Navmed P-117 Ch16

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NAVMED 6150/10-19

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Military Health (Medical) Treatment Record Jacket (NAVMED 6150/10-19)

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 2100

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ORANGE --NAVMED 6150/10

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 2110

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GREEN--NAVMED 6150/11

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 2120

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YELLOW--NAVMED 6150/12

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 2130

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GREY--NAVMED 6150/13

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 1142

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TAN--NAVMED 6150/14

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 6150

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BLUE--NAVMED 6150/15

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 3161

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WHITE--NAVMED 6150/16

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 2177

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BROWN--NAVMED 6150/17

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 8181

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PINK--NAVMED 6150/18

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WHAT COLOR WOULD SOME ONES MEDICAL RECORD BE IF THE LAST FOR ENDED IN 9999

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RED--NAVMED 6150/19

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WHAT IS THE RETIREMENT YEAR TAPE COLOR FOR AN OREC RETIRING IN 1993, 1999, 2005

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YELLOW

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WHAT IS THE RETIREMENT YEAR TAPE COLOR FOR AN OREC RETIRING IN 1994, 2000, 2006

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WHITE

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WHAT IS THE RETIREMENT YEAR TAPE COLOR FOR AN OREC RETIRING IN 1995, 2001, 2007

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GREEN

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WHAT IS THE RETIREMENT YEAR TAPE COLOR FOR AN OREC RETIRING IN 1996, 2002, 2008

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RED

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WHAT IS THE RETIREMENT YEAR TAPE COLOR FOR AN OREC RETIRING IN 1997, 2003, 2009

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BLUE

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WHAT IS THE RETIREMENT YEAR TAPE COLOR FOR AN OREC RETIRING IN 1998, 2004, 2010

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BLACK

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WHAT COLOR AND MARKING SHOULD YOU PLACE IN THE ALLERGIES BOX ON THE FRONT COVER OF THE NAVMED 2150/10-19

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BLACK WITH AN X IN THE BOX

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SF 88

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REPORT OF MEDICAL EXAMINATION
L SIDE P3

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SF 93

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REPORT OF MEDICAL HISTORY
L SIDE P3

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SF 502

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MEDICAL RECORD NARRITIVE SUMMARY
R SIDE P2 SEC B

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NAVMED 6150/20

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SUMMARY OF CARE
LEFT SIDE P1
ALWAYS ON TOP

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SF 601

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IMMUNIZATION REC
L SIDE P1

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DD 771

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EYEWEAR PRESCRIPTION
L SIDE P1

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NAVMED 6490/1

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VISUAL RECORD
L SIDE P1

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NAVMED 6470/10

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RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIATION
L SIDE P1

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NAVMED 6470/11

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RECORD OF EXPOSURE TO IONIZING RADIATION FROM INTRNALLY DEPOSITED RADION NUCLEOTIDES.
FILE DIRECTLY BEHIND
NAVMED 6470/10
L SIDE P1

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DD 2215

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REFRENCE AUDIOGRAM
L SIDE P1

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DD 2216

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HEARING CONSERVATION DATA
L SIDE P1

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NAVMED 6224/1

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TB CONTACT /CONVERTER F/U
L SIDE P1

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NAVMED 6260/5

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ASBESTOS MEDICAL SURVEILLANCE PROGRAM
L SIDE P1

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DD 2493-1

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ASBESTOSE EXPOSURE P1
INITIAL QUESTIONARE
ATTACH TO NAVMED 6260/5 L SIDE P1

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DD 2493-2

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ASBESTOSE EXPOSURE P-2 PERIODIC QUESTIONARE
L SIDE P1

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OPNAV 5100/15

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MEDIACL SURVEILLANCE QUESTIONARE
L SIDE P1

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NAVPERS 5510/1

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RECORD IDENTIFYER FOR PERSONAL RELIABILITY PROGRAM (PRP)
ALWAYS TOP FORM EXCEPT FOR DEATHS
R SIDE P2 SEC A

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SF 558

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EMERGENCY RECORD AND TREATMENT/ AMBULANCER SIDE P2 SEC A

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SF 600

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HREC CHRONOLOGICAL RECORD OF MEDICAL CARE
FOR OUTPATIENT SURGERYT FILE WITH SF 516
R SIDE P2 SEC A

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SF 513

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MED REC CONSULT SHEET
R SIDE P2 SEC A

