Da Form 5669 For use of this form see AR 600 110 the proponent agency is DCS G 1 DA FORM 5669 JUL 2012 PREVIOUS EDITIONS ARE OBSOLETE DATA REQUIRED BY THE PRIVACY ACT OF 1974 INSTRUCTIONS Authority Principal Purpose Routine uses Disclosure 5 USC 301 10 USC 3012 G To record preventive medicine counseling of Servicemembers testing positive for
O Modifies copy of DA Form 5669 fig 4 1 o Makes an administrative change to include this administrative revision title page This rapid action revision dated 22 April 2014 Complete DA Form 5669 The face to face notification must occur within 30 days from their first positive test b The commander will conduct the commander s counseling using the DA Form 4856 refer to AR 600 110 Ch 4 para 4 9 only after the provider has completednotification c The unit commanders will 1
Da Form 5669
Da Form 5669
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https://ga.ng.mil/Portals/49/G1/documents/MEDICAL/14HIV/BLANK%20DA%20Form%205669%2020160707.pdf
For use of this form see AR 600 110 the proponent agency is DCS G 1 DA FORM 5669 JUL 2012 PREVIOUS EDITIONS ARE OBSOLETE DATA REQUIRED BY THE PRIVACY ACT OF 1974 INSTRUCTIONS Authority Principal Purpose Routine uses Disclosure 5 USC 301 10 USC 3012 G To record preventive medicine counseling of Servicemembers testing positive for
https://www.army.mil/e2/downloads/rv7/r2/policydocs/r600_110.pdf
O Modifies copy of DA Form 5669 fig 4 1 o Makes an administrative change to include this administrative revision title page This rapid action revision dated 22 April 2014
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DA FORM 5669 APR 2005 DA FORM 5669 R DEC 87 IS OBSOLETE DATA REQUIRED BY THE PRIVACY ACT OF 1974 INSTRUCTIONS Authority Principal Purpose Routine uses Disclosure 5 USC 301 10 USC 3012 G To record preventive medicine counseling of Service members testing positive for exposure to HIV It covers employees recruited from within DA from other Federal agencies and from outside the Federal service This agreement must be signed before an employee may be assigned to a position in a foreign area This document is an agreement between the DA and the employee named in item 1 below regarding the requirements of the DA Rotation Program
What Is DA Form 5669 This is a military form that was released by the U S Department of the Army DA on July 1 2012 The form often mistakenly referred to as the DD Form 5669 is a military form used by and within the U S Army As of today no separate instructions for the form are provided by the DA Form Details Fillable Form DA 5669 PREVENTIVE MEDICINE COUNSELING RECORD FILL ONLINE EMAIL SHARE ANNOTATE FILL ONLINE FILL ONLINE Contents What is DA 5669 How to fill out DA 5669 FAQs about DA 5669 FILL ONLINE Related Forms DA 5620 R DA 5624 R DA 5628 R
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DA Form 5669 is used for documenting Preventive Medicine Counseling The form includes sections where information about preventive medicine counseling sessions including counseling topics recommendations and follow up actions is entered It serves to document discussions and recommendations related to preventive health measures Crucial fields in this form encompass DA FORM 5669 Preventive Medicine Counseling Record is an essential tool in the U S Army s healthcare arsenal designed to document and enhance preventive health practices By systematically recording counseling sessions the form not only aids in the immediate health management of soldiers but also contributes to long term readiness and
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Da Form 5669 - It covers employees recruited from within DA from other Federal agencies and from outside the Federal service This agreement must be signed before an employee may be assigned to a position in a foreign area This document is an agreement between the DA and the employee named in item 1 below regarding the requirements of the DA Rotation Program