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DA Form 5007B is a Department of the Army form in the DA series. Title of record: MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (DOUBLE EXTRACT). Function: medical record - allergy immunotherapy record (double extract). The edition presently published bears the date 02/01/2003, with a status of ACTIVE. Physical extent is 1 page(s) and about 200 fillable fields.
Responsibility for content and revision lies with TSG. The prescribing directive is AR 40-66, which sets both the trigger for use and the disposition of the completed document. Entry is made by the named party or by the records clerk holding the file, with review and signature applied in the prescribed order.
Distributed formats: PDF, XFDL. The layout is common to all of them; what varies is the method of entry. The pdf is the reference version. In the fillable pdf the entry areas are live objects that accept typing; in the printable version the same areas are inert and are filled by hand after printing.
Any modern browser or reader will display a pdf. Interactive fields behave more predictably in a standalone reader than in an in-browser viewer, which sometimes shows fields it cannot store. An xfdl copy is published as well. It is IBM Lotus Forms, the format carried by several Army systems, and it needs the Lotus Forms Viewer; pdf readers and word processors will not open it.
All formats are free to download and no registration is involved. The files are the published documents, distributed unmodified.
What the form asks for
- Arm1
- Arm1_1
- Arm1_10
- Arm1_11
- Arm1_12
- Arm1_13
- Arm1_14
- Arm1_15
- Arm1_16
- Arm1_17
- Arm1_18
- Arm1_19
- Arm1_2
- Arm1_20
- Arm1_21
- Arm1_22
- Arm1_23
- Arm1_24
- Arm1_25
- Arm1_26
- Arm1_27
- Arm1_28
- Arm1_29
- Arm1_3
Entry proceeds block by block in the order printed on the page. Identifying particulars occupy the head of the form: name, identification number, unit or organisation, and date of preparation. These fields govern how the record is later retrieved from the file, so they are completed before any substantive block.
Fillable fields accept typing directly. Tab advances from one field to the next in the order the form was built, which is normally the reading order of the page. Check boxes and option buttons are clicked; where a set of options is exclusive, selecting one clears the rest. Fields sized for a single line will not wrap, and text exceeding the width is truncated in print even where it remains visible on screen. Long entries belong in the remarks area or on a continuation, not compressed into a narrow field.
Signature comes at the end, applied in ink or by an accepted electronic method. Until it is applied the document is a draft. Additional signatures — reviewer, approver, witness — are taken in printed block order, each dated when signed rather than when the form was drafted. The commonest error is a mandatory field left blank; where nothing applies, the entry is marked accordingly instead of being skipped. Transposed identification digits, day and month reversed in dates, and carried-over data from a reused working copy account for most of the remainder.
A Privacy Act statement appears on the form where personal information is collected. It sets out the authority for collection, the purpose, the routine uses, and whether disclosure is mandatory or voluntary. The statement is read before entry, not after. Completed copies carry personal data and are handled and stored under the safeguards applicable to that data.
Once completed, the form goes where the governing authority directs: to the designated office, along the unit administrative channel, or into the personal file. The preparer retains a copy. The length of retention and the manner of filing are set by the records schedule for the series, not by local arrangement.
Companion forms are traced by series and number. Within the DA series, documents sharing a proponent or a governing directive are frequently required together, and a form cited on the face of another is generally submitted alongside it. Continuation sheets, covers, and transmittal forms are part of that set and are assembled in advance of submission.
Editions are replaced when the proponent revises the content. The edition date printed on the form is the means of telling one version from another, and the date on a downloaded copy is checked against the edition in force before use. Records already executed on a prior edition are not reworked on that account.
What is offered here are copies of published Department of the Army documents, made available for download. The site is independent of the Department of the Army and publishes no forms of its own. The material is informational and not legal advice, and no statement is made about whether any office will accept a given document. Questions of entry, requirement, or eligibility go to the proponent or the servicing administrative office.
Questions and answers
- What is DA Form 5007B?
- MEDICAL RECORD - ALLERGY IMMUNOTHERAPY RECORD (DOUBLE EXTRACT)
- Which edition is current?
- 02/01/2003
- Who is responsible for this form?
- TSG
- In which formats can it be downloaded?
- PDF, XFDL, PDF