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50 Cards in this Set
- Front
- Back
- 3rd side (hint)
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DD 2766
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Adult Prevention and Chronic Care Flowsheet
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Part 1
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NAVMED 6230/4
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Immunization Record
(Replaced the SF 601 Adult Immunization Form) |
Part 1
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NAVMED 6000/2
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Chronological Record of HIV Testing
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Part 1
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DD 771
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Eyewear Prescription
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Part 1
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DD 2215 & DD 2216
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Reference Audiogram & Hearing Conservation Data
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Part 1
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SF 600
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Chronological Record of Medical Care
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Part 2
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DD 2808
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Report of Medical Examination
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Part 3
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DD 2807-1
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Report of Medical History
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Part 3
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NAVMED 6410/10
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Abbreviated Aeromedical Examination
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Part 3
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NAVMED 6150/2
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Special Duty Medical Abstract
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Part 3
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NAVMED 6150/4
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Abstract of Service and Medical History
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Part 3
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NAVMED 6410/1
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Grounding Notice
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n/a
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NAVMED 6410/2
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Clearance Notice
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n/a
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OPNAV 5100/15
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Medical Surveillance Program
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Part 1
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SF 513
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Medical Record-Consultation Sheet
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Part 2
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NAVMED 1300/1
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Medical, Dental, and Educational Suitability Screening
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Part 3
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NAVMED 1300/16
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Report of Suitability Screening
for Overseas Assignment Parts, I, II, and III |
Part 3
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SF 515
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Medical Record - Tissue Examination
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Part 4
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SF 519
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Radiographic Report
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Part 4
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SF 545
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Laboratory Report
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Part 4
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The health record of an
Active Duty or Retired member is designated how? |
With the member's own SSN
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The health record of a
Family Member is designated how? |
Sponsor's SSN (preceeded by FMP)
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What is the FMP of the Sponsor (AD or retired)?
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20
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What is the FMP of the Sponsor's
Children? |
01-19
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What is the FMP of the Sponsor's
Spouse? |
30-39
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What is the FMP of the Sponsor's
Mother/Stepmother? |
40-44
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What is the FMP of the Sponsor's
Father/Stepfather? |
45-49
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What is the FMP of the Sponsor's
Mother-in-law? |
50-54
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What is the FMP of the Sponsor's
Father-in-law? |
55-59
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What is the FMP of the Sponsor's
Other Authorized Dependents? |
60-69
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What is the FMP of the Sponsor's
Beneficiary authorized by statute? (Children of former service women; Dependent's children) |
90-95
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What is the FMP of a
Civilian Emergency patient? |
98
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What is the FMP of
All others not otherwise classified? (Foreign Nationals or Foreign Military) |
99
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How do you create a
Pseudo-social? |
800-YR-MMDD
("800" - then DOB in the above format) |
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What color is jacket 30?
(NAVMED 6150/10) |
Orange
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What color is jacket 21?
(NAVMED 6150/11) |
Green
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What color is jacket 22?
(NAVMED 6150/12) |
Yellow
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What color is jacket 23?
(NAVMED 6150/13) |
Gray
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What color is jacket 24?
(NAVMED 6150/14) |
Tan
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What color is jacket 25?
(NAVMED 6150/15) |
Blue
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What color is jacket 26?
(NAVMED 6150/16) |
White
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What color is jacket 27?
(NAVMED 6150/17) |
Almond (Brown)
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What color is jacket 28?
(NAVMED 6150/18) |
Pink
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What color is jacket 29?
(NAVMED 6150/19) |
Red
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What color is the record category tape for
Outpatient Health Record (OREC)? |
Black
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What color is the record category tape for
Inpatient Health Record (IREC)? |
Green
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What color is the record category tape for
Military Dental Record? |
Dark Blue
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What color is the record category tape for
Military Health Record? |
Red
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What color is the record category tape for
Other Dental Records? |
Yellow
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When should a health record be closed?
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When a member:
Dies/Declared dead Is discharged/Released from AD Declared MIA Declared deserter |
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