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DD 2161

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REFERAL FOR CIVILIAN MEDICAL CARE
R SIDE P2 SEC A

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DD 2064

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CERT OF DEATH
R SIDE P2 SEC A DECEASED

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SF 503

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AUTOPSY REPORT
R SIDE P2 SEC A DECEASED

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SF 523

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AUTHORIZATION FOR AUTOPSY
R SIDE P2 SEC A DECEASED

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SF 523A

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DISPOSITION OF BODY
R SIDE P2 SEC A DECEASED

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SF 523B

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AUTHORIZATION FOR TISSUE DONATION
R SIDE P2 SEC A DECEASED

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NAVMED 6300/5

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INPATIENT ADMISSION/ DISPOSITION RECORD
R SIDE P2 SEC B

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SF 502

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MED REC NARRATIVE SUMMARY
R SIDE P2 SEC B

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SF 539

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ABBREVIATED MED REC
R SIDE P2 SEC B

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SF 509

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PROGRESS NOTES
R SIDE P2 SEC B

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SF 516

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OPERATION REPORT
R SIDE P2 SEC B

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SF 517

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ANESTHEIA
R SIDE P2 SEC B

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SF 522

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REQUEST FOR ADMINISTRATION OF ANESTHEIA
R SIDE P2 SEC B

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SF 533

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PRENATAL AND PREGNANCY (ONLY FOR PATIENTS NOT ADMITED FOR DELIVERY)
R SIDE P2 SEC B

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DD 602

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PATIENT EVACUATION TAGS
STAPLE TO CURRENT SF 600
R SIDE P2 SEC B

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NAVMED 1300/1

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MEDICAL AND DENTAL OVERSEAS SCREENING REVIEW FOR ACTIVE DUTY AND DEPENDANTS
L SIDE P3

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NAVPERS 1300/16

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REPORT OF SUITABILITY FOR OVERSES ASSIGNMENT
L SIDE P3

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NAVMED 6100/1

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MED BOARD REPORT COVER SHEET
L SIDE P3

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NAVMED 6100/2

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MED BOARD STATMENT OF PATIENT
L SIDE P3

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NAVMED 6100/3

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MED BOARD CERT
L SIDE P3

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NAVMED 6100/5

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ABBREVIATED TEMPORARY LIMITED DUTY
L SIDE P3

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SF 2824C

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PHYSICIANS STATMENT FOR EMPLOYEE DISABILITY RETIREMENT
L SIDE P3

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SF 47

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FHYSICAL FITNESS INQUARY FOR MOTOR VEHICLE OPERATORS
L SIDE P3

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SF 78

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CERT FOR MED EXAM
L SIDE P3

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BEDIND SF88 AND SF 93 YOU SHOULD PLACE?

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BUMED WAIVERS AND ENDORSEMENT LETTERS
L SIDE P3

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NAVMED 6120/1

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COMPETENCE FOR DUTY EXAM
L SIDE P3

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NAVMED 6120/2

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OFFICER PHYSICAL EXAM SPECIAL QUESTIONARE
L SIDE P3

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NAVMED 6120/3

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ANNUAL CERT OF PHYSICAL CONDITION
L SIDE P3

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6150/2

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SPECIAL DUTY MEDICAL ABSTRACT
L SIDE P3

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6150/4

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ABSTRACT OF SERVICE AND MED HIST.
L SIDE P3

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NAVJAG 5800/10

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INJURY REPT.
L SIDE P3

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NAVPERS 1754/1

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EXCEPTIONAL FAMILY MEMBER APPLICATION
L SIDE P3

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DD 2569
YOU WOLD LOOK IN BUMEDINST 7000.7 FOR FURTHER GUIDANCE ON THIS FORM

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THIRD PARTY COLLECTION PROGRAM
L SIDE P3

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WHERE WOULD YOU PLACE YOUR LIVING WILL OR MED POWER OF ATTOURNEY

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L SIDE P3

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OPNAV 5211/9

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RECORD OF DISCLOSURE PRIVACY ACT 1974
L SIDE P3

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DD 877

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REQUEST FOR MED OR DENT REC
L SIDE P3

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DD 2005

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PRIVACY ACT STATEMENT
L SIDE P3

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WHERE WOULD YOU PUT THE PATIENTS DNA ANALYSIS SAMPLE POUCH

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L SIDE P3 IN THE VERY BACK ABOVE THE DD 2005 (IF PAPER)

