AF Form 570: Notification of Patient’s Medical Status

AF Form 570: Notification of Patient’s Medical Status – AF Form 570, officially titled Notification of Patient’s Medical Status, serves as a critical internal U.S. Air Force document used within military treatment facilities (MTFs) to communicate updates about a patient’s medical condition. It primarily supports notifications to commanders, casualty assistance representatives (CARs), and other authorized personnel when an Airman’s health status changes—especially in cases involving serious illness, injury, admission, disposition, or special notification categories like Very Seriously Ill/Injured (VSI) or Seriously Ill/Injured (SI).

This form helps ensure timely, accurate, and compliant information flow while protecting patient privacy under HIPAA and DoD/DAF regulations. It appears in contexts such as admissions and dispositions programs, casualty reporting, and medical record administration.

What Is AF Form 570 Used For?

The primary purpose of AF Form 570 is to document and distribute notifications regarding changes in a patient’s medical status. Key uses include:

  • Reporting initial admissions or treatment for active duty (AD) members, particularly when the condition requires commander notification.
  • Updating status for VSI, SI, or other special categories (SPECAT).
  • Documenting progress or changes (e.g., upgrade/downgrade from VSI to SI, or to Not Seriously Ill/Injured – NSI).
  • Supporting casualty operations, including coordination with AFPC/DPFCS or local CARs.
  • Recording notifications made to unit commanders or designees, including date, time, and recipient details.
  • Assisting in inpatient/outpatient disposition processes at MTFs.

It is referenced in DAFMAN 41-210 (Patient Administration Support), which outlines its role alongside other forms like AF Form 146 (Death Tag) or DD Form 93 (Record of Emergency Data) during serious incidents or end-of-life care.

Important distinction: AF Form 570 focuses on notification of status rather than detailed clinical notes (those belong in the health record) or duty limitations (handled via AF Form 469). It often pairs with sanitized healthcare information shared with commanders—limited to essentials like name, rank, unit, admission date, and whether the case was routine or emergent.

Who Uses AF Form 570?

  • Medical Treatment Facility (MTF) Staff: Patient Administration (TOPA), Admissions & Dispositions (A&D) teams, and providers initiate the form.
  • Casualty Assistance Representatives (CARs) and AFPC Casualty Services.
  • Unit Commanders and Designees: Receive sanitized updates on active duty members.
  • Health Services Management Personnel (e.g., 4A0X1 AFSC), who process it as part of training and operations.

It applies across the Total Force, including Regular Air Force, Air National Guard, and Air Force Reserve Component members treated in Air Force facilities.

Key Sections and How to Complete AF Form 570

Although the official form is a standardized PDF (dated around 1 August 1980 in many references, with potential updates), it typically includes fields for:

  • Patient Identification: Full name, rank/grade, SSN/service number, organization/unit, date of birth/age, and status (AD, ARC, retired, etc.).
  • Medical Details: Date of admission/treatment, diagnosis (or summary), current medical status, projected length of stay, and whether routine or emergent.
  • Notification Log: Who was notified (e.g., commander, CAR), date/time of notification, method, and any remarks or status changes (VSI/SI/NSI).
  • Provider/Administrator Signature: Certifying the accuracy of the information.
  • Privacy/Disposition Notes: References to protected health information handling.

Best practices for completion:

  • Use clear, factual language and limit sensitive details to what is authorized for the recipient.
  • For commander notifications, follow “minimum necessary” rules per DAFMAN 41-210.
  • File copies appropriately in the patient’s health record (often with SF 513 or other consultation forms).
  • Document all notifications thoroughly for accountability in casualty or serious incident cases.

The form is referenced as fillable in various templates, but always use the official version from Air Force e-Publishing for compliance.

How to Download the Official AF Form 570 PDF?

You can download the current official AF Form 570 directly from the U.S. Air Force e-Publishing site:

→ Official Download: https://static.e-publishing.af.mil/production/1/af_sg/form/af570/af570.pdf

This is the authoritative source maintained by AF/SG (Surgeon General). Check the e-Publishing portal (www.e-publishing.af.mil) regularly for any revisions, as forms can be updated.

Tip for USAF users: Access through your CAC-enabled account or base network for the most up-to-date version. Do not rely solely on third-party template sites for official use.

AF Form 570 often works in conjunction with:

  • AF Form 469 — Duty Limiting Conditions (profiles).
  • DD Form 689 — Individual Sick Slip (for quarters or minor notifications when ASIMS is unavailable).
  • AF Form 422 — Notification of Air Force Member’s Qualification Status.
  • DAF Form 618 — Medical Board Report (for MEB processes).
  • Casualty reporting tools like the Defense Casualty Information Processing System (DCIPS).

For quarters notifications, the preferred method is now the Aerospace Services Information Management System (ASIMS) Quarters-Airman Medical Notification Module. Use AF Form 570 or local forms as backups.

In casualty scenarios, refer to DAFI 36-3002 (Casualty Matters, Mortuary Affairs, and Funeral Honors) for detailed VSI/SI/NSI reporting procedures.

Why Proper Use of AF Form 570 Matters?

Accurate completion and timely distribution of AF Form 570 support:

  • Mission readiness by keeping commanders informed without compromising privacy.
  • Compliance with patient administration standards in DAFMAN 41-210.
  • Efficient casualty assistance and family support during serious events.
  • Proper documentation for audits, medical boards, or line-of-duty determinations.

Errors or delays can impact operational reporting, benefits processing, or command decisions.

Need Help or More Information?

  • Visit the official Air Force e-Publishing site for forms and publications.
  • Contact your local MTF Patient Administration or TRICARE Operations and Patient Administration (TOPA) office.
  • For casualty-related questions, reach AFPC Casualty Services or your unit’s Casualty Assistance Representative.
  • Active duty members should consult their Primary Care Manager (PCM) or Profile Officer for related medical status issues.

Disclaimer: This article provides general informational guidance based on publicly available U.S. Air Force publications as of 2026. Always verify with current official directives (e.g., DAFMAN 41-210, DAFI 36-3002) and your chain of command or MTF for specific procedures. Forms and policies are subject to change.

For the latest official AF Form 570, use the direct link provided above. If you are a service member or dependent needing assistance with medical notifications, contact your local military treatment facility promptly.

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