On a white diamond-shape, all sides equal within a 1/8 inch (.32 cm) maroon border, 3 1/2 inches (8.89 cm) in height overall bearing a maroon couped cross surmounted by a yellow torch superimposed by a white star.
Maroon and white are the colors traditionally used by the Medical units. The diamond shape of the insignia signifies courage and energy of the cadre, to educate and direct the troops in the field of Health Sciences. The couped cross, universal symbol for medical care, denotes the brigade's focus on medical service. The torch refers to guidance and knowledge, and the brigade's mission of training the troops. The star symbolizes Texas, the largest state in the Continental United States and location of the 32d Medical Brigade.
The shoulder sleeve insignia was approved on 9 October 2002. It was amended to correct the symbolism on 23 October 2002. (TIOH Drawing Number A-1-852)