h. Distribution of AAD Report. Distribution of the AAD report is locally determined.
Distribution of the AAD reports containing diagnostic information is limited to only
individuals having an official need for such information. All copies of the report, except the
record copy, can be destroyed after they have served their purpose. The record copy is
maintained for five years, after which it is destroyed in accordance with AR 340-18-9.
Section V. DISPOSITION PROCESSING
a. Each patient is evaluated by the attending medical or dental officer as soon as
possible after admission and reevaluation continues until disposition.
b. The commander of the Army medical treatment facility is responsible for
disposition of all patients at the facility, but this action is normally delegated to the
attending medical or dental officer. This attending officer is responsible to the commander
for proper and timely professional care of patients and continual evaluation of patients for
early and appropriate disposition. United States military patients are not retained in
medical facilities longer than the minimum time necessary for them to obtain the mental
and physical state required for duty or for separation from the active service if they do meet
retention medical fitness standards. Nonmilitary patients are not retained beyond the
minimum time necessary for release.
a. A patient dispositioned to duty or discharged may be required to visit various
sections of the hospital for clearance. In some facilities, there is a centralized clearance
area which clears the patient. No standard pattern exists for clearance procedures. The
nursing unit personnel will direct the patient in clearing, taking into consideration the
nursing unit location in relation to the location of sections to be cleared and the condition of
the patient. DA Form 4029 (Patient's Clearance Record), which was prepared on the
patient at time of admission, will be used for clearance. The clearance record includes all
sections of the medical facility that may be concerned with the patient; that is, library, Red
Cross, clothing room, medical services account office, and so forth. The admission and
disposition office generally is the last clearing point. Verification that clearance was
properly accomplished by the patient is the responsibility of the sections initiating the
appropriate item on the clearance record.