Hm Manual Chapter 4

Front 1

NAVMED 6150/21-30

Back 1

US Navy Medical Outpatient and Dental Treatment Record

Front 2

HRECs

Back 2

health records

Front 3

ORECs

Back 3

Outpatient records

Front 4

DRECs

Back 4

Dental records

Front 5

INREC

Back 5

impatient record

Front 6

secondary medical records are typically stored where?

Back 6

specialty clinic within the MTF

Front 7

DD form 2766

Back 7

Adult preventive and chronic care flow sheet

Front 8

Privacy Act statement

Back 8

DD 2005

Front 9

Dental Health Questionaire

Back 9

NAVMED 6600/3

Front 10

Dental treatment form

Back 10

EZ603A

Front 11

DD 2807

Back 11

report of medical history

Front 12

DD 2808

Back 12

report of medical examination

Front 13

For Navy and Marine Corps service members who were discharged before 31 Jan 1994 request should be sent to ____________.

Back 13

National Personal Records Center (NPRC)

Front 14

For service members discharged after 31 Jan 1994, request should be sent to ________.

Back 14

Department of Veterans Affairs (VA)

Front 15

FMP- 40-44

Back 15

Mother, stepmother

Front 16

FMP- 45-49

Back 16

father, stepfather

Front 17

FMP- 50-54

Back 17

Mother in law

Front 18

FMP- 55-59

Back 18

father in law

Front 19

FMP- 60-69

Back 19

other authorized dependents

Front 20

FMP- 90-95

Back 20

beneficiary authorized by statute

Front 21

FMP- 98

Back 21

civilian emergencies

Front 22

FMP- 99

Back 22

all others

Front 23

Drug sensitivities or allergies are marked as what on the health record?

Back 23

"X"

Front 24

1/2 inch tape represents what on the health record?

Back 24

active duty

Front 25

DD 2005 is located where in the health record?

Back 25

front center page (section 2)

Front 26

forensic exams are located where in the health record?

Back 26

Inside back cover (part 4)

Front 27

Which is the primary number in SSN 123-45-6789?

Back 27

89

Front 28

Which is the secondary number in SSN 123-45-6789?

Back 28

67

Front 29

Which is the third number in SSN 123-45-6789?

Back 29

123-45

Front 30

Oh
God
You
Got
That
Big
White
Ass / Bitch
Pregnant
Run!

Back 30

Remember that fool

Front 31

NAVMED 6150/7

Back 31

Health record receipt, aka: pink card

Front 32

NAVMED 6150

Back 32

summary of care form (always top form )

Front 33

SF 601

Back 33

Immunization record

Front 34

DD 771

Back 34

Eyewear prescription

Front 35

DD 2216

Back 35

hearing conservation data

Front 36

OPNAV 5100/15

Back 36

medical surveillance questionnaire

Front 37

SF 558

Back 37

emergency care, and treatment record of ambulence care

Front 38

SF 600

Back 38

chronological record of medical care

Front 39

SF 513

Back 39

consult sheet

Front 40

DD 2604

Back 40

certificate of death

Front 41

SF 502

Back 41

narrative summary

Front 42

SF 509

Back 42

progress notes

Front 43

SF 517

Back 43

anesthesia

Front 44

SF 522

Back 44

request for aministration of anesthesia

Front 45

SF 78

Back 45

certificate of medical examination

Front 46

what section of the record is the 2807 and 2808 located?

Back 46

back if center page (section 3)

Front 47

NAVMED 6150/4

Back 47

abstract of service and medical history

Front 48

If a service member becomes MIA, or a deserter, where will this be documented?

Back 48

SF 600

Front 49

Retain loose forms for a period of how long?

Back 49

1 year

Front 50

Part 1 of the medical record

Back 50

Record of preventive medicine and occupational health

Front 51

Part 2 of the medical record

Back 51

record of medical care and tx

Front 52

Part 3 medical record

Back 52

physical qualifications

Front 53

Part 4 medical record

Back 53

ancillary studies, impatient care, and miscellaneous forms

Front 54

Preferred document to transcribe patient admission

Back 54

SF 509 record-progress report

Front 55

Indicate any hypersensitivity with "HYPERSENSITIVITY" at the bottom of each page. What page a hypersensitivity documented on?

Back 55

SF 600

Front 56

BUMEDINST 6224.8

Back 56

Tuberculosis Control program

Front 57

PHS-731

Back 57

international certificates of vaccination

Front 58

What section of the medical record is the dental health Questionnaire located?

Back 58

front of center page (section2)

Front 59

If a member is mentally incompetent, insane, or deceased____ or _____ must authorize release of records in writing

Back 59

NOK (next of kin)
legal representative

Front 60

DD 877

Back 60

request for medical/dental records

Front 61

Medical I formation requst from research groups should be fowarded to?

Back 61

BUMED

Front 62

All treatment records are property of?

Back 62

US government

Front 63

NAVPERS 5510/1

Back 63

record identifier for personnel reliability program

Front 64

3 contents of a secondary medical record

Back 64

convenience, temporary and ancillary records

Front 65

NAVCOMINST 6810.1

Back 65

Ophthalmic services

Front 66

DD 2215

Back 66

refernce audiogram

Front 67

How many categories of primary medical records are there?

Back 67

3