c. The clerk also verifies the patient information (see figure 4-9) on the forms with
the entries on the AAD Report. The form is designed for mechanically imprinted, typed, or
handwritten information to be entered. Items that should be verified are:
(1) Patient identification.
Name, register number, family member prefix, and
social security number.
(2) Date of admission. Should agree with the AAD Report.
(3) Authority for admission. Applicable paragraph reference from AR 40-3 or
(4) Patient category. For example, wife AD Army EM
(5) Invoice mailing address. This is where the invoice (DA Form 3154) may be
mailed. It may or may not be the same as the emergency addressee.
Figure 4-9. DA Form 3153 (Patient identification section).