A gold color metal and enamel device 1 3/16 inches (3.02 cm) in height overall consisting of a semi-circular background of gold rays radiating from behind the center of a white Greek cross charged with a gold fleur-de-lis in front of a maroon disc on a scarlet background all enclosed within a continuous blue wavy border, all below a semi-circular maroon scroll folded back at each end behind the wavy border and inscribed "VALOR IN HEALING" in gold letters.
The maroon disc with the blue wavy border represents the unit's World War II service in the Rhineland and Central Europe campaigns. The wavy border also alludes to the Mississippi River. The color white symbolizes knowledge, life, and hope, and the gold rays represent the healing power of the sun. Maroon and white are colors used by the Army Medical Department. The cross is a symbol of aid and assistance, while the fleur-de-lis refers to Jackson, Mississippi, the home area of the organization. Jackson had its beginning as Le Fleur Bluff named after Louis Le Fleur, an early French trader.
The distinctive unit insignia was originally approved for the 134th Surgical Hospital on 7 July 1971. It was redesignated for the 134th Combat Support Hospital and amended to revise the symbolism on 11 July 1978.