AF Form 2572PG2: Nutritional Assessment of Dietary Intake – AF Form 2572PG2: Nutritional Assessment of Dietary Intake (LRA) is an official U.S. Air Force form used by medical and nutritional professionals to conduct detailed evaluations of an individual’s dietary habits and nutritional status.
This specialized tool supports registered dietitians, diet therapy technicians, and healthcare providers in the Air Force Medical Service (AFMS) when performing comprehensive nutrition assessments, particularly for service members, patients in military treatment facilities (MTFs), or individuals with specific medical or performance-related needs.
What Is AF Form 2572PG2?
Full Title: AF Form 2572PG2 – Nutritional Assessment of Dietary Intake (LRA)
Purpose: It serves as a detailed dietary intake assessment instrument, often described as a more comprehensive version compared to the related AF Form 2572PG1. The form helps quantify and qualify what a person is eating to identify potential nutritional risks, deficiencies, excesses, or areas for intervention.
“LRA” in this context typically refers to a Limited or Local Restricted Activity or similar clinical notation used in military nutrition services, indicating the form is applied in specific medical or operational scenarios, such as during recovery, limited duty, or targeted nutrition therapy.
The form is part of a suite of Air Force nutrition documentation tools that also includes:
- AF Form 2572PG1 (a related, often slightly less detailed dietary intake assessment)
- AF Form 2503 (Nutritional Medicine Service Patient Evaluation)
- AF Form 2508 (Calorie Count)
- AF Form 2573 (Diet Census)
These tools align with broader Air Force guidance on providing medical nutrition therapy (MNT), nutrition education, and support for operational readiness.
Why the Air Force Uses Detailed Nutritional Assessment Forms Like 2572PG2
Proper nutrition directly impacts mission performance, recovery from injury or illness, weight management, chronic disease prevention, and overall force readiness. The AFMS employs structured nutrition screening and assessment processes to:
- Identify malnutrition risk or suboptimal intake
- Support medical nutrition therapy for conditions like diabetes, hypertension, lipid disorders, gastrointestinal issues, or post-surgical recovery
- Optimize performance for aircrew, special operations, and physically demanding roles
- Document care for continuity in military treatment facilities
Nutrition assessment is a key component of the nutrition care process, which includes screening, assessment, diagnosis, intervention, and monitoring. AF Form 2572PG2 contributes to the assessment step by capturing detailed dietary data alongside medical history, anthropometric measurements, biochemical data, and clinical findings.
Key Features and Structure of AF Form 2572PG2
While the exact layout is best viewed in the official PDF, AF Form 2572PG2 is designed as a multi-page tool that typically collects:
- Patient/Service Member Demographics: Name, rank, DOB, unit, medical record number, and date of assessment.
- Dietary Intake Details: Comprehensive recall or record of foods and beverages consumed, often over a specified period (e.g., 24-hour recall, usual intake, or multi-day record). It captures portion sizes, frequency, meal timing, and preparation methods.
- Nutrient Analysis Sections: Areas to note macronutrients (carbs, protein, fat), micronutrients, fluids, and specialized items like supplements, caffeine, or alcohol.
- Assessment Notes: Space for the dietitian or technician to analyze adequacy against standards (such as Dietary Reference Intakes or military-specific needs), identify patterns (e.g., high sodium, low fiber, inadequate protein timing), and note barriers to healthy eating.
- Clinical Context: Integration with diagnoses, medications, allergies, physical activity level, and goals (e.g., weight gain/loss, performance optimization, or therapeutic diet compliance).
- Recommendations and Follow-Up: Fields for planned interventions, education provided, and monitoring plan.
The “PG2” designation indicates it is the second page or a more detailed continuation/variant focused on in-depth dietary analysis. Providers use it alongside other data sources like calorie counts or patient questionnaires for a complete picture.
Who Uses AF Form 2572PG2 and When?
- Registered Dietitians (RDs) and authorized diet therapy technicians in Air Force MTFs
- Nutrition clinics supporting outpatient and inpatient care
- Cases involving limited duty, medical profiles, or recovery programs
- Pre- and post-deployment health optimization
- Management of chronic conditions or performance nutrition
The form helps ensure documentation meets standards for Medical Nutrition Therapy and supports evidence-based interventions.
How to Access and Complete AF Form 2572PG2?
The official, current version of AF Form 2572PG2 is available for download directly from the Air Force e-Publishing site:
→ Download AF Form 2572PG2 PDF here: https://static.e-publishing.af.mil/production/1/af_sg/form/af2572pg2/af2572pg2_rev.pdf
Important Notes:
- Always use the most recent revision from the official e-Publishing portal to ensure compliance.
- Forms are typically completed electronically or in conjunction with the Armed Forces Health Longitudinal Technology Application (AHLTA) or Genesis (MHS GENESIS) systems.
- Completion requires proper training; only authorized personnel should perform and document formal nutrition assessments.
For related guidance, refer to AFMAN 44-144 (Medical Nutrition Management) and installation-specific instructions.
Related Nutrition Resources for Airmen and Beneficiaries
The Air Force emphasizes a holistic approach to nutrition through programs like the Military Nutrition Environment Assessment Tool (m-NEAT), which evaluates food options on base to promote healthier choices.
Service members seeking personal nutrition support should contact their local MTF Nutrition Clinic or speak with a health promotion team. Evidence-based principles (balanced macronutrients, adequate hydration, nutrient timing, and consistency) remain foundational for both clinical and performance goals.
Conclusion
AF Form 2572PG2 – Nutritional Assessment of Dietary Intake (LRA) is a vital tool in the U.S. Air Force’s efforts to maintain optimal health and readiness through precise, individualized nutrition care. By enabling detailed dietary evaluation, it helps providers deliver targeted medical nutrition therapy that supports recovery, performance, and long-term wellness for Airmen and their families.
For the official form and the latest guidance, always refer to the Air Force e-Publishing website and consult qualified military healthcare professionals.
Keywords: AF Form 2572PG2, Nutritional Assessment of Dietary Intake, Air Force nutrition form, AFMS dietitian forms, military medical nutrition therapy, LRA dietary assessment, USAF nutrition screening.
This article is for informational purposes and is based on publicly available U.S. Air Force publications and resources as of 2026. Always verify the most current form and procedures through official military channels.