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IDC School > Forms and Instructions Unit 4 > Flashcards

Forms and Instructions Unit 4 Flashcards

1
Q

NAVPERS 1070/613

A

Page 13

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2
Q

NAVMED 6150/7

A

Charge out card “Pink card”

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3
Q

DD 2766

A

Adult Preventive and Chronic Care Flow sheet

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4
Q

NAVMED 6230/4

A

Immunization Record

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5
Q

NAVMED 6000/2

A

Chronological Record of HIV Testing

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6
Q

DD 771,

A

Eye Wear Prescription

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7
Q

NAVMED 6470/10

A

Record of Occupational Exposure to Ionizing Radiation

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8
Q

NAVMED 6470/11

A

Record of Exposure to Ionizing Radiation from Internally

Deposited Radionuclides.

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9
Q

DD 2215

A

Reference Audiogram

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10
Q

DD 2216,

A

Hearing Conservation Data

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11
Q

NAVMED 6224/1

A

TB Contact/Reactor

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12
Q

NAVMED 6260/5

A

Asbestos Medical Surveillance Program

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13
Q

DD 2493-1

A

Asbestos Exposure-Part I, Initial Medical Questionnaire

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14
Q

DD 2493-2

A

Asbestos Exposure-Part II, Periodic Medical Questionnaire

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15
Q

OPNAV 5100/15

A

Medical Surveillance Questionnaire

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16
Q

NAVPERS 5510/1

A

Record Identifier for Personnel Reliability Program (PRP)

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17
Q

SF 600

A

Chronological Record of Medical Care

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18
Q

SF 513

A

Consultation Sheet.

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19
Q

DD 2161

A

Referral for Civilian Medical Care

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20
Q

NAVMED 6300/5,

A

Inpatient Admission/Disposition Record (Copy).

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21
Q

SF 502

A

Narrative Summary (Copy).

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22
Q

SF 539,

A

Abbreviated Medical Record (Copy).

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23
Q

SF 509

A

progress notes

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24
Q

SF 516,

A

Operation Report.

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25
Q

SF 600

A

Chronological Record of Medical Care

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26
Q

SF 517,

A

Anesthesia

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27
Q

SF 522

A

Request for anesthesia

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28
Q

SF 533,

A

Prenatal and Pregnancy

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29
Q

DD 2005

A

privacy act statement

30
Q

NAVMED 1300/1,

A

Medical, Dental, and Educational Suitability Screening for

Service and Family Members.

31
Q

NAVPERS 1300/16,

A

Report of Suitability for Overseas Assignment Parts I, II, and
III.

32
Q

DD 2808

A

Report of Medical Examination

33
Q

DD 2807-1

A

DD 2807-1, Report of Medical History

34
Q

NAVMED 6150/2

A

NAVMED 6150/2, Special Duty Medical Abstract.

35
Q

NAVMED 6150/4

A

NAVMED 6150/4, Abstract of Service and Medical History

36
Q

DD 2792

A

Exceptional Family Member (EFM) Program Application

37
Q

OPNAV 5211/9

A

Record of disclosure

38
Q

SF 515,

A

Tissue Examination

39
Q

SF 518

A

Blood or Blood Component Transfusion

40
Q

SF 520

A

Electrocardiogram Request

41
Q

SF 530

A

Neurological Examination

42
Q

SF 545

A

Lab report display

43
Q

SF 511

A

Vital Signs Record

44
Q

DD Form 877

A

Request for medical records

45
Q

SECNAVINST 5211.5

A

Department of the Navy Privacy Program

46
Q

BUMEDINST 1300.2B

A

Medical, Dental, and Educational Suitability

Screening and Exceptional Family Member Program (EFMP) Enrollment.

47
Q

DD Form 2807-2

A

Medical Prescreen of Medical History Report

48
Q

NAVMED 1300/2

A

Medical, Dental and Educational Checklist and

Worksheet

49
Q

OPNAVINST 1754.2

A

Exceptional Family Member Program

50
Q

DODINST 1342.12 Series

A

Education Of Handicapped Children In The

DOD Dependent Schools

51
Q

DODINST 1010.13 Series

A

Military Personnel Drug And Abuse Testing

Program

52
Q

OPNAVINST 6000.1 Series

A

Navy Guidelines concerning Pregnancy and Parenthood

53
Q

NAVMEDCOMINST 6320.3 Series

A

Medical and Dental Care

for Eligible Persons at Naval Medical Department Facilities

54
Q

OPNAVINST 1740.4E

A

Navy policy of worldwide assignment to include appointing a

guardian

55
Q

BUMEDINST 5360.1

A

Decedent Affairs Manual

56
Q

OPNAVINST 1770.1 Series

A

Casualty Assistance Calls and Funeral Honors Support

(CAC/FHS) Program Coordination

57
Q

MILPERSMAN 1770-010,

A

Personnel Casualty Reporting Requirements

58
Q

DD Form 2992

A 
Medical Recommendation for Flying or Special
Operations Duty (Aeromedical)
59
Q

NAVMED P-117,

A

Manual of the Medical Department (MANMED) Chapter
15, Physical Examinations and Standards for Enlistment, Commission, and
Special Duty

60
Q

BUMEDINST 6410.9

A

Medical Monitoring Flight Personnel in Locations

where Flight Surgeons are not Available

61
Q

DoDD 5136.13

A

Defense Health Agency (DHA)

62
Q

NAVMEDCOMINST 6320.3

A

Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities

63
Q

NAVSUP P-485

A

Navy Supply Procedure (AFLOAT),

64
Q

COMNAVSURFORINST 6000.1

A

Shipboard Medical Procedures Manual

65
Q

DD 200

A

Financial Liability Investigation or Property Loss form

66
Q

NAVSUP 1250-1

A

Single Line Item Consumption Requisition

Document

67
Q

DD 1149

A

Requisition and Invoice/Shipping Document

68
Q

DD form 2642

A

Request for payment

69
Q

DD Form 2064

A

Certificate of death overseas

70
Q

MILPERSMAN 1770.10

A

PERSONNEL CASUALTY REPORTING REQUIREMENTS

IDC School (13 decks)

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