A Silver color metal and enamel device 1 3/16 inches (3.02 cm) in height overall consisting of a testudial shield blazoned: Azure, a sea tortoise erect and displayed Argent, with a shell of the like (White) charged with a cross entire Gules, all within a bordure of the second; surmounting a Rod of Aesculapius in bend and a Lei-O-Mano in bend sinister, the upper portions above the shield entwined with a serpent coiled fesswise, head reflexed in dexter. Beneath the shield a scroll arched Gules with ends entwined back on itself inscribed “NA KOA IMUA” in Silver letters.
The blue field in the background of the shield represents water, bringer of life, healing and purity of intention in supporting the treatment of wounded, ill and injured soldiers. The Rod of Aesculapius is a historic symbol of the medical profession; here the snake is reaching towards the Lei-O-Mano symbolizing the medical treatment of the warrior. The Lei-O-Mano, is a shark tooth weapon used by Hawaiian Warriors. Together they refer to the duty of the Command to oversee the Service Members’ treatment during both war and peace throughout the Pacific Rim. The motto translates to “Warriors Go Forth.”
The distinctive unit insignia was originally approved for the Pacific Regional Medical Command on 18 December 2012. It was amended to correct the description and symbolism on 26 April 2013. It was redesignated effective 1 October 2016, for the US Army Regional Health Command with the symbolism updated.