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130 Cards in this Set
- Front
- Back
Annual Screening
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HIV Dxpoesed in utero to des
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D/C of PAP's
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Hysterectomy with cervix removal
No Hx of Abnml pap History of CIN 2-3 Screened annually until 3 neg paps |
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Self Breast Exams
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Begin at age 20
Performed at min 3 years Annually at age 40 |
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Mamos
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annually ate age 40
1st degree relative at 10 years prior to onset of family then annually |
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Lipids Screen
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After age 45
Ages 20-45 if clinically indicated |
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Colorectal Cancer Screen
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Begins at age 50
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Exceptions to Exam recommendations
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Discussed and understanding on SF 600
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PHA instruction
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OPNAVINST 6120.3
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When and how often do members recieve PHA
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Annually and in 30 days of birthday
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What is a PHA documented on?
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DD2766/ NAVMED 6120/4 or spec sf600
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Assessment includes
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BP, HT, WT, Colorectal cancer screen, Lipids, Imms, Cardio risk, readiness, occupational risk, female specific, and male specific tests
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Counseling reqirements
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Health promos, family planning, Medication and supplement use
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If member is found not medically fit to separate what form is it documented on?
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MANMED CH 15 Art. 15-20/21
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Request for previous med records form
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DD877
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Orange
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zero 6150/30
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Green
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one 6150/21
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Yellow
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two 6150/22
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Gray
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Three 6150/23
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Tan
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four 6150/24
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Blue
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five 6150/25
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White
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six 6150/26
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Almond
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seven 6150/27
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Pink
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Eight 6150/28
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Red
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Nine 6150/29
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Child prefix
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01-19
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Active Duty prefix
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20
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Spouse prefix
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30-39
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Mother prefix
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40-44
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Father Prefix
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45-49
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Mother in Law prefix
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50-54
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Father in law prefix
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55-59
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Other auth prefix
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60-69
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Civilian emergency prefix
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98
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All others (foreign)
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99
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Red tape category
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Active Duty OUTpatient
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Green Tape Category
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Active duty INpatient
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Black tape category
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all others
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Blue tape category
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Dental
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What is used to mark the boxes on the med record
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black "X"
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Record closed entries on...
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6150/4
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Med record belongs to...
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US Gov't
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who had custodial responsibility on ship
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SMDR
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IF member is UA what happens to his/her record
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Forwarded to PSD after 10 days
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Upon transfer what form needs to be completed
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6150/7 *pink card*
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If record is lost..
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Cognizant cust. will make replacement record marked with "REPLACEMENT" and SF600
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When record is illegible
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mark with "DUPLICATE RECORD"
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What is the publication for filing
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MANMED CH 16, Article 16-18
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DD2766
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Preventative and flow chart
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NAVMED 6230/4
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Adult IMMS record
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NAVMED 6000/2
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HIV testing
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DD 771
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Eye wear protection
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NAVMED 6470/10
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Occupational exposure to Ion Rad
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NAVMED 6470/11
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Record of Exposure to Ionizing rad
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DD form 2215
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Ref Audio
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DD form 2216
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Hearing con program
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NAVMED 6224/1
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TB contact/reactor
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NAVMED 6260/5
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Asbestos med survalience
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DD form 2493-1
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Asbestos exposure part one
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DD form 2493-2
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Asbestos exposure part two
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OPNAV 5100/15
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Med surveillance ?
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OPNAV 5510/414
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Personnel Reliability Program
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SF 558
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Emergency care and Treatment
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SF600
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Chronological Record of Medical Care
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SF 513
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Consult Report
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DD Form 2161
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referral for civ. med. care
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DD 2064
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Certificate of Death
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SF 503
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Autopsy Protocol
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SF 533
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Auth for Autopsy
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SF 523A
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Dipos of Bod
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SF523B
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Auth for tissue donation
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NAVMED 6300/5
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IN PT Admit/Dispo
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SF 502
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Narrative Summary
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AF 509
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Progress notes
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SF 516
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Operation report
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SF 517
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Anesthesia
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SF 522
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Admin of Anesthesia
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SF 533,
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Prenatal-Pregnancy
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DD form 602
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PT education tags
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DD form 2005
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Privacy act
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NAVMED 1300/1
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Suitability screen for family
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NAVPERS 1300/16
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Suitability for overseas
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NAVMED 6100/1
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med board cover sheet
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NAVMED 6100/2
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Med Boards Statement of Pt
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NAVMED 6100/3
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Med Board Cert relative to Hearing
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NAVMED 6100/5
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Abbreviated temp limited duty
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SF 2842-C
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Physicians Statement for Employee Disability
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SF47
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Motor vehicle cert
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SF 78
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Cert of med exam
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DD Form 2808
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Med Exam
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DD form 28107-1
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Report of med hx
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NAVMED6120/1
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Competence of Duty Exam
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NAVMED6120/2
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Officer Physicals
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NAVMED6120/3
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Annual exam
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NAVMED 6150/2
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Special Physicals
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NAVMED6150/4
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Abstract of med hx
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NAVJAG 5800/10
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Injury Report
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NAVJAG Report
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Investigation surrounding injury to service member
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DD Form 2792
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EFMP
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DD Form 2569
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Third party collection program
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DD Form 877
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Request for records
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OPNAV 5211/9
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Record of Disclosure
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SF 217
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Med Report Epilepsy
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SF 515
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TIssue Exam
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SF 519A
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Rad Report
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SF 519B
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Med Record-Rad consult report
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SF 518
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Blood or blood product transfusion
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SF 520
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Electrocadiogram request
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SF 524
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Rad Therapy
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SF 525
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Rad therapy summary
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SF 526
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Interstial therpay
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SF 528
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Muscle func by nerve distro face neck and upper extremity
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SF 529
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Muscle function by nerve distro trunk and lower extremity
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AF 530
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Newrologyical Exam
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SF 531
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Anatomical Figure
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SF 541
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Gyno Cyto report
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SF 545
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Lab report display
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SF 580
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ECG Report
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SF 511
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Vital Signs
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SF 512
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Plotting Chart
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SF 512A
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Plotting chart blood pressure
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Dental Record Hypersensitivty
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Enter in RED across top of EZ603/603A
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Dental Class 1
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White, no dental tx req'd
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Dental Class 2
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Green, minor dental tx req'd
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Dental Class 3
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Yellow, Has pathological prob's
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Dental Class 4
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Red, Dental class is unknown
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BUMEDINST6320.72 Series
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Non-Naval Health care program
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NAVMEDCOMINST 6320.3 Series
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Med and dent care for eligible for persons at navy med department fac
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Individuals designated as a Certifying official for the NON-Federal Medical Health Care Claim form:
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Medical department Rep
Health benefits adviser Senor officer |
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Eligibility Requirements
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Spouses
Children (up to age 21 or 23 if enrolled in college) or identified as mentally or physically incapable |
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Con't requirements
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Deceased Active Duty or Retired Members
Un-remarried spouses Children |