AF Form 3575 PDF Download: Pureed/Blenderized Liquid

AF Form 3575 PDF Download: Pureed/Blenderized Liquid – The AF Form 3575, titled Pureed/Blenderized Liquid (Yellow) (6-Way Perf), is a specialized multi-part document used by the U.S. Air Force Medical Service (AFMS) in Nutritional Medicine (NM) operations. It supports precise tracking and documentation of pureed or blenderized liquid diets for patients in military treatment facilities (MTFs).

This yellow-colored form belongs to a series of color-coded dietary request or production forms. It helps ensure patients with swallowing difficulties (dysphagia), post-surgical needs, or other medical conditions receive appropriately modified textures and consistencies while maintaining nutritional adequacy.

What Is AF Form 3575 Used For?

In Air Force hospitals and clinics, Nutritional Medicine Services prepare and serve therapeutic diets as part of patient care. Pureed or blenderized liquid diets are prescribed when standard solid foods pose risks, such as choking or aspiration.

  • Pureed diets involve food processed to a smooth, pudding-like consistency.
  • Blenderized liquid diets are fully liquefied, often for tube feeding compatibility or severe swallowing impairments.

The “Yellow” designation identifies this specific diet category in the NM color-coding system (similar to other forms like Fat Restricted (Blue) or Liquid (Yellow) variants).

The 6-way perforation (6-part snap-out or multi-copy format) allows distribution of copies to multiple stakeholders:

  • Kitchen/production areas for meal preparation.
  • Dietitians or clinical staff for documentation.
  • Ward or patient care units for verification.
  • Administrative, inventory, or accounting records.

This multi-copy design streamlines workflow in busy military medical food service operations while supporting accountability and compliance with nutritional care protocols. A related 3-way version exists as AF Form 3574.

Context in Air Force Nutritional Medicine

AF Form 3575 is referenced in AFMAN 44-144, Nutritional Medicine (20 January 2016), which governs menu planning, therapeutic diets, subsistence management, and food service in Air Force MTFs.

Key elements from the manual include:

  • Menus (regular and therapeutic) must meet nutritional standards, including those aligned with USDA Dietary Guidelines where applicable.
  • Clinical dietitians or designated NM personnel handle therapeutic menu planning.
  • Forms like AF 3575 support production, issuance, and tracking of special diets to ensure patients receive the correct items.
  • Inventory and cost control procedures apply to all subsistence used in preparing these diets.

These processes help maintain high standards of care for active duty personnel, dependents, and retirees receiving inpatient or outpatient services at Air Force medical facilities.

How to Access and Download AF Form 3575?

The official current version of AF Form 3575 is available as a PDF from the Air Force e-Publishing website:

→ Direct Download Link: https://static.e-publishing.af.mil/production/1/af_sg/form/af3575/af3575.pdf

Always obtain Air Force forms from the official e-Publishing site to ensure you have the latest revision and authentic document. Forms may be updated periodically, so check the prescribing publication (AFMAN 44-144 or successor) for any changes.

Note: These forms are for official use within the U.S. Air Force Medical Service. Unauthorized or improper use outside prescribed military channels is not permitted.

Who Uses AF Form 3575?

  • Nutritional Medicine personnel (dietitians, food service technicians, and cooks in MTFs).
  • Clinical staff managing patient diets.
  • Administrative and supply personnel involved in ration accounting and inventory.

The form integrates with broader systems for headcount, meal cards (e.g., DD Form 714), and subsistence cost reporting to maintain operational efficiency and regulatory compliance.

Why Proper Use of Specialized Diet Forms Matters?

Accurate documentation with forms like AF 3575 helps:

  • Prevent dietary errors that could impact patient safety or recovery.
  • Support compliance with medical nutrition therapy (MNT) standards.
  • Facilitate accurate inventory management and budgeting for medical food services.
  • Ensure mission readiness by keeping Air Force personnel and their families healthy during treatment.

In military healthcare, every aspect of nutritional support—from menu planning to meal delivery—directly contributes to overall force health and readiness.

  • AF Form 3574 — Pureed/Blenderized Liquid (Yellow) (3-Way Perf)
  • Other color-coded diet forms (e.g., Fat Restricted, Liquid variants)
  • AF IMT 79 — Headcount Record
  • Various subsistence and inventory forms referenced in AFMAN 44-144

For full guidance, consult the latest edition of AFMAN 44-144 Nutritional Medicine on the e-Publishing site.

Need the form?
Download it directly here: AF Form 3575 PDF

This article provides general information based on publicly available Air Force publications. For official instructions, training, or implementation, contact your local Nutritional Medicine Service or refer to current Air Force Instructions and Manuals. Always verify the most recent form revision on e-Publishing.af.mil before use.