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DA Form 4029 — PATIENT`S CLEARANCE RECORD

patient`s clearance record

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DA Form 4029 exists to patient`s clearance record — that is the short version. Title of record: PATIENT`S CLEARANCE RECORD. The page covers the download, the entries and the disposition, nothing else. Current here: edition 03/01/1973, status ACTIVE, 1 page(s), near 131 fields.

TSG is the proponent, AR 40-400 the prescribing authority. Read the directive only if something about your situation departs from the standard case. Otherwise the form is filled by the individual it describes, or by the records clerk keeping the file, and reviewed through the printed signature blocks.

PDF are available and the decision takes one second. Type your entries: fillable pdf. Write them: printable pdf. The published layout is common to both, so the format governs your method and nothing more.

A standalone reader is the safe choice for fillable work. Browser viewers vary in whether entered data survives the session, and there is no warning when it does not; a one-field save test settles it in seconds.

No charge, no account, no email address. The file is the published document, distributed unaltered.

What the form asks for

  • ADMIN_SIGN
  • ContentArea1
  • DATE
  • DSCHRG_DAT
  • DSCHRG_TM
  • MIL_OTR
  • NON_OTR
  • OTHER_A
  • OTHER_B
  • OTHER_C
  • OTHER_D
  • OTHER_E
  • OTHER_F
  • OTHER_G
  • OTHER_H
  • OTHER_I
  • PAT_IDENT
  • Page1
  • R100
  • R101
  • R102
  • R103
  • R104
  • R105

Start at the top and get the header exactly right. Official spelling of the name, identification number, unit, date. Everything downstream finds the record through those entries; nothing else on the page has that consequence.

Tab through the fields rather than clicking. The tab order was fixed when the form was built and generally follows the page, which catches boxes a mouse skips past. Check boxes and option buttons take a click, and an exclusive group clears the previous selection when you make a new one. Single-line fields do not wrap — text past the field width prints truncated while still showing in full on screen, which is why the loss is discovered after printing. Overflow goes to remarks or a continuation sheet. A field that does not apply gets the mark meaning none; blank space reads as an omission.

Signature comes after every other entry — ink or an approved electronic means, and without it the document is a draft. Where reviewing, approving or witnessing signatures are called for, take them in printed block order, each dated on the day applied. Before release, one pass from the top. The defects worth hunting are always the same four: mandatory fields left empty, identification digits transposed, dates with day and month reversed, and stale data surviving in a copy reused in place of a blank form.

Privacy Act statement first, personal entries second. The notice covers who is authorised to collect, why, who else routinely sees it, and whether you must answer. After completion the file carries personal data and is stored and sent under the corresponding safeguards.

Routing follows AR 40-400 and nothing else — a named office, the unit administrative channel, or the individual's file, according to why the form was raised. Copy it before it leaves. Retention is fixed by the records schedule for the series, which local practice does not shorten or extend.

Look for associated forms by series and number. In the DA series, documents sharing a proponent or a governing directive tend to travel together, and anything referenced on the page normally submits alongside. Collect continuations, covers and transmittals in advance of sending.

Edition date is the version number, printed on the page. Hold a locally saved copy against the current edition before reuse, since nothing on your machine signals a revision. Work already executed under a superseded edition remains as filed.

These are reproductions of published Department of the Army documents, offered for download. The site is independent, connected to nothing official, and issues no forms of its own. Nothing here is legal advice and no statement is made about acceptance by any office. Questions about an entry, a requirement or eligibility go to TSG or your servicing administrative office.

Questions and answers

What is DA Form 4029?
PATIENT`S CLEARANCE RECORD
Which edition is current?
03/01/1973
Who is responsible for this form?
TSG
In which formats can it be downloaded?
PDF, PDF

Publisher notes

  1. 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA,

Other forms in the series