James Gurney draws on his experience as a plain-air painter and science illustrator to share a wealth of information about the realist painter's most fundamental tools: color and light. He bridges the gap between abstract theory and practical knowledge for traditional and digital artists of all levels of experience. |
| da form 4856 examples: Nicholas St. North and the Battle of the Nightmare King Laura Geringer, 2011-10-04 Forget naughty or nice; this is a battle of good and evil. Luminary Joyce and co-author Geringer deliver the first book in a new series. Before Santa was Santa, he was Nicholas St. North--a daredevil swordsman whose prowess with double scimitars was legendary. Illustrations. |
| da form 4856 examples: ERDA Energy Research Abstracts United States. Energy Research and Development Administration, 1976 |
| da form 4856 examples: Electric and Magnetic Fields R. Belmans, A. Nicolet, 2012-12-06 This book contains the edited versions of the papers presented at the Second International Workshop on Electric and Magnetic Fields held at the Katholieke Universiteit van Leuven (Belgium) in May 1994. This Workshop deals with numerical solutions of electromagnetic problems in real life applications. The topics include coupled problems (thermal, mechanical, electric circuits), CAD & CAM applications, 3D eddy current and high frequency problems, optimisation and application oriented numerical problems. This workshop was organised jointly by the AIM (Association of Engineers graduated from de Montefiore Electrical Institute) together with the Departments of Electrical Engineering of the Katholieke Universiteit van Leuven (Prof. R. Belmans), the University of Gent (Prof. J. Melkebbek) and the University of Liege (Prof. W. Legros). These laboratories are working together in the framework of the Pole d'Attraction Interuniversitaire - Inter-University Attractie-Pole 51 - on electromagnetic systems led by the University of Liege and the research work they perform covers most of the topics of the Workshop. One of the principal aims of this Workshop was to provide a bridge between the electromagnetic device designers, mainly industrialists, and the electromagnetic field computation developers. Therefore, this book contains a continuous spectrum of papers from application of electromagnetic models in industrial design to presentation of new theoretical developments. |
| da form 4856 examples: Spinning Tillie Walden, 2017-09-12 Tillie Walden's Eisner Award winning graphic memoir Spinning captures what it’s like to come of age, come out, and come to terms with leaving behind everything you used to know. It was the same every morning. Wake up, grab the ice skates, and head to the rink while the world was still dark. Weekends were spent in glitter and tights at competitions. Perform. Smile. And do it again. She was good. She won. And she hated it. For ten years, figure skating was Tillie Walden’s life. She woke before dawn for morning lessons, went straight to group practice after school, and spent weekends competing at ice rinks across the state. Skating was a central piece of her identity, her safe haven from the stress of school, bullies, and family. But as she switched schools, got into art, and fell in love with her first girlfriend, she began to question how the close-minded world of figure skating fit in with the rest of her life, and whether all the work was worth it given the reality: that she, and her friends on the team, were nowhere close to Olympic hopefuls. The more Tillie thought about it, the more Tillie realized she’d outgrown her passion—and she finally needed to find her own voice. This title has Common Core connections. A New York City Public Library Notable Best Book for Teens A Chicago Public Library Best Book of 2017 A 2018 YALSA Great Graphic Novel A 2017 Booklist Youth Editors' Choice |
| da form 4856 examples: The Stille Reaction Vittorio Farina, Venkat Krishnamurthy, William J. Scott, 1998-09-18 Die Stille-Reaktion ist eine der sehr wenigen Reaktionen, in denen unter milden Bedingungen Kohlenstoff-Kohlenstoff-Bindungen geknüpft werden können. Man verwendet die Reaktion häufig in der Synthese komplizierter Moleküle zur Verknüpfung größerer Molekülbausteine. Die Autoren diskutieren vom präparativen Standpunkt aus Grenzen, Einflüsse, strukturelle Effekte und die Wahl der geeigneten Reaktionsbedingungen. Mit ausführlichen Vorschriften und vielen Beispielen. (11/98) |
| da form 4856 examples: Addressing and Resolving Poor Performance , 1998 |
