Unit 4 Forms and Instructions Flashcards
Manual of the Medical Department (MANMED)
NAVMED P-117
Medical records chapter of the MANMED
Chapter 16
What is the medical Warning tag
BUMEDINST 6150.35
Adult Preventive and Chronic Care Flow sheet
DD 2766
Immunization Record
NAVMED 6230/4
Chronological Record of HIV Testing
NAVMED 6000/2
Reference Audiogram
DD 2215
Hearing conservation / annual audiogram
DD 2216
TB contact/reactor
NAVMED 6224/1
Medical Surveillance Questionnaire
OPNAV 5100/15
Chronological Record of Medical Care
SF 600
Consultation Sheet
SF 513
Certificate of death
DD 2064
Privacy act statement (preprinted in record)
DD 2005
Medical, Dental, and Educational Suitability Screening for Service and Family Members
NAVMED 1300/1
Medical, Dental, and Educational Suitability Screening for Service and Family Members Checklist and Worksheet
NAVMED 1300/2
Repot of Suitability for Overseas Assignment (form)
NAVPERS 1300/16
Report of Medical examination
DD2808
Report of Medical History
DD 2807-1
medical prescreen of medical history
DD 2807-2
Abstract of Service and Medical History
NAVMED 6150/4
Special Duty Medical Abstract
NAVMED 6150/2
Request for Medical/Dental Records
DD 877
PREPRINTED: Record of Disclosure,
OPNAV 5211/9
Dental allergy / hypersensitivity
EZ 603
Suitability screening for overseas assignment instruction
OPNAVINST 1300.14C
Medical and educational suitability screening and EFMP enrollment
BUMEDINST 1300.2B
Instruction the governs EFM
OPNAVINST 1754.2C
Decedent affairs overall instruction
BUMEDINST 5360.1
Casualty assistance calls and Funeral Honors support (CAC/FHS) …. CACO
OPNAVINST 1770.1
Personnel Casualty Reporting requirements
MILPERSMAN 1770-010
Certificate of death overseas
DD 2064
Aviation clearance notice
Ups/down chit
DD 2992
Physical standards for flight crew
NAVMED P-117, MANMED CH 15
Request for medical payment
DD 2642
Financial liability investigation or property loss
DD 200
Requisition and invoice / shipping document
DD 1149
Single line item consumption requisition dosument
NAVSUP 1250-1
Issue release receipt document
DD 1348
Maintenance and material management manual
NAVSEAINST 4790.8
PMS manual
43P1