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Download DA Form 8002, also known as ASAP Outpatient Administrative Summary. This form is used by medical doctors or psychiatrist to report for a patients medical file. This form will provide test result and disposition patients or keeps an ongoing record for treatment or observation.

How To Fill-In

Step 1 – These forms are designed for use by military medical staff only. Read and disposition the event and provide any required information as follows:

In the EVENT columns simply locate the information to be provided and provide a date for the service as follows:

  • Referral – Date (yyyy/mm/dd format)
  • Reason: Alcohol Drugs – Date (yyyy/mm/dd format)
  • Type: CDR Self A/I Bio MED -Date (yyyy/mm/dd format)
  • Screening – Date (yyyy/mm/dd format)
  • Enrollment: Education/Outpatient/Inpatient/ None – Date (yyyy/mm/dd format)
  • Administrative Review – Date (yyyy/mm/dd format)
  • Quality Assurance Review – Date (yyyy/mm/dd format)
  • Consent Form Signed – Date (yyyy/mm/dd format)
  • 1st CPR – Date (yyyy/mm/dd format)
  • 2nd CPR – Date (yyyy/mm/dd format)
  • 3rd CPR – Date (yyyy/mm/dd format)
  • 4th CPR – Date (yyyy/mm/dd format)
  • Change of Track – Date (yyyy/mm/dd format)
  • Synopsis Letter -Date (yyyy/mm/dd format)
  • Discharge Summary – Date (yyyy/mm/dd format)
  • Dis-enrollment – Date (yyyy/mm/dd format)

Step 2 – Biochemical Testing – Doctors would record the following results in the appropriate columns/lines:

  • Recommended Urinalysis Testing
  • ADC notified on
  • Date yyyy/mm/dd
  • Code
  • Lab Results
  • Patient Identification –  (For typed or written entries give: Name – last, first, middle; grade; date; hospital or medical facility)

Step 3 – Page 2 – Summary Of Outpatient Rehabilitation Efforts. This form would be used by military medical staff on an ongoing basis. Use the following code to place in the appropriate columns reflected below:

  • Codes -
  • S = Screening
  • D = CMD Consult
  • A = Clinical Audit
  • S = Screening
  • D = CMD Consult
  • A = Clinical Audit
  • G = Group
  • T = Testing
  • F = Family M = MFR
  • Columns -
  • Date – (yyyy/mm/dd format)
  • Type -
  • Kept -

Step 4 – Additional Clinical Treatment – If additional treatments were included, date them in the final columns on page 2 –

  • Events and dates -
  • Drug & Alcohol Education – Date – yyyy/mm/dd format
  • Medical Evaluation – Date – yyyy/mm/dd format
  • Detox – Date – yyyy/mm/dd format
  • Inpatient – Date – yyyy/mm/dd format
  • Antabuse – Date – yyyy/mm/dd format
  • Case Staffing – Date – yyyy/mm/dd format

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