| da form 4856 examples: Preventing Tobacco Use Among Youth and Young Adults , 2012 This booklet for schools, medical personnel, and parents contains highlights from the 2012 Surgeon General's report on tobacco use among youth and teens (ages 12 through 17) and young adults (ages 18 through 25). The report details the causes and the consequences of tobacco use among youth and young adults by focusing on the social, environmental, advertising, and marketing influences that encourage youth and young adults to initiate and sustain tobacco use. This is the first time tobacco data on young adults as a discrete population have been explored in detail. The report also highlights successful strategies to prevent young people from using tobacco. |
| da form 4856 examples: Alcohol and Drug Abuse Prevention and Control Program United States. Department of the Army, 1986 |
| da form 4856 examples: ERDA Energy Research Abstracts United States. Energy Research and Development Administration. Technical Information Center, 1976 |
| da form 4856 examples: Science Abstracts , 1952 |
| da form 4856 examples: Scientific and Technical Aerospace Reports , 1976 Lists citations with abstracts for aerospace related reports obtained from world wide sources and announces documents that have recently been entered into the NASA Scientific and Technical Information Database. |
| da form 4856 examples: Company Command John G. Meyer, 1996 A Dutch-Uncle approach to advising those who assume first command. Written by an Army officer primarily for Army company commanders, the book contains information, suggestions, & insights applicable to other services. A ready reference for the company commander. Identifies tasks to complete & how to set new directions for the company; inspires confidence to command with authority. Includes chapters on military justice & administrative law matters. Comprehensive do's & don'ts of a winning command philosophy. |
| da form 4856 examples: Policies and Procedures for United States. Department of the Army, 1998 |
| da form 4856 examples: Army Leadership Department of the Army, 2012-09-15 Competent leaders of character are necessary for the Army to meet the challenges in the dangerous and complex security environment we face. As the keystone leadership manual for the United States Army, FM 6-22 establishes leadership doctrine, the fundamental principles by which Army leaders act to accomplish their mission and care for their people. FM 6-22 applies to officers, warrant officers, noncommissioned officers, and enlisted Soldiers of all Army components, and to Army civilians. From Soldiers in basic training to newly commissioned officers, new leaders learn how to lead with this manual as a basis. FM 6-22 is prepared under the direction of the Army Chief of Staff. It defines leadership, leadership roles and requirements, and how to develop leadership within the Army. It outlines the levels of leadership as direct, organizational, and strategic, and describes how to lead successfully at each level. It establishes and describes the core leader competencies that facilitate focused feedback, education, training, and development across all leadership levels. It reiterates the Army Values. FM 6-22 defines how the Warrior Ethos is an integral part of every Soldier's life. It incorporates the leadership qualities of self-awareness and adaptability and describes their critical impact on acquiring additional knowledge and improving in the core leader competencies while operating in constantly changing operational environments. In line with evolving Army doctrine, FM 6-22 directly supports the Army's capstone manuals, FM 1 and FM 3-0, as well as keystone manuals such as FM 5-0, FM 6-0, and FM 7-0. FM 6-22 connects Army doctrine to joint doctrine as expressed in the relevant joint doctrinal publications, JP 1 and JP 3-0. As outlined in FM 1, the Army uses the shorthand expression of BE-KNOW-DO to concentrate on key factors of leadership. What leaders DO emerges from who they are (BE) and what they KNOW. Leaders are prepared throughout their lifetimes with respect to BE-KNOW-DO so they will be able to act at a moment's notice and provide leadership for whatever challenge they may face. FM 6-22 expands on the principles in FM 1 and describes the character attributes and core competencies required of contemporary leaders. Character is based on the attributes central to a leader's make-up, and competence comes from how character combines with knowledge, skills, and behaviors to result in leadership. Inextricably linked to the inherent qualities of the Army leader, the concept of BE-KNOW-DO represents specified elements of character, knowledge, and behavior described here in FM 6-22. |
