Answer: The approved one-item prescription form used at Army medical treatment
facilities is DD Form 1289.
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There are eight major parts to each
prescription. The first of these parts, Block
1, contains the information which identifies
the patient. It will have the full name and
address or telephone number of the
patient. On prescriptions for children
twelve years of age and under, AR 40-3
recommends that the child's age be written
on the form.
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Question: Patient information found in Block 1 above includes the patient's _________
and address or __________.
MD0801
1-3