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SF 217

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MEDICAL REPORT- EPILEPSY
R SIDE P4 ANCILLARY SERVICES

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SF 215

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MED REC- TISSUE EXAM
R SIDE P4 ANCILLARY SERVICES

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SF 519A

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RADIOGRAPHIC CONSULT
R SIDE P4 ANCILLARY SERVICES

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SF 519B

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MED REC RADIO GRAPHIC CONSULT
R SIDE P4 ANCILLARY SERVICES

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SF 519

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MED REC RADIOGRAPHIC
R SIDE P4 ANCILLARY SERVICES

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SF 518

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MED REC- BLOOD COMPONENT TRANSFUSION
R SIDE P4 ANCILLARY SERVICES

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SF 520

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MED REC ELECTROCARDIOGRAM
REQUEST
R SIDE P4 ANCILLARY SERVICES

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SF 524

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RAD THERAPY
R SIDE P4 ANCILLARY SERVICES

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SF 525

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RAD THERAPY SUMMARY
R SIDE P4 ANCILLARY SERVICES

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SF 526

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MED REC-INTERSTITIAL/ INTERCAVITY THERAPY
R SIDE P4 ANCILLARY SERVICES

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SF 527

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GROUP MUSCLE STRENGTH
JOINT ROM, GIRTH, AMD LENGHT MEASUREMENTS
R SIDE P4 ANCILLARY SERVICES

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SF 528

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MED REC- MUSCLE FUNCTION BY NERVE DISTRIBUTION
FACE NECK UPPER EXTREMITY
R SIDE P4 ANCILLARY SERVICES

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SF 529

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MED REC- MUSCLE FUNCTION BY NERVE DISTRIBUTION
TRUNK LOWER EXTREMITY
R SIDE P4 ANCILLARY SERVICES

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SF 530

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NEUROLOGICAL EXAM
R SIDE P4 ANCILLARY SERVICES

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SF 531

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ANATOMICAL FIGURE( NMAY ALSO BE FILED UNDER SF 600) R SIDE P4 ANCILLARY SERVICES

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SF 541

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MED REC- GYNECOLOGIC CYTOLOGY
R SIDE P4 ANCILLARY SERVICES

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SF 545

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LAB REPORT DISPLAY
R SIDE P4 ANCILLARY SERVICES

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SF 546-557

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LAB REPORTS ATTACED IN CHRONOLOGICAL ORDER
R SIDE P4 ANCILLARY SERVICES

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SF 559

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MED REC- ALLERGIN EXTRACT PRESCRIPTION- NEW AND REFILL
R SIDE P4 ANCILLARY SERVICES

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SF 560

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MED REC- ELECTROENCEPHALOGRAM REQUEST HIST
R SIDE P4 ANCILLARY SERVICES

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SF 511

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VITAL SIGNS REC
(PAY ATTENTION HERE- THIS IS AN UNUSUAL PLACE TO PUT IT)
R SIDE P4 ANCILLARY SERVICES

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SF 512

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PLOTTING CHART
(PAY ATTENTION HERE-
THIS IS AN UNUSUAL PLACE TO PUT IT)
R SIDE P4 ANCILLARY SERVICES

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SF 512A

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PLOTTING CHART- BLOOD PRESSURE
(PAY ATTENTION HERE-
THIS IS AN UNUSUAL PLACE TO PUT IT)
R SIDE P4 ANCILLARY SERVICES

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MISSING OR MISSING IN ACTION MEMBERS SHOULD BE ANNOTATED WHERE?

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ENTER A SUMMARY OF THEIR RELEVANT CIRCUMSTANCES ON THE SF 600
THEN CLOSE THE RECORD

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WHEN A MEMBER IS OFFICIALLY DECLARED A DESERTER, WHAT SHOULD YOU DO?

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MAKE AN EXPLANATORY ENTRY ON THE SF 600 AND NAVMED 6150/4.
DELIVER THE HREC AND DENT REC TO THE CO FOR INCLUSION.

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NAMEDCOMINST 6320.1

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NON NAVAL MEDICAL CARE

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NAVMEDCOMINST 6320.22,

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operation of the Family Advocacy Program (FAP) at medical treatment facilities (MTFs) and dental

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NAVMED 6760/0-9

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MEDICAL X-RAY FILM JACKETS COLORS SAME AS THE MEDICAL RECORD JACKETS