Navy Instruction Numbers And Medical Record Form Numbers

Front 1

BUMEDINST 5450.165B

Back 1

OFFICE OF THE SURGEN GENERAL AND CHIEF BREAU OF MEDICINE AND SURGERY

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BUMEDINST 6010.13

Back 2

QA PROGRAM

Front 3

BUMEDINST 6220.12B

Back 3

MEDICAL SURVEILLANCE AND MEDICAL EVENT REPORTING

Front 4

BUMEDINST 6280.1B

Back 4

MANAGEMENT OF REGULATED WASTE

Front 5

BUMEDINST 6440.5C

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HSAP

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NAVEDTRA 14295 B

Back 6

HOSPITAL CORPSMAN MANUAL

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NAVMED P-5010

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MANUAL OF PREVENTIVE MEDICINE

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NAVMEDCOMINST 5360.1

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DECEDENT AFFAIRS MANUAL

Front 9

OPNAVINST 5100.19E

Back 9

SAFETY AND OCCUPATIONAL HEALTH FOR FORCES AFLOAT

Front 10

OPNAVINST 1420.1B

Back 10

ENLISTED TO OFFICER COMMISSIONING PROGRAMS

Front 11

OPNAVINST 3500.39C

Back 11

OPERATIONAL RISK MANAGEMENT

Front 12

OPNAVINST 5370.2C

Back 12

NAVY FRATERNIZATION POLICY

Front 13

SECNAVINST 1752.4B

Back 13

SEXUAL ASSULT PREVENTION AND RESPONSE

Front 14

WHAT PART OF THE MEDICAL RECORD IS THE RECORD OF PREVENTIVE MEDICINE AND OCCUPATIONAL HEALTH?

Back 14

PART 1 INSIDE FRONT COVER

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NAVMED 6150

Back 15

SUMMARY OF CARE FORM (ALWAYS TOP FORM)

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SF 601

Back 16

IMMUNIZATION RECORD

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NAVMED 6000/2

Back 17

CHRONOLOGICAL RECORD OF HIV TESTING

Front 18

DD 771

Back 18

EYE WEAR PRESCRIPTION

Front 19

NAVMED 6490/1

Back 19

VISUAL RECORD

Front 20

NAVMED 6470/10

Back 20

RECORD OF OCCUPATIONAL EXPOSURE TO IONIZING RADIATION

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NAVMED 6470/11

Back 21

RECORD OF EXPOSURE TO IONIZING RADIATION FORM INTERNALLY DEPOSITED RADIONUCLIDE

Front 22

DD 2215

Back 22

REFERENCE AUDIOGRAM

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DD 2216

Back 23

HEARING CONVERSATION DATA

Front 24

NAVMED 6224/1

Back 24

TB CONTACTCONVERTER

Front 25

OPNAV 5100/15

Back 25

MEDICAL SURVEILLANCE QUESTIONNAIRE

Front 26

DD FORM 2766

Back 26

ADULT PREVENTIVE AND CHRONIC CARE FLOW SHEET

Front 27

DD 2005

Back 27

PRIVACY ACT STATEMENT

PRINTED ON THE FRONT OF THE CENTER PAGE IN THE RECORD JACKET

Front 28

NAVMED 6600/3

Back 28

DENTAL HEALTH QUESTIONAIRE

Front 29

EZ603A

Back 29

DENTAL TREATMENT FORM

Front 30

DD 2807

Back 30

REPORT OF MEDICAL HX

Front 31

DD 2808

Back 31

REPORT OF MEDICAL EXAMINATION

Front 32

NAVMED 6150/21-30

Back 32

MEDICAL OUTPATIENT AND DENTAL TREATMENT RECORD

Front 33

WHAT IS PRINTED ON PART 4 (INSIDE BACK COVER)?

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FORENSIC EXAM

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WHAT IS PRINTED ON PART 3 (BACK OF CENTER PAGE)?

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DISCLOSURE ACCOUNTING RECORD

Front 35

WHAT ARE THE PARTS OF THE MEDICAL RECORD?

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PART 1- SUMMARY OF CARE , RECORD OF IMMS.

