Approved on 3 August 1994, the 426th Medical Brigade Shoulder Sleeve Insignia, or unit patch, incorporates the Medical Corps colors of maroon and white in the triangle and cross centered on a gold disc. Gold is the color of excellence, and the disc represents mobility and quick response; the triangle is a stylized mountain intended to recall the mountainous area of Utah where the unit was based. The cross is a symbol of both compassion and medical care, and the blue and green areas represent sky and grass, respectively, to suggest life and the Great Lifegiver.
United States as the 426th Medical Battalion, Motorized at Camp Maxey in Texas. The Battalion was quickly broken up with its Headquarters and Headquarters Detachment (HHD) being redesignated as HHD, 426th Medical Battalion in September 1943. This unit took part in five campaigns in the European Theater during World War II and was inactivated in Germany in 1946. It was allotted to the Organized Reserve Corps in 1948 (the Organized Reserve became the Army Reserve in 1952).
The unit underwent several inactivations/activations over the next several decades, with its location changing from Yakima to San Francisco (1950) to Los Angeles (1952) and finally Salt Lake City (1986). It was there that the unit received its final designation as Headquarters and Headquarters Company, 426th Medical Brigade on 16 September 1993. The Brigade has since been inactivated.