FORMS INSTRUCTIONS

Question 1

NAVMED P-117

Answer 1

MANUAL OF THE MEDICAL DEPARTMENT

Question 2

MANMED VERIFICATION RECORDS CHAPTER

Answer 2

MANMED CHAP 16

Question 3

RECORDS REQUEST FORM

Answer 3

DD 877

Question 4

SF600

Answer 4

STANDARD FORM FOR GENERAL ENTRIES ON SECTION II

Question 5

ABSTRACT OF SERVICE AND MEDICAL HISTORY

Answer 5

NAVMED 6150/4

Question 6

WHICH ARTICLE ON MANMED CH16 DICTATES THE CLOSURE OF A MREC/DREC?

Answer 6

ARTICLE 23

Question 7

MEMBER CAN HAND CARRY THE MREC/DREC IAW…

Answer 7

BUMEDNOTE 6150

Question 8

HEALTH RECORDS RECEIPT

Answer 8

NAVMED 6150/7 “PINK CARD”

Question 9

ADMINISTRATIVE REMARKS

Answer 9

NAVPERS 1070/613 “PAGE 13”

Question 10

*ADULT PREVENTIVE AND CHRONIC CARE FLOW SHEET

Answer 10

DD2766

Question 11

*IMMUNIZATION RECORD

Answer 11

NAVMED 6230/4

Question 12

*CHRONOLOGICAL OF HIV TESTING

Answer 12

NAVMED 6000/2

Question 13

EYE WEAR PRESCRIPTION

Answer 13

DD 771

Question 14

RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIATION

Answer 14

NAVMED 6470/10

Question 15

RECORD OF EXPOSURE TO IONIZING RADIATION FROM

INTERNALLY DEPOSIT RADIONUCLIDES

Answer 15

NAVMED 6470/11

Question 16

*REFERENCE AUDIOGRAM

Answer 16

DD 2215

Question 17

*HEARING CONSERVATION DATA

Answer 17

DD 2216

Question 18

TB CONTACT REACTOR

Answer 18

NAVMED 6224/1

Question 19

ASBESTOS MEDICAL SURVEILLANCE PROGRAM

Answer 19

NAMED 6260/5

Question 20

ASBESTOS EXPOSURE PART I, INITIAL MEDICAL QUESTIONAIRE

Answer 20

DD 2493-1

Question 21

ASBESTOS EXPOSURE PART II, PERIODIC MEDICAL QUESTIONNAIRE

Answer 21

DD 2493-2

Question 22

*MEDICAL SURVAILLANCE QUESTIONNAIRE

Answer 22

OPNAV 5100/15

Question 23

CHRONOLOGICAL RECORD OF MEDICAL CARE

Answer 23

SF600

Question 24

CERTIFICATE OF DEATH

Answer 24

DD 2064

Question 25

PRIVACY ACT

Answer 25

DD 205

Question 26

MEDICAL/DENTAL /EDUCATIONAL SUITABILITY SCREENING FOR SERVICE MEMBER
AND FAMILY MEMBERS

Answer 26

NAVMED 1300/1

Question 27

MEDICAL/DENTAL/EDUCATIONAL SUITABILITY SCREENING FOR SERVICE MEMBERS
AND FAMILY MEMBERS CHECKLIST AND WORKSHEET

Answer 27

NAVMED 1300/2

Question 28

REPORT OF SUITABILITY FOR OVERSEAS ASSIGNMENT PARTS I, II, III.

Answer 28

NAVMED 1300/16

Question 29

REPORT OF MEDICAL EXAMINATION

Answer 29

DD 2808

Question 30

REPORT OF MEDICAL HISTORY

Answer 30

DD 2807

Question 31

ABSTRACT OF SERVICE AND MEDICAL HISTORY

Answer 31

NAVMED 6150/4

Question 32

RECORD OF DISCLOSURE

Answer 32

OPNAV 5211/9

Question 33

RECORD OF ANCILLARY STUDIES EG. XRAY, LABS

Answer 33

SECTION 4