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50 Cards in this Set
- Front
- Back
- 3rd side (hint)
DD 2766
|
Adult Prevention and Chronic Care Flowsheet
|
Part 1
|
|
NAVMED 6230/4
|
Immunization Record
(Replaced the SF 601 Adult Immunization Form) |
Part 1
|
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NAVMED 6000/2
|
Chronological Record of HIV Testing
|
Part 1
|
|
DD 771
|
Eyewear Prescription
|
Part 1
|
|
DD 2215 & DD 2216
|
Reference Audiogram & Hearing Conservation Data
|
Part 1
|
|
SF 600
|
Chronological Record of Medical Care
|
Part 2
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DD 2808
|
Report of Medical Examination
|
Part 3
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DD 2807-1
|
Report of Medical History
|
Part 3
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NAVMED 6410/10
|
Abbreviated Aeromedical Examination
|
Part 3
|
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NAVMED 6150/2
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Special Duty Medical Abstract
|
Part 3
|
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NAVMED 6150/4
|
Abstract of Service and Medical History
|
Part 3
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NAVMED 6410/1
|
Grounding Notice
|
n/a
|
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NAVMED 6410/2
|
Clearance Notice
|
n/a
|
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OPNAV 5100/15
|
Medical Surveillance Program
|
Part 1
|
|
SF 513
|
Medical Record-Consultation Sheet
|
Part 2
|
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NAVMED 1300/1
|
Medical, Dental, and Educational Suitability Screening
|
Part 3
|
|
NAVMED 1300/16
|
Report of Suitability Screening
for Overseas Assignment Parts, I, II, and III |
Part 3
|
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SF 515
|
Medical Record - Tissue Examination
|
Part 4
|
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SF 519
|
Radiographic Report
|
Part 4
|
|
SF 545
|
Laboratory Report
|
Part 4
|
|
The health record of an
Active Duty or Retired member is designated how? |
With the member's own SSN
|
|
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The health record of a
Family Member is designated how? |
Sponsor's SSN (preceeded by FMP)
|
|
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What is the FMP of the Sponsor (AD or retired)?
|
20
|
|
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What is the FMP of the Sponsor's
Children? |
01-19
|
|
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What is the FMP of the Sponsor's
Spouse? |
30-39
|
|
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What is the FMP of the Sponsor's
Mother/Stepmother? |
40-44
|
|
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What is the FMP of the Sponsor's
Father/Stepfather? |
45-49
|
|
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What is the FMP of the Sponsor's
Mother-in-law? |
50-54
|
|
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What is the FMP of the Sponsor's
Father-in-law? |
55-59
|
|
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What is the FMP of the Sponsor's
Other Authorized Dependents? |
60-69
|
|
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What is the FMP of the Sponsor's
Beneficiary authorized by statute? (Children of former service women; Dependent's children) |
90-95
|
|
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What is the FMP of a
Civilian Emergency patient? |
98
|
|
|
What is the FMP of
All others not otherwise classified? (Foreign Nationals or Foreign Military) |
99
|
|
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How do you create a
Pseudo-social? |
800-YR-MMDD
("800" - then DOB in the above format) |
|
|
What color is jacket 30?
(NAVMED 6150/10) |
Orange
|
|
|
What color is jacket 21?
(NAVMED 6150/11) |
Green
|
|
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What color is jacket 22?
(NAVMED 6150/12) |
Yellow
|
|
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What color is jacket 23?
(NAVMED 6150/13) |
Gray
|
|
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What color is jacket 24?
(NAVMED 6150/14) |
Tan
|
|
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What color is jacket 25?
(NAVMED 6150/15) |
Blue
|
|
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What color is jacket 26?
(NAVMED 6150/16) |
White
|
|
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What color is jacket 27?
(NAVMED 6150/17) |
Almond (Brown)
|
|
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What color is jacket 28?
(NAVMED 6150/18) |
Pink
|
|
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What color is jacket 29?
(NAVMED 6150/19) |
Red
|
|
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What color is the record category tape for
Outpatient Health Record (OREC)? |
Black
|
|
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What color is the record category tape for
Inpatient Health Record (IREC)? |
Green
|
|
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What color is the record category tape for
Military Dental Record? |
Dark Blue
|
|
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What color is the record category tape for
Military Health Record? |
Red
|
|
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What color is the record category tape for
Other Dental Records? |
Yellow
|
|
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When should a health record be closed?
|
When a member:
Dies/Declared dead Is discharged/Released from AD Declared MIA Declared deserter |
|