DA Form 3824: Urologic Examination Guide & PDF

DA Form 3824: Urologic Examination Guide & PDF – DA Form 3824 is the official U.S. Army form used to document urologic examinations. It supports detailed assessment of the urinary and male reproductive systems for active duty Soldiers, ensuring medical readiness and proper documentation in service treatment records.

What Is DA Form 3824?

DA Form 3824, titled “Urologic Examination,” is a standardized medical form prescribed for use under Army Regulation (AR) 40-66, Medical Record Administration and Healthcare Documentation. The current edition dates to February 2003 and replaced an earlier 1971 version.

The form captures findings from examinations of the external genitalia, prostate, bladder, urethra, seminal vesicles, and upper urinary tract (kidneys and ureters). It includes sections for patient identification, reason for examination, detailed clinical findings, diagnostic tests (such as cystoscopy, pyelography, urine cultures), and the examiner’s diagnosis and recommendations.

It serves as part of the Army’s service treatment record system and helps track conditions affecting deployability, physical fitness, or duty performance.

Purpose of DA Form 3824 in the U.S. Army

Military urologic evaluations address conditions common in service members, such as urinary tract infections, kidney stones, prostate issues, or trauma-related injuries. The form standardizes documentation for:

  • Medical readiness — Ensuring Soldiers meet deployment standards.
  • Specialist referrals — From primary care to urology.
  • Treatment tracking — For chronic or acute urologic conditions.
  • Administrative needs — Profiles, separations, or disability evaluations.

It is used in military treatment facilities (MTFs) by urologists or qualified providers. The proponent agency is the Office of The Surgeon General.

When Is DA Form 3824 Required?

Common triggers include:

  • Symptoms like hematuria, dysuria, incontinence, or pelvic pain.
  • Abnormal findings on routine physical exams (e.g., prostate screening).
  • Follow-up for genitourinary trauma or infections.
  • Pre-deployment or periodic health assessments.
  • Evaluation of conditions impacting fertility or sexual function.

It integrates with broader medical records per AR 40-66 guidelines.

Key Sections of DA Form 3824

The form is structured for comprehensive documentation:

  • Patient Identification — Name, rank/grade, SSN, age, date, facility.
  • Reason for Examination — Clinical indication or symptoms.
  • Lower Tract Findings — External genitalia, anus/anal sphincter tone, prostate (size, consistency, median sulcus, surface, masses, fixation), seminal vesicles, bladder (mucosa, trigone, wall, ureteral orifices), urethra.
  • Upper Tract Findings — Kidneys, ureters, bladder via imaging or function tests; kidney function tests; pyelography.
  • Procedural Details — Cystoscopy capacity/residual urine, ureteral catheterization, dye tests, urine analysis (macroscopic/microscopic, culture), radiographs.
  • Diagnosis and Recommendations — Final assessment and follow-up plan.
  • Signatures — Examiner’s signature and date.

Providers record detailed observations to support continuity of care.

How to Fill Out and Use DA Form 3824?

  1. Complete header information accurately.
  2. Document the reason for the request.
  3. Record objective findings from physical exam, endoscopy, imaging, and lab tests.
  4. Provide a clear diagnosis and actionable recommendations.
  5. Ensure the examiner (typically a urologist or credentialed provider) signs the form.

The form becomes part of the Soldier’s permanent medical record. Electronic health record systems like AHLTA or GENESIS may supplement or replace paper versions in modern practice.

Important: Only authorized Army medical personnel should complete and file this form.

Download DA Form 3824 PDF

You can download the official fillable or printable version directly from the U.S. Army Publishing Directorate:

Additional resources and templates may be available through official Army portals or military treatment facilities. Always use the most current version from armypubs.army.mil.

  • AR 40-66 — Governs medical record administration and use of this form.
  • Other related forms include those for general medical examinations, consultations (SF 513), or supplemental medical data (DA Form 4700).
  • Urology care ties into overall readiness programs managed by the Defense Health Agency (DHA) and Army Medical Command.

For questions about completing or accessing the form, contact your unit medical provider, MTF urology clinic, or medical records department.

This article provides general information based on official U.S. Army sources. It is not a substitute for professional medical advice or official guidance. Policies may be updated; verify with current Army regulations and your healthcare provider.