Forms Flashcards

0
Q

PHS 731

A

Yellow card

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

DoD Directive 6205.3

A

Immunization program for biological warfare defense

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

NAVMED 6230/4

A

Adult IMMS record

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

NAVMED 6230/5

A

Child IMMS record

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

NAVMED 6630/2

A

Entries for precious metal issue recorded

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

SF88

A

Report of Medical Exam

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

DD2322

A

Dental Laboratory Work Authorization form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

DD2802

A

Dental Report of Medical Examination form

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

NAVMED 6630/3

A

Statement and Inventory of Precious and Special Dental Metals

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

SF513

A

Medical Consultations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

SF93

A

Report of Medical History

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

SF502

A

Medical Record Narrative Summary

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

SF503

A

Clinical Record Autopsy Protocol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

SF508

A

Doctor’s Orders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

SF509

A

Medical Records Progress Notes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

SF513

A

Medical Record Consultation Sheet

16
Q

SF516

A

Medical Record Operation Report

17
Q

SF519

A

Medical Record Radiologic Consult Request

18
Q

SF601

A

Health Record Immunization Record

19
Q

SF600

A

Health Record Chronological Record of Medical Care

20
Q

SF558

A

Medical Record Emergency Care and Treatment

21
Q

DD877

A

Request for Medical/Dental Records or Information

22
Q

NAVMED 6120/3

A

Annual Certificate of Physical Condition

23
Q

DD2807

A

Report of Medical History

24
Q

DD2808

A

Report of Medical Examination

25
Q

DD2697

A

Report of Medical Assessment

26
Q

DD1289

A

DoD Single Prescription

27
Q

NAVMED 6710/6

A

Poly prescription

28
Q

NAVMED 6710/1

A

Narcotic and Drug Account Record

29
Q

NAVMED 6710/4

A

Narcotic and Drug Inventory - 24 hour

30
Q

NAVMED 6710/5

A

Perpetual Inventory of Narcotics

31
Q

DEA Form 106

A

Report of Theft of Controlled Substances

32
Q

MED6220-3

A

Disease Alert Report

33
Q

DD2215

A

Hearing test