INITIATING A HEALTH RECORD
A HREC is initiated when an individual enters the military service. At that time, a
HREC file folder (DA Form 3444- series) is prepared. There are 10 different folders and
each is a different color. The folder selected is determined from the soldier's social
security number as explained in Lesson 3. The soldier reads, signs, and dates the
Privacy Act Statement imprinted on the right inside corner of the folder. The results of
the soldier's first physical examination is documented on SF 88, Report of Medical
Examination; his medical history is documented on SF 93, Report of Medical History;
and the administration of the initial immunizations are documented on SF 601, HREC--
Immunization Records. These forms are then filed in the soldier's HREC. Thereafter,
each contact that the individual has with the AMEDD as a patient throughout
his military career is documented and filed in the soldier's HREC. Outpatient
care is documented on SF 600, HREC--Chronological Record of Medical Care
(paragraph 2-10). Inpatient care is summarized and documented on DA Form 3647 or
DA Form 3647-1, Inpatient Treatment Record Cover Sheet (paragraph 1-3b).
CONTENTS OF HEALTH RECORDS
Forms are filed in the primary (health) component of the HREC in the
following order (top to bottom). If more than one of the same form is present, they are
filed in chronological order with the most recent form on top. Forms are filed on the
inside of the left side of the folder or on the inside of the right side of the folder. Holes
are punched in the forms if the forms do not already have holes prepunched. The metal
prongs of the paper fasteners are then inserted through the holes and secured. Refer
to AR 40-66, Medical Record and Quality Assurance Administration, for additional
instructions for filing forms in medical records. Most HRECs will not have all of the
If a soldier's HREC is old, the forms may be in a DD Form 722 folder
instead of a DA Form 3444-series folder.)
a. Left Side of File Folder.
DA Form 4186, Medical Recommendation for Flying Duty.
(2) DA Form 3180/3180A, Personnel Screening and Evaluation Record
(form must be included in all HRECs).
DA Form 5571, Master Problem List.
DA Form 2482, Venom Extract Prescription.