On a blue wedge shape 2 5/8 inches (6.67 cm) in height, 2 1/2 inches (6.35 cm) wide at top and 1 1/4 inches (3.18 cm) wide at base, a pennant with forked tail in base, divided in half vertically with white at left and maroon at right and bearing a Greek cross throughout also divided vertically with maroon at left and white at right, the left side in the form of an arrowhead with point to the right.
The colors maroon and white refer to the Army Medical Department. The cross, symbolic of medical care, extends throughout, indicating the authority of the headquarters. The maroon area at left, forming a directional pointer, suggests the flow of personnel from the forward combat area to the medical care facility. The wedge shape of the device, with forked base and the color blue, alludes to the Ohio State Flag.
The shoulder sleeve insignia was approved on 6 October 1976. (TIOH Dwg. No. A-1-600)