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DA Form 7095 — ASAP OUTPATIENT DISCHARGE SUMMARY

asap outpatient discharge summary

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DA Form 7095 handles one job: asap outpatient discharge summary. The official title is ASAP OUTPATIENT DISCHARGE SUMMARY. Download it below, fill it in, sign it, send it where your directive says. The edition on this page is 02/01/2003, status ACTIVE, running 1 page(s) with about 41 fields to complete.

Authority sits in two places. TSG owns the form, AR 40-66 says when it is raised and where it goes. Routine cases need neither read in full — the page itself carries the sequence. The entries are completed by their subject or by unit administrative staff working from what that person supplies.

The formats are PDF, XFDL, and the choice comes down to keyboard or pen. Fillable pdf for typing — live fields, tab order, saved entries. Printable pdf for handwriting — same page, no interactive objects, print it blank. Content is identical; only entry method differs.

Use a full pdf reader, not the browser viewer. Browser viewers display fields they cannot always save, and the loss shows up only when you reopen the file — type one entry, save, reopen, verify, then fill the rest. The xfdl file is IBM Lotus Forms, used inside Army systems, and opens in the Lotus Forms Viewer alone — no pdf reader, no word processor.

Free, unregistered, unmodified. What arrives is what the publisher released.

What the form asks for

  • COMMENTS
  • COURSE
  • ContentArea1
  • IDENTIFI
  • Line1
  • Page1
  • PageArea1
  • REASONS
  • RECOM
  • REC_SERV
  • Rectangle1
  • SIGNATURE
  • STATUS
  • SUMMARIZ
  • T01
  • T02
  • T10
  • T11
  • T12
  • T13
  • T14
  • T15
  • T16
  • T17

The heading entries carry more weight than the body. Name spelled as in official records, identification number, organisation, date prepared. Retrieval runs on those values, so a transposed digit or a casual spelling costs someone a file search. Fill them before anything else.

Move between fields with tab; the build-time order follows the page and misses nothing. Click check boxes and option buttons, and expect an exclusive group to release the old choice when you set a new one. The trap is field width. Single-line fields do not wrap, so an overlong entry displays complete on screen and prints cut at the margin — put it in remarks or on a continuation instead. Mark inapplicable fields rather than leaving them blank, since an empty box carries no information about whether the question was read.

The signature closes the form and nothing precedes it. Draft status holds until it is applied, by hand or by an accepted electronic method. Countersignatures go in printed order, each dated at signing. Then one final read from the top, looking for the four recurring defects: empty mandatory fields, swapped digits in identification numbers, day-month inversion in dates, and residue from a reused file that goes forward as though intended.

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.

The prescribing directive names the destination; office custom does not. Depending on the case that means a specific office, the unit administrative channel, or the personal record. Keep a copy first, because the original does not come back. Retention runs on the applicable records schedule.

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.

A stored file goes stale silently. The proponent revises, a new edition date is published, and your copy says nothing about it — so compare the printed date against the edition in force before typing into it again. Completed submissions on an earlier edition are not reopened.

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 7095?
ASAP OUTPATIENT DISCHARGE SUMMARY
Which edition is current?
02/01/2003
Who is responsible for this form?
TSG
In which formats can it be downloaded?
PDF, XFDL, PDF

Publisher notes

  1. 42-ITEM ONLY PRODUCED IN ELECTRONIC MEDIA,

Other forms in the series