Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
63 Cards in this Set
- Front
- Back
|
SF 93
|
Report of Medical History
|
|
|
NAVMED 6120/1
|
Competence for Duty Examination
|
|
|
SF 217
|
Medical Report Epilepsy
|
|
|
SF 88
|
Report of Medical Examination
|
|
|
SF 78
|
Certificate of Medical Examination
|
|
|
DD 2005
|
Privacy Act Statement
|
|
|
SF 2824C
|
Physicians Statement for Employee Disability Retirement
|
|
|
SF 47
|
Physical Fitness Inquiry for Motor Vehicle Operators
|
|
|
NAVMED 6100/5
|
Abbreviated Temporary Limited Duty
|
|
|
DD 2569
|
Third Party Collection Program
|
|
|
NAVMED 6100/2
|
Medical Board Statement of Patient
|
|
|
NAVMED 6100/3
|
Medical Board Certificate
|
|
|
NAVPERS 1300/16
|
Report of Suitability for Overseas Assignment
|
|
|
NAVMED 6100/1
|
Medical Board Report Cover Sheet
|
|
|
DD 602
|
Patient Evacuation Tag
|
|
|
NAVMED 1300/1
|
Medical and Dental Overseas Screening Review for AD and Dependents
|
|
|
SF 522
|
Request for Administration of Anesthesia
|
|
|
SF 533
|
Prenatal and Pregnancy
|
|
|
DD 2064
|
Certificate of Death (3 Copies)
|
|
|
SF 517
|
Anesthesia
|
|
|
DD 2161
|
Referral for Civilian Medical Care
|
|
|
SF 502
|
Narrative Summary
|
|
|
SF 503
|
Autopsy Protocol
|
|
|
SF 523
|
Authorization for Autopsy
|
|
|
NAVPERS 5510/1
|
Record Identifier for Personnel Reliability Program
|
|
|
SF 558
|
Medical Record Emergency Care and TX Record of Ambulance Care
|
|
|
DD 2493-1
|
Abestos Exposure Part 1 Initial Medical Questionaire
|
|
|
OPNAV 5100/15
|
Medical Surveillance Questionaire
|
|
|
NAVMED 6224/1
|
TB Contact/Converter Follow-up
|
|
|
NAVMED 6260/5
|
Asbestos Medical Surveillance Program
|
|
|
NAVMED 6150/20
|
Summary of Care Form
|
|
|
NAVMED 6470/10
|
Record of Occupational Exposure to Ionizing Radiation
|
|
|
NAVMED 6000/2
|
Chronological Record of HIV Testing
|
|
|
NAVMED 6490/1
|
Visual Record
|
|
|
SF 511
|
Vital Signs Record
|
|
|
SF 512
|
Plotting Chart
|
|
|
SF 512A
|
Plotting Chart Blood Pressure
|
|
|
SF 559
|
Allergen Extract Prescription New and Refill
|
|
|
SF 560
|
Electroencephalogram Request and History
|
|
|
SF 541
|
Gynecologic Cytology
|
|
|
SF 545
|
Laboratory Report Display
|
|
|
SF 530
|
Neurological Examination
|
|
|
SF 531
|
Anatomical Figure
|
|
|
SF 528
|
Muscle Function by Nerve Distribution: Face Neck & Upper Extremity
|
|
|
SF 529
|
Muscle Function by Nerve Distribution: Trunk & Lower Extremity
|
|
|
SF 526
|
Interstitial/Intercavity Therapy
|
|
|
SF 527
|
Group Muscle Strength Join ROM, Girth and Length Measurements
|
|
|
SF 520
|
Electrocardiogram Request
|
|
|
SF 524
|
Radiation Therapy
|
|
|
SF 525
|
Radiation Therapy Summary
|
|
|
SF 519
|
Radiographic
|
|
|
SF 518
|
Blood Component Transfusion
|
|
|
SF 515
|
Medical Record Tissue Examination
|
|
|
SF 519A
|
Radiographic Consultation Request/Report
|
|
|
OPNAV 5211/9
|
Record of Disclosure
Privacy Act of 1974 |
|
|
DD 877
|
Request for Medical/Dental Records
|
|
|
NAVJAG 5800/10
|
Injury Report
|
|
|
NAVPERS 1754/1
|
Exceptional Family Member (EFM) Program Application
|
|
|
NAVMED 6150/2
|
Special Duty Medical Abstract
|
|
|
NAVMED 6150/4
|
Abstract of Service and Medical History
|
|
|
NAVMED 6120/2
|
Officer Physical Examination Special Questionaire
|
|
|
NAVMED 6120/3
|
Annual Certification of Physical Condition
|
|
|
SF 550
|
Urinalysis
|
