Forward Ops HQ, Fort Liberty
support@usdefencesecuritynetwork.org
Medical Operations

Medical Incident Report

Emergency medical documentation for military personnel

EMERGENCY MEDICAL PROTOCOL

For life-threatening emergencies, contact 911 or base emergency services immediately.

Base Medical Emergency: 911 | Non-Emergency: (555) 123-MEDIC

DA Form 2173 - Medical Incident Report

Document all medical incidents and treatments administered

Patient Information
Include full rank and name as it appears on ID
Contact & Communication
Medical Assessment
Include location, time of incident, and mechanism of injury
Financial Documentation
$
TRICARE Coverage
Active duty medical expenses covered
Incident Severity Classification
No duty limitations
Limited duty required
Immediate evacuation

Medical Privacy Protection
Report protected under HIPAA guidelines