SF509

Medical Record - Progress Report

Agency
GSA
Revision
Rev. 7/1991
Fillable fields
92
Pages
2
Official source
GSA form page
Checked
October 20, 2026
Fill SF509 online
Page 1 of form SF509

Standard Form 509 (SF 509): Medical Record - Progress Notes

Standard Form 509 (SF 509), Medical Record - Progress Notes, is a two-sided medical record sheet, Rev. 7/1991. Its footer reads Prescribed by GSA/CMR, FIRMR (41 CFR) 201-9.202-1. GSA hosts a copy in its forms library and lists it as Medical Record - Progress Report, while the form itself is headed Medical Records, Progress Notes.

Each side is a ruled table with a Date column and a wide column for the note. The front ends with the patient's identification, a register number and a ward number, and the back continues the same table. The form prints no signature line.

GSA's page says U.S. Government departments, agencies and offices can order printed copies through GSA Global Supply or GSA Advantage. You can fill it out free in your browser on this page and download the result without an account.

Top of page 1 of Standard Form 509 (SF 509): Medical Record - Progress Notes, as printed by GSA

What's on SF 509

Header

Medical Records and Progress Notes across the top of the front.

Date column

A narrow Date column at the left of each ruled row.

Notes column

A wide column for the progress note on each row, with (Continue on reverse side) at the bottom of the front.

Patient's identification

Name (last, first, middle), grade, rank, rate and hospital or medical facility, with a register number and a ward number.

Back of the form

The back is headed Progress Notes and repeats the Date and note rows.

How to complete SF 509

  1. 1

    Identify the patient

    For typed or written entries, give the name (last, first, middle), grade, rank, rate and hospital or medical facility, plus the register and ward numbers.

  2. 2

    Date each entry

    Enter the date in the Date column at the start of the row.

  3. 3

    Write the note

    Write the progress note in the wide column beside the date.

  4. 4

    Continue on the back

    The front says to continue on the reverse side, which repeats the Progress Notes rows.

The form prints no instructions beyond its blocks. These steps follow them.

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Records, copies and what the form says

Where it goes

The PDF gives no filing address or routing instructions.

Ordering printed copies

GSA's page says U.S. Government Departments, Agencies, and Offices can place an order at www.gsaglobalsupply.gsa.gov or www.gsaadvantage.gov with either a government purchase card or AAC (Activity Address Code). The Stock Number is 7540-00-634-4122.

Contractors

GSA's page says Government Contractors will need to have their Government Department, Agency, or Office sponsor their request before placing an order.

Edition and prescribing rule

The footer reads Standard Form 509 (REV. 7-91) (EG), Prescribed by GSA/CMR, FIRMR (41 CFR) 201-9.202-1. GSA's page lists the current revision date as 07/1991.

Who uses SF 509?

  • The person writing the notes

    Each row has a Date column and a note column. The form prints no signature line and names no role.

  • The patient

    For typed or written entries, the patient's identification asks for the name (last, first, middle), grade, rank, rate and hospital or medical facility.

  • The hospital or medical facility

    The facility is named in the patient's identification, next to a register number and a ward number.

  • Federal offices ordering copies

    GSA's page says U.S. Government Departments, Agencies, and Offices can order the printed form, and that contractors need a sponsoring office.

The form does not say who writes the notes. Its blocks and GSA's page name these people and places.

Official sources and the blank

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Questions about Form SF509

Who prescribes SF 509?

The footer says the form is prescribed by GSA/CMR under FIRMR (41 CFR) 201-9.202-1. GSA hosts a copy in its forms library.

Is SF 509 called Progress Notes or Progress Report?

The form itself is headed Medical Records, Progress Notes. GSA's page lists it as Medical Record - Progress Report.

Does SF 509 have a signature line?

No. Each row has a Date column and a note column, and the form prints no signature line.

How can a federal office get printed copies?

GSA's page says U.S. Government Departments, Agencies, and Offices can order at www.gsaglobalsupply.gsa.gov or www.gsaadvantage.gov with a government purchase card or AAC. The Stock Number is 7540-00-634-4122.