| da form 4856 examples: Improving Skills Development in the Informal Sector Arvil V. Adams, Sara Johansson de Silva, Setareh Razmara, 2013-07-18 This book uses household surveys in five countries of Sub-Saharan Africa to describe employment off the farm in the region s growing informal sector and assesses how different forms of education and training, including apprenticeships, influence choices in employment and earnings. |
| da form 4856 examples: United States Code United States, 2013 The United States Code is the official codification of the general and permanent laws of the United States of America. The Code was first published in 1926, and a new edition of the code has been published every six years since 1934. The 2012 edition of the Code incorporates laws enacted through the One Hundred Twelfth Congress, Second Session, the last of which was signed by the President on January 15, 2013. It does not include laws of the One Hundred Thirteenth Congress, First Session, enacted between January 2, 2013, the date it convened, and January 15, 2013. By statutory authority this edition may be cited U.S.C. 2012 ed. As adopted in 1926, the Code established prima facie the general and permanent laws of the United States. The underlying statutes reprinted in the Code remained in effect and controlled over the Code in case of any discrepancy. In 1947, Congress began enacting individual titles of the Code into positive law. When a title is enacted into positive law, the underlying statutes are repealed and the title then becomes legal evidence of the law. Currently, 26 of the 51 titles in the Code have been so enacted. These are identified in the table of titles near the beginning of each volume. The Law Revision Counsel of the House of Representatives continues to prepare legislation pursuant to 2 U.S.C. 285b to enact the remainder of the Code, on a title-by-title basis, into positive law. The 2012 edition of the Code was prepared and published under the supervision of Ralph V. Seep, Law Revision Counsel. Grateful acknowledgment is made of the contributions by all who helped in this work, particularly the staffs of the Office of the Law Revision Counsel and the Government Printing Office--Preface. |
| da form 4856 examples: The Iron Major Survival Guide David Dunphy, 2016-05-28 |
| da form 4856 examples: Air Pollution, the Automobile, and Public Health Sponsored by The Health Effects Institute, 1988-01-01 The combination of scientific and institutional integrity represented by this book is unusual. It should be a model for future endeavors to help quantify environmental risk as a basis for good decisionmaking. â€William D. Ruckelshaus, from the foreword. This volume, prepared under the auspices of the Health Effects Institute, an independent research organization created and funded jointly by the Environmental Protection Agency and the automobile industry, brings together experts on atmospheric exposure and on the biological effects of toxic substances to examine what is knownâ€and not knownâ€about the human health risks of automotive emissions. |
| da form 4856 examples: Side Reactions in Organic Synthesis Florencio Zaragoza Dörwald, 2006-03-06 Most syntheses in the chemical research laboratory fail and usually require several attempts before proceeding satisfactorily. Failed syntheses are not only discouraging and frustrating, but also cost a lot of time and money. Many failures may, however, be avoided by understanding the structure-reactivity relationship of organic compounds. This textbook highlights the competing processes and limitations of the most important reactions used in organic synthesis. By allowing chemists to quickly recognize potential problems this book will help to improve their efficiency and success-rate. A must for every graduate student but also for every chemist in industry and academia. Contents: 1 Organic Synthesis: General Remarks 2 Stereoelectronic Effects and Reactivity 3 The Stability of Organic Compounds 4 Aliphatic Nucleophilic Substitutions: Problematic Electrophiles 5 The Alkylation of Carbanions 6 The Alkylation of Heteroatoms 7 The Acylation of Heteroatoms 8 Palladium-Catalyzed C-C Bond Formation 9 Cyclizations 10 Monofunctionalization of Symmetric Difunctional Substrates |
| da form 4856 examples: Army ROTC Scholarship Program , 1970 |
| da form 4856 examples: Speech in the Eneide of Heinrich Von Veldeke Jane Emberson, 1981 |
| da form 4856 examples: The Brain and Behavior David L. Clark, Nashaat N. Boutros, Mario F. Mendez, 2005-09-08 New edition building on the success of previous one. Retains core aim of providing an accessible introduction to behavioral neuroanatomy. |
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