Army Forms Archive

DD Form 792 — DD Form 792, Twenty-Four Hour Patient Intake and Output Worksheet, January 1974.

Nursing Service - Twenty-Four Hour Patient Intake and Output Worksheet

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Department of Defense form 792. Official designation: DD Form 792, Twenty-Four Hour Patient Intake and Output Worksheet, January 1974.. Purpose: Nursing Service - Twenty-Four Hour Patient Intake and Output Worksheet. Current edition 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.

Common users: service members regardless of branch, Defense civilian staff, and the offices that file, verify or retain the finished document.

When the form is filed is a matter of not stated and local instruction. The description here covers the document itself and how to obtain a copy.

Formats offered: PDF. Length: 2 pages. Fillable field count: roughly 200.

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

  • From (hours).
  • To (hours).
  • Total hours covered.
  • Date.
  • Time, line 8.
  • Type.
  • Amount.
  • Accumulated total.
  • Time, line 9.
  • Type.
  • Amount.
  • Accumulated total.
  • Time, line 10.
  • Type.
  • Amount.
  • Accumulated total.
  • Intake. Oral. Time, line 1.
  • Type.
  • Amount.
  • Accumulated total.
  • Time, line 11.
  • Type.
  • Amount.
  • Accumulated total.

The document is filled from the top down. Identification precedes substance, substance precedes certification. Fields lower on the page are commonly keyed to entries made above them.

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 Superseded editions of DD forms are frequently rejected at the receiving office, since Department-wide forms change centrally and older layouts lose their field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.

The signature block takes an actual signature. On paper this means ink; electronically it means a credentialed digital signature, commonly CAC-based. Typed text in a signature field satisfies neither.

Privacy Act notice: DD forms that collect personal data carry a Privacy Act Statement stating the authority for collection, the principal purpose, routine uses and whether disclosure is voluntary or mandatory. The statement is part of the form and should be read before entry, not after.

Errors seen most often involve edition mismatch, empty mandatory fields, illegibility after scanning, date formats inconsistent with the printed instruction, and unsigned or undated certification.

Instructions printed on the form or in not stated govern individual field entries. Where the two differ, the governing publication controls.

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.

Associated forms are traced by number within the series. Because the DD sequence is common to all military departments, no service qualifier is needed to identify a referenced form.

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.

Editions change because the underlying directive changes, because collection requirements are revised, or because Privacy Act language is updated. Checking the edition date at the point of download is the practical response.

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 792?
DD Form 792, Twenty-Four Hour Patient Intake and Output Worksheet, January 1974.
Which edition is current?
Not stated by the publisher
Who is responsible for this form?
Not stated
In which formats can it be downloaded?
PDF

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