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DD Form 7 — a Department of Defense document. Title of record: DD Form 7, Report of Treatment furnished pay patients Hospitalization Furnished (Part A), January 1976. Stated purpose: Report of Treatment Furnished Pay Patients Hospitalization Furnished (Part A). Edition date not stated; status not stated.
Prescribing authority: not stated. Proponent: not stated. Unlike service-specific publications, DD forms carry Department-level authority and apply across the Army, Navy, Air Force, Marine Corps, Space Force and Coast Guard when operating under Defense jurisdiction.
The form reaches military personnel across the services, civilian employees of the Department, and the personnel and records specialists who receive it.
Submission follows the schedule set by not stated and by local implementing procedures. This page provides the blank form for download and general orientation only.
The download set covers PDF. Document length is 1 pages with about 101 entry fields.
All formats download free of charge. Pdf files open in any modern reader; interactive fields behave most predictably in a desktop application, less so in browser viewers.
What the form asks for
- Report control symbol.
- 2. Month and Year covered by this report.
- 3. Category of patients.
- 4. Authority for admission.
- 5. Name (Last, first, middle intial) and Social Security Number, line 1.
- 6. Military grade.
- 7. Organization.
- 8. Diagnosis.
- 9. Admission date (4 digit year, 2 digit month, 2 digit day, no separators).
- 10. Discharge date (4 digit year, 2 digit month, 2 digit day).
- 11. Total number of days hospitalized.
- 5. Name and Social Security Number, line 2.
- 6. Military grade.
- 7. Organization.
- 8. Diagnosis.
- 9. Admission date.
- 10. Discharge date.
- 11. Total number of days hospitalized.
- 5. Name and Social Security Number, line 3.
- 6. Military grade.
- 7. Organization.
- 8. Diagnosis.
- 9. Admission date.
- 10. Discharge date.
Order of completion: identification block first, substantive entries second, certification and signature last. The blank is laid out in that sequence and the sequence is not arbitrary — later entries often depend on data established in the header.
The current edition is not stated. Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field correspondence. Edition date appears in the lower corner of the printed blank.
Guidance for specific entries sits on the form face and in not stated; the directive is authoritative where the two do not agree.
After completion, the copy goes to the office designated by not stated or by local procedure. Retention of a personal copy is ordinary practice and costs nothing.
Related documents are located by series and number. DD forms sit in a single Department-wide sequence, so a form referenced inside DD Form 7 is normally found by its number alone, without regard to service.
A DD number and a DA number may appear in the same instruction without being related. DA forms belong to the Army alone; DD forms belong to the Department and are administered at Department level. The sequences are independent.
Forms are reissued for several reasons: directive revision, changed data requirements, updated notice language. Confirming not stated at the moment of download covers the risk.
This page distributes a published Department of Defense document and describes it. It is not a source of legal advice and makes no representation about acceptance of any completed form. Questions of applicability, eligibility or procedure belong to not stated, the servicing personnel office, or the office named in not stated.
Questions and answers
- What is DD Form 7?
- DD Form 7, Report of Treatment furnished pay patients Hospitalization Furnished (Part A), January 1976
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?