FORMS INSTRUCTIONS Flashcards

1
Q

NAVMED P-117

A

MANUAL OF THE MEDICAL DEPARTMENT

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2
Q

MANMED VERIFICATION RECORDS CHAPTER

A

MANMED CHAP 16

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3
Q

RECORDS REQUEST FORM

A

DD 877

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4
Q

SF600

A

STANDARD FORM FOR GENERAL ENTRIES ON SECTION II

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5
Q

ABSTRACT OF SERVICE AND MEDICAL HISTORY

A

NAVMED 6150/4

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6
Q

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

A

ARTICLE 23

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7
Q

MEMBER CAN HAND CARRY THE MREC/DREC IAW…

A

BUMEDNOTE 6150

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8
Q

HEALTH RECORDS RECEIPT

A

NAVMED 6150/7 “PINK CARD”

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9
Q

ADMINISTRATIVE REMARKS

A

NAVPERS 1070/613 “PAGE 13”

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10
Q

*ADULT PREVENTIVE AND CHRONIC CARE FLOW SHEET

A

DD2766

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11
Q

*IMMUNIZATION RECORD

A

NAVMED 6230/4

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12
Q

*CHRONOLOGICAL OF HIV TESTING

A

NAVMED 6000/2

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13
Q

EYE WEAR PRESCRIPTION

A

DD 771

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14
Q

RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIATION

A

NAVMED 6470/10

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15
Q

RECORD OF EXPOSURE TO IONIZING RADIATION FROM

INTERNALLY DEPOSIT RADIONUCLIDES

A

NAVMED 6470/11

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16
Q

*REFERENCE AUDIOGRAM

17
Q

*HEARING CONSERVATION DATA

18
Q

TB CONTACT REACTOR

A

NAVMED 6224/1

19
Q

ASBESTOS MEDICAL SURVEILLANCE PROGRAM

A

NAMED 6260/5

20
Q

ASBESTOS EXPOSURE PART I, INITIAL MEDICAL QUESTIONAIRE

21
Q

ASBESTOS EXPOSURE PART II, PERIODIC MEDICAL QUESTIONNAIRE

22
Q

*MEDICAL SURVAILLANCE QUESTIONNAIRE

A

OPNAV 5100/15

23
Q

CHRONOLOGICAL RECORD OF MEDICAL CARE

24
Q

CERTIFICATE OF DEATH

25
PRIVACY ACT
DD 205
26
MEDICAL/DENTAL /EDUCATIONAL SUITABILITY SCREENING FOR SERVICE MEMBER AND FAMILY MEMBERS
NAVMED 1300/1
27
MEDICAL/DENTAL/EDUCATIONAL SUITABILITY SCREENING FOR SERVICE MEMBERS AND FAMILY MEMBERS CHECKLIST AND WORKSHEET
NAVMED 1300/2
28
REPORT OF SUITABILITY FOR OVERSEAS ASSIGNMENT PARTS I, II, III.
NAVMED 1300/16
29
REPORT OF MEDICAL EXAMINATION
DD 2808
30
REPORT OF MEDICAL HISTORY
DD 2807
31
ABSTRACT OF SERVICE AND MEDICAL HISTORY
NAVMED 6150/4
32
RECORD OF DISCLOSURE
OPNAV 5211/9
33
RECORD OF ANCILLARY STUDIES EG. XRAY, LABS
SECTION 4