NOTE: DA Form 2984 is initiated each time there is a change in the patient's condition.
(2) Blocks 1 thru 11 are annotated by the physician (nursing personnel will usually
fill in blocks 1 thru 7 and the patient's ID block for the medical officer). The patient's ID
block may be handwritten, typed, or imprinted by the patient's identification plate. The
required information includes the name, grade or status, FMP (Family Member Prefix), and
social security number.
b. Patient Administration.
(1) After the medical officer forwards DA Form 2984, the patient administrator or
other designated officer reviews blocks 1 thru 11 for completeness and accuracy. If items
are incomplete or incorrect, he contacts the medical officer immediately for required
(2) The patient administrator makes the required notifications (described in detail
in paragraph 4-3). A patient administration clerk generally notifies the information office,
the Red Cross, the chaplain, the unit commander, and others (determined by local
procedure) as soon as DA Form 2984 is received. On this form, he enters the date, hour,
and method of notification. He initials each notification as it is made. Remarks concerning
the patients are entered in block 19.
(3) After completing all action required on DA
Form 2984, the officer enters his name in block 20 and signs his name in block 21.
c. Criteria for Classifying Special Category (SPECAT) Patients.
Even though a patient may not be classified as a VSI or SI patient, under certain
circumstances, his NOK must be informed of his condition because it may have a
traumatic effect on his family and may require family adjustments. NOK must be notified
when the patient:
(1) Has sustained a severe injury, such as loss of sight or limb.
(2) Has sustained a permanent and unsightly disfigurement of a portion of the
body normally exposed to view.
(3) Is suffering from an incurable and fatal disease and has limited life
(4) Has an established psychotic condition.
(5) May require extensive medical treatment and hospitalization.