Direct proof of use
U.S. Navy Seahawk-family helicopters were fielded in the 2003 Iraq War through the 2515th Naval Air Ambulance Detachment. A Defense Visual Information Distribution Service history says the detachment became operational at Udairi Army Airfield in November 2005 with HH-60H Seahawk helicopters, MH-60S Seahawk helicopters, and other aircraft, then evacuated injured and wounded personnel in Kuwait and the northern Persian Gulf.
The same DVIDS account says Navy personnel from HSC-21, HSC-23, and HSC-85 later served with the detachment, and that the mission expanded north to cover southern Iraq from Basra. HSC-21's official history separately records MH-60S Naval Air Ambulance Detachments sent to U.S. Army Central Command for Operation Iraqi Freedom and 2011 combat-support missions aiding the 2515th NAAD in Basrah, Iraq.
Sources: DVIDS 2515th NAAD History, HSC-21 Squadron History
Timeline
The Navy air-ambulance mission began in late 2005, when the 2515th NAAD became operational at Udairi Army Airfield with HH-60H and MH-60S Seahawk helicopters. HSC-25's official history says HSC-25 stood up the detachment in fall 2005 for Coalition Forces Land Component Command at Camp Buehring, Kuwait, and expanded MEDEVAC coverage to Contingency Operating Base Basrah, Iraq, in spring 2008.
A U.S. Naval Institute Proceedings account by an HSC-21 pilot describes a late October 2006 deployment to Kuwait with six MH-60S Seahawk helicopters to fly medical evacuation missions in an operating area that included Kuwait, southern Iraq, and the northern Arabian Gulf. DVIDS reporting from September 2008 described the detachment as responsible for continuous medical evacuation coverage for southern Iraq, Kuwait, and the northern Persian Gulf.
Sources: DVIDS 2515th NAAD History, HSC-25 Squadron History, USNI Blackjack Pilot Account, DVIDS 2515th NAAD Coverage
Operational role
The documented Seahawk-family role in this conflict was medical evacuation, casualty evacuation, logistics, and combat support rather than offensive strike employment. USNI's pilot account describes alert MEDEVAC crews transporting wounded U.S. and coalition personnel, third-country nationals, and local civilians to critical-care hospitals, while DVIDS reporting says the detachment maintained standby crews with short launch timelines.
The record is strongest for MH-60S aircraft and the 2515th NAAD, with DVIDS also naming HH-60H Seahawk helicopters in the original detachment aircraft mix. HSC-25's official history credits HSC-25 and the 2515th NAAD with saving nearly 3,000 lives during Operation Iraqi Freedom, and a 2010 DVIDS video documents 2515th NAAD MEDEVAC training at Basra, Iraq.
Sources: USNI Blackjack Pilot Account, DVIDS 2515th NAAD Coverage, DVIDS 2515th NAAD History, HSC-25 Squadron History, DVIDS Basra MEDEVAC Training