This form will serve as the record of trauma care rendered at DoD Veterinary Treatment Facilities or Military Treatment Facilities, regardless of operational environment, and DNBI in operational environments only.

The form is comprised of two parts.

• Part I, Animal Technician/Nursing Flow Sheet is completed by the Animal Care Specialist (68T), veterinary technician or healthcare personnel fulfilling the role as a scriber or the providing bedside care.
• Part II, Veterinarian/Physician is completed by the veterinarian or physician providing care for the MWD.

Instructions for the use of this form are provided in the DHA-PI 6040.47-V6, Implementation Guidance for the Utilization of DD Form 3074, Canine Treatment and Resuscitation Record.

The DD Form 3074 becomes part of the canine’s permanent medical record. For US Special Operations Command canines, the Canine Treatment and Resuscitation Record will be filled out and returned to the handler or operator. The handler or operator will route the record(s) to their respective veterinarian to be input into the MWDTR and the canine’s eVHR. The form must also be emailed to dha.mwdtraumaregistry@health.mil for inclusion into the DoD MWDTR.

The fillable electronic worksheet is available at:

• https://www.esd.whs.mil/Directives/forms/dd3000_3499/DD3074/
• https://jts.health.mil/assets/docs/forms/DD_3074_Canine_Treatment_and_Resuscitation_Record.pdf

In addition to the DHA-PI 6040.47-V6, instructions for utilization of the DD 3074 can also be found at:

• https://jts.health.mil/assets/docs/forms/DD_3074_Canine_Treatment_and_Resuscitation_Record_Instructions.pdf