AF Form 3923: Child Preventive Care Flow Sheet (2026)

AF Form 3923: Child Preventive Care Flow Sheet (2026) – Air Force families rely on consistent, high-quality preventive care to keep children healthy, support development, and maintain readiness for service members. AF Form 3923, titled Child Preventive Care – Flow Sheet, serves as a key tool in military pediatric care. It helps track well-child visits, immunizations, screenings, and growth milestones in one organized document.

This flow sheet pairs with DD Form 2005 (Privacy Act Statement – Health Care Records), which informs patients or sponsors about the collection and use of health information under the Privacy Act. DD Form 2005 is not consent for disclosure but explains authorities and routine uses for military health records.

What Is AF Form 3923?

AF Form 3923 is an official U.S. Air Force Information Management Tool (IMT) form designed for documenting preventive health services for children, typically from birth through early childhood. Healthcare providers at military treatment facilities (MTFs) use it as a quick-reference “flow sheet” to record multiple well-child visits over time on a single document.

It complements the Adult Preventive Care Flow Sheet (AF Form 3922) and aligns with broader Military Health System (MHS) and TRICARE preventive care standards. The form supports standardized pediatric care across Air Force bases worldwide, ensuring providers and families can easily monitor compliance with recommended schedules for immunizations, screenings, and developmental checks.

Official Download: Access the current fillable PDF directly from Air Force e-Publishing:
https://static.e-publishing.af.mil/production/1/af_sg/form/af3923/af3923.pdf

Always verify the latest version on the official Air Force e-Publishing site before use, as forms can be updated.

Purpose of the Child Preventive Care Flow Sheet

The primary goal of AF Form 3923 is to streamline documentation of preventive care for dependent children of Air Force members and other eligible beneficiaries. It promotes early detection of health or developmental issues, ensures timely vaccinations, and supports continuity of care—especially important for families who move frequently due to PCS (Permanent Change of Station).

Key benefits include:

  • Centralized tracking of growth parameters, immunizations, and screenings.
  • Support for TRICARE-covered well-child visits (birth through age 5, with extensions as needed).
  • Compliance with Advisory Committee on Immunization Practices (ACIP) recommendations and Air Force guidelines.
  • Easy handoff between providers at different MTFs.

This form helps families and providers stay proactive, reducing risks of vaccine-preventable diseases and supporting optimal child development.

What Does AF Form 3923 Track?

While the exact layout is a tabular flow sheet (typically with columns for visit dates/ages and rows for specific items), it generally includes sections such as:

  • Patient Identification: Child’s name, date of birth, sponsor information, and record identifiers (linked to Privacy Act protections via DD Form 2005).
  • Well-Child Visit Schedule: Spaces to record dates and findings for routine visits (e.g., newborn, 1 month, 2 months, 4 months, 6 months, 9 months, 12 months, 15-18 months, 24 months, and beyond as needed).
  • Immunizations: Tracking of vaccines like DTaP, IPV, MMR, varicella, hepatitis B, pneumococcal (PCV), rotavirus, influenza, and others per current ACIP/CDC and DoD schedules.
  • Screenings and Assessments:
    • Growth measurements (height/ length, weight, head circumference).
    • Developmental milestones and behavioral screening.
    • Vision, hearing, dental, and anemia (hemoglobin/hematocrit) screenings.
    • Lead screening or tuberculosis testing when indicated.
    • Nutritional and mental health assessments.
  • Other Preventive Elements: Anticipatory guidance topics, referrals, or notes on parental concerns.

Providers initial or sign entries, making the form a living record of the child’s preventive health journey. It aligns closely with TRICARE well-child care coverage, which includes routine immunizations, history and physical exams, developmental appraisals, and specific screenings (e.g., hearing before 1 month, vision at birth and ~6 months).

How Air Force Families Use AF Form 3923?

  1. During Well-Child Visits: Bring your child to the pediatric clinic or family health clinic at your MTF. Providers update the flow sheet during each visit.
  2. Immunization Records: The form serves as a quick visual aid alongside the official immunization record (often maintained in electronic health records like MHS GENESIS).
  3. PCS or Deployment Preparation: Families moving between bases or facing deployments can present the completed flow sheet to new providers for seamless care transitions.
  4. School or Child Development Center (CDC) Enrollment: Proof of up-to-date preventive care and immunizations is often required for on-base child care or school entry. DoD policy emphasizes ACIP-recommended immunizations for child development programs.
  5. Privacy Considerations: DD Form 2005 accompanies health record interactions, explaining how information is collected and used under 10 U.S.C. authorities for military health care.

Parents should review entries with providers, ask questions about upcoming milestones or vaccines, and keep personal copies if permitted (while the official record stays with the MTF).

  • TRICARE Well-Child Care: Covers services from birth through age 5, including immunizations and screenings.
  • DoD and Air Force Immunization Programs: Follow ACIP schedules; AFI 48-110 (Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases) guides broader military vaccination policy.
  • Child and Youth Programs: AFI 34-144 and DoDI 6060.02 require documentation of immunizations and health assessments for participation in child development centers.
  • Military Health System: Emphasizes preventive care to support family readiness and mission effectiveness.

Recommendations evolve; always consult your child’s pediatric provider or the CDC immunization schedule for the most current guidance.

Tips for Air Force Parents

  • Schedule well-child visits on time — they are fully covered under TRICARE for eligible children.
  • Maintain accurate records, especially during moves. Ask for updates to AF Form 3923 or electronic equivalents.
  • Discuss any concerns (developmental, nutritional, or behavioral) during visits.
  • For immunizations, walk-in services are often available at many MTFs.
  • If stationed overseas or at smaller bases, coordinate with TRICARE or referral services as needed.

Staying current with preventive care protects your child’s health and contributes to overall family resilience.

Download and Access AF Form 3923

  • Official Source: AF Form 3923 PDF from Air Force e-Publishing.
  • Search for related forms (e.g., AF Form 3922 for adults) on the same site.
  • For Privacy Act details: DD Form 2005 is available on the DoD Forms Management Program site.

Note: Forms and policies can be revised. Always use the version hosted on official .mil sites and consult your local Medical Treatment Facility or TRICARE Regional Office for the latest requirements.

For personalized advice, contact your child’s primary care manager at the nearest Air Force or MHS clinic. Preventive care is one of the most effective ways to support your child’s healthy growth while serving our nation.

This article is for informational purposes and is based on publicly available official sources as of 2026. It does not replace professional medical or legal advice.