Download the form
DA Form 7595-3-6 handles one job: administer an intramuscular injection. The official title is ADMINISTER AN INTRAMUSCULAR INJECTION. Download it below, fill it in, sign it, send it where your directive says. The edition on this page is May 2014, status not stated, running 2 page(s) with about 200 fields to complete.
Two references decide everything about your use of it: TRADOC maintains the content, TC 8-800 sets the trigger and the routing. Consult the directive when your case is not routine; otherwise the printed blocks tell you enough. The person named in the entries fills it, or the administrative office holding the file does it for them.
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.
Nothing is charged and no sign-up applies. Files are served as published, without changes to the page image.
What the form asks for
- ContentArea1
- Date1
- Eval_Comments
- Fail10_a
- Fail10_b
- Fail10_c
- Fail11_a
- Fail11_b
- Fail11_c
- Fail12_a
- Fail12_b
- Fail12_c
- Fail13_a
- Fail13_b
- Fail13_c
- Fail14_a
- Fail14_b
- Fail14_c
- Fail15_a
- Fail15_b
- Fail15_c
- Fail16_a
- Fail16_b
- Fail16_c
Header first, always. Name as your official records spell it, identification number, unit, date of preparation — these four index the finished record, and an error in them hides the document from anyone searching for it later. The substantive blocks can wait thirty seconds.
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.
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 TC 8-800 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.
Related forms are found by series and number. DA series documents under the same proponent or the same prescribing directive are commonly required as a set, and any form named on the face of this one goes forward with it. Assemble continuations, covers and transmittals before submitting, not after the query comes back.
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.
What is distributed here are reproductions of published Department of the Army documents. Independent site, no official standing, no forms of its own. Nothing on the page constitutes legal advice, and acceptance by any office is outside what can be stated. Put questions about entries, requirements or eligibility to TRADOC or your servicing administrative office.
Questions and answers
- What is DA Form 7595-3-6?
- ADMINISTER AN INTRAMUSCULAR INJECTION
- Which edition is current?
- May 2014
- Who is responsible for this form?
- TRADOC
- In which formats can it be downloaded?