You have arrived looking for DD Form 7. Before you download, confirm this is the right document: Report of Treatment Furnished Pay Patients Hospitalization Furnished (Part A). Full title: DD Form 7, Report of Treatment furnished pay patients Hospitalization Furnished (Part A), January 1976.
Then look at the edition date: not stated, publisher status not stated. After that, ask whether the form covers your situation. It almost certainly does regardless of your branch — DD forms run Department-wide rather than through a single service.
After that, turn to timing. The requirement comes from not stated; the form is maintained by not stated. Local implementing instructions fill in the dates, so check with the office that will receive your copy.
Last in this stage, choose your method: complete it on screen, or print the blank form and fill it out in pen. The sections below take each route step by step.
Now fill it in. Work from the top of the page downward, and do not jump ahead — the identifying block comes first, the substance of your entry second, the certification last. Later boxes often depend on what you put at the top.
Your first action is verification. Find the edition date on the form and match it against not stated. A mismatch means you are working from a superseded printing, and because DD forms change Department-wide rather than service by service, the office receiving it will notice.
Fill every box as you come to it. If an item does not apply, enter N/A — an empty field looks like an oversight, and the form comes back to you. Watch the date fields especially: use the format the form specifies, not your habitual one.
Do not skip past the Privacy Act Statement. It is placed ahead of the personal data fields on purpose: it explains under what authority you are being asked, what happens to the information, and what follows if you decline. Take the minute it costs.
Sign last, and sign properly. On paper that means ink in the signature block. Electronically it means a digital signature, usually applied with your Common Access Card in a reader that supports it. Typing your name into the field does not sign anything. Then add the date beside your signature — an unsigned or undated form is the most common reason one comes back.
Review before you submit. Look for a superseded edition, blank mandatory fields, illegible writing, dates in the wrong format, and an unsigned or undated certification.
If a particular field puzzles you, read the instructions printed on the form first, then go to not stated. When the two disagree, follow the directive.
Download the form
First, look at what you can download. The set covers PDF, the form runs 1 pages, and you will complete roughly 101 fields.
Handle xfdl in two steps. First confirm you have IBM Lotus Forms Viewer or a compatible reader on your machine; ordinary pdf software will report the file as broken. Once the viewer is running, download and fill the form.
Whichever you pick, you pay nothing — every format here is a free download. One last tip: open your pdf in a desktop reader rather than in a browser tab, because browser viewers sometimes drop the interactive fields you need.
What the form asks for
- Report control symbol.
- 2. Month and Year covered by this report.
- 3. Category of patients.
- 4. Authority for admission.
- 5. Name (Last, first, middle intial) and Social Security Number, line 1.
- 6. Military grade.
- 7. Organization.
- 8. Diagnosis.
- 9. Admission date (4 digit year, 2 digit month, 2 digit day, no separators).
- 10. Discharge date (4 digit year, 2 digit month, 2 digit day).
- 11. Total number of days hospitalized.
- 5. Name and Social Security Number, line 2.
- 6. Military grade.
- 7. Organization.
- 8. Diagnosis.
- 9. Admission date.
- 10. Discharge date.
- 11. Total number of days hospitalized.
- 5. Name and Social Security Number, line 3.
- 6. Military grade.
- 7. Organization.
- 8. Diagnosis.
- 9. Admission date.
- 10. Discharge date.
With the form finished, route it to the office named in not stated or in your organization's own instruction. Keep a copy first. People rarely regret having one and frequently regret not having one.
If the form points you to another document, you can find it by number alone. DD numbering runs across the whole Department, so you do not need to work out which service issued it — one number, one form, everywhere.
Be careful when a procedure pairs this form with a service form. Read the prefix, not just the digits. Service forms answer to a service proponent, while DD forms answer to not stated or an equivalent Department office, and the two sequences were never aligned. Grabbing the wrong prefix gets you a form that has nothing to do with your task.
Plan to repeat this step whenever the form comes up again. Revisions follow directive changes, changes in what data is collected, and updates to notice language. Since nobody notifies you, check not stated at download and you have covered it.
Finally, understand the limits of what you have read. This page distributes a published Department of Defense form and describes how to fill it out. It does not give legal or procedural advice, and it cannot promise any outcome for your particular case. For that, contact not stated, your administrative office, or the authority identified in not stated.
Questions and answers
- What is DD Form 7?
- DD Form 7, Report of Treatment furnished pay patients Hospitalization Furnished (Part A), January 1976
- Which edition is current?
- Not stated by the publisher
- Who is responsible for this form?
- Not stated
- In which formats can it be downloaded?