Forms Flashcards by Michael Romero

Q

PHS 731

A

Yellow card

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Q

DoD Directive 6205.3

A

Immunization program for biological warfare defense

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Q

NAVMED 6230/4

A

Adult IMMS record

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Q

NAVMED 6230/5

A

Child IMMS record

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Q

NAVMED 6630/2

A

Entries for precious metal issue recorded

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Q

SF88

A

Report of Medical Exam

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Q

DD2322

A

Dental Laboratory Work Authorization form

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Q

DD2802

A

Dental Report of Medical Examination form

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Q

NAVMED 6630/3

A

Statement and Inventory of Precious and Special Dental Metals

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Q

SF513

A

Medical Consultations

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Q

SF93

A

Report of Medical History

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Q

SF502

A

Medical Record Narrative Summary

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Q

SF503

A

Clinical Record Autopsy Protocol

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Q

SF508

A

Doctor’s Orders

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Q

SF509

A

Medical Records Progress Notes

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Q

SF513

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A

Medical Record Consultation Sheet

Q

SF516

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A

Medical Record Operation Report

Q

SF519

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A

Medical Record Radiologic Consult Request

Q

SF601

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A

Health Record Immunization Record

Q

SF600

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A

Health Record Chronological Record of Medical Care

Q

SF558

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A

Medical Record Emergency Care and Treatment

Q

DD877

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A

Request for Medical/Dental Records or Information

Q

NAVMED 6120/3

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A

Annual Certificate of Physical Condition

Q

DD2807

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A

Report of Medical History

DD2808

Report of Medical Examination

DD2697

Report of Medical Assessment

DD1289

DoD Single Prescription

NAVMED 6710/6

Poly prescription

NAVMED 6710/1

Narcotic and Drug Account Record

NAVMED 6710/4

Narcotic and Drug Inventory - 24 hour

NAVMED 6710/5

Perpetual Inventory of Narcotics

DEA Form 106

Report of Theft of Controlled Substances

MED6220-3

Disease Alert Report

DD2215

Hearing test