MEDICAL FORMS NUMBERS AND TITLE QUIZ Flashcards

1
Q

Eyewear Prescription

A

DD 771

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2
Q

Immunization Record

A

SF 601

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3
Q

Chronological Record of HIV Testing

A

NAVMED 6000/2

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4
Q

Hearing Conservation Data

A

DD 2216

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5
Q

Reference Audiogram

A

DD 2215

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6
Q

Certificate of Death

A

DD 2064

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7
Q

Narrative Summary

A

SF 502

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8
Q

Progress Notes

A

SF 509

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9
Q

Anesthesia

A

SF 517

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10
Q

Request for Administration of Anesthesia

A

SF 522

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11
Q

Report of Medical Examination

A

SF 88

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12
Q

Report of Medical History

A

SF 93

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13
Q

Medical and Dental Overseas Screening Review for AD and Dependents

A

NAVMED 1300/1

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14
Q

Laboratory Report

A

SF 545

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15
Q

Request for Medical/Dental Records

A

DD 877

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16
Q

Consultation Sheet

A

SF 513