A gold color metal and enamel device 1 1/8 inches (2.86cm) in height overall consisting of a Greek cross quartered with dark red (maroon) and white, surmounted overall by a gold Greek cross charged with three sets of two red (scarlet) horizontal bars issuing from each of the four corners of the outer cross a green oak leaf bearing a gold acorn, all above a gold scroll inscribed, 'DEDICATED TO SERVICE" in black letters.
The red and white cross represents the Hospital. The oak leaves represent the oak forest that surrounded the original Belvoir Manor after which Fort Belvoir was named. The oak leaves and acorns also allude to the new life, strength and many years of service given by Brigadier General Wallace DeWitt, MC, USA to the medical service after whom the Hospital was named. The three sets of narrow scarlet bars on a gold field were suggested by the coat of arms (or three bars gemel Gules) of Thomas Lord Fairfax, Fort Belvoir being a part of the original Fairfax grant.
The distinctive unit insignia was originally approved for DeWitt Army Hospital on 1 August 1969. It was redesignated for the U.S. Army Medical Department Activity, Fort Belvoir on 22 August 1973. The insignia was redesignated for the U.S. Army Element, Fort Belvoir Community Hospital and amended to update the description and symbolism effective 18 July 2011.