PART 2- CHRONOLOGICAL DOCUMENTATION OF CARE

PART 3- OVERSEAS SCREENING BOARDS, PHYSICAL EXAMS, EXPOSURE FORMS

PART 4 - LAB. RAD. EKG., ANCILLARY STUDIES

Front 36

SF 558

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MEDICAL RECORD - EMERGENCY CARE AND TREATMENT RECORD OF AMBULANCE CARE

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SF 600

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HREC - CHRONOLOGICAL RECORD OF MEDICAL CARE

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SF 513

Back 38

CONSULTATION SHEET

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DD 2161

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REFERRAL FOR CIVILIAN MEDICAL CARE

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DD 2604

Back 40

CERTIFICATE OF DEATH

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SF 503

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AUTOPSY PROTOCOL

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SF 523

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AUTHORIZATION FOR AUTOPSY

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SF 523A

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DISPOSITION OF BDY

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SF 502

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NARRATIVE SUMMARY

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SF 509

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PROGRESS NOTES

ROUTINELY USED FOR INPATIENT ADMISSION NOTES

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SF 517

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ANESTHESIA

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SF 522

Back 47

REQUEST FOR ADMINISTRATION OF ANESTHESIA

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DD 602

Back 48

PATIENT EVALUATION TAG

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NAVMED 1300/1

Back 49

MEDICAL AND DENTAL OVERSEAS SCREENING REVIEW FOR ACTIVE DUTY AND DEPENDENTS

Front 50

NAVPERS 1300/6

Back 50

REPORT OF SUITABILITY FOR OVERSEAS ASSIGNMENT

Front 51

NAVMED 6100/1

Back 51

MEDICAL BOARD REPORT COVER SHEET

Front 52

NAVMED 6100/2

Back 52

MEDICAL BOARD STATEMENT OF PATIENT

Front 53

NAVMED 6100/3

Back 53

MEDICAL BOARD CERTIFICATE

Front 54

NAVMED 6100/5

Back 54

ABBREVIATED TEMPORARY LIMITED DUTY

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SF 78

Back 55

CERTIFICATE OF MEDICAL EXAMINATION

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NAVMED 6150/4

Back 56

ABSTRACT OF SERVICE AND MEDICAL HISTORY

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NAVJAG 5800/10

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INJURY REPORT

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NAVPERS 1754/1

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EXCEPTIONAL FAMILY MEMBER PROGRAM APPLICATION

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DD 877

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REQUEST FOR MEDICAL/DENTAL RECORDS

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SF 217

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EPILEPSY MEDICAL REPORT

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SF 515

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TISSUE EXAM

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SF 519A

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RADIOGRAPHIC REPORT

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SF 519B

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RADIOLOGIC CONSULTATION REQUEST/REPORT

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SF 519

Back 64

MEDICAL RECORD-RADIOGRAPHIC REPORTS

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SF 518

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BLOOD OR BLOOD COMPONENT TRANSFUSION

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SF 520

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ELECTROCARDIOGRAM

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SF 524

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RADIATION THERAPY

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SF 525

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RADIATION THERAPY SUMMARY

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SF 531

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ANATOMICAL FIGURE

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SF 545

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LAB REPORT DISPLAY

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SF 511

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VITAL SIGNS RECORD

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HOW OFTEN ARE RECORDS VERIFIED?

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ANNUALLY

Front 73

6230.15B

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Immunizations and chemoprophylaxis for the prevention of infectious disease

Front 74

BUMEDINST 6300.19

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Primary care services in Navy medicine

Front 75

BUMEDINST 6470.22 A

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Navy radiological system performance evaluation program

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BUMEDINST 6700.13G

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Management and procurement of authorized medical and dental allowance

Front 77

NAVMED P-5052

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U.S. Navy ship board pest management manual

Front 78

NAVMED P-5042

Back 78

Field manual for the treatment of biological warfare agents casualties

Front 79

BUPERINST 1610.10 C

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Navy performance eval system

Front 80

OPNAVINST 1420.1B

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Enlisted to officer commissioning program

Front 81

OPNAVINST 1700.10M

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Sailor of the year program

Front 82

DD form 1289

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Prescription

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NAVMED 6710/6

Back 83

Poly prescription