Shield
Per chevron enhanced Sanguine and Argent, a bordure per fess counterchanged.
Crest
That for the regiments and separate battalions of the Army Reserve: On a wreath of the colors Argent and Sanguine, the Lexington Minute Man Proper. The statue of the Minute Man, Captain John Parker (H.H. Kitson, sculptor), stands on the Common in Lexington, Massachusetts.
Motto
MANUS SUBITIS AVIDAE (Hands Eager For The Emergency).
Shield
The shield is in the colors of the Medical Department, maroon and white. The chevron enhanced suggests a snow-covered mountain against a sky deep red by the setting sun, indicating the units allocation Colorado, Arizona and New Mexico.
Crest
The crest is that of the United States Army Reserve.
The coat of arms was originally approved for the 328th Medical Regiment on 15 July 1925. It was redesignated for the 328th Medical Battalion on 14 December 1942.