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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
SF 600
Chronological Record of Medical Care
26
SF 517,
Anesthesia
27
SF 522
Request for anesthesia
28
SF 533,
Prenatal and Pregnancy
29
DD 2005
privacy act statement
30
NAVMED 1300/1,
Medical, Dental, and Educational Suitability Screening for | Service and Family Members.
31
NAVPERS 1300/16,
Report of Suitability for Overseas Assignment Parts I, II, and III.
32
DD 2808
Report of Medical Examination
33
DD 2807-1
DD 2807-1, Report of Medical History
34
NAVMED 6150/2
NAVMED 6150/2, Special Duty Medical Abstract.
35
NAVMED 6150/4
NAVMED 6150/4, Abstract of Service and Medical History
36
DD 2792
Exceptional Family Member (EFM) Program Application
37
OPNAV 5211/9
Record of disclosure
38
SF 515,
Tissue Examination
39
SF 518
Blood or Blood Component Transfusion
40
SF 520
Electrocardiogram Request
41
SF 530
Neurological Examination
42
SF 545
Lab report display
43
SF 511
Vital Signs Record
44
DD Form 877
Request for medical records
45
SECNAVINST 5211.5
Department of the Navy Privacy Program
46
BUMEDINST 1300.2B
Medical, Dental, and Educational Suitability | Screening and Exceptional Family Member Program (EFMP) Enrollment.
47
DD Form 2807-2
Medical Prescreen of Medical History Report
48
NAVMED 1300/2
Medical, Dental and Educational Checklist and | Worksheet
49
OPNAVINST 1754.2
Exceptional Family Member Program
50
DODINST 1342.12 Series
Education Of Handicapped Children In The | DOD Dependent Schools
51
DODINST 1010.13 Series
Military Personnel Drug And Abuse Testing | Program
52
OPNAVINST 6000.1 Series
Navy Guidelines concerning Pregnancy and Parenthood
53
NAVMEDCOMINST 6320.3 Series
Medical and Dental Care | for Eligible Persons at Naval Medical Department Facilities
54
OPNAVINST 1740.4E
Navy policy of worldwide assignment to include appointing a | guardian
55
BUMEDINST 5360.1
Decedent Affairs Manual
56
OPNAVINST 1770.1 Series
Casualty Assistance Calls and Funeral Honors Support | (CAC/FHS) Program Coordination
57
MILPERSMAN 1770-010,
Personnel Casualty Reporting Requirements
58
DD Form 2992
``` Medical Recommendation for Flying or Special Operations Duty (Aeromedical) ```
59
NAVMED P-117,
Manual of the Medical Department (MANMED) Chapter 15, Physical Examinations and Standards for Enlistment, Commission, and Special Duty
60
BUMEDINST 6410.9
Medical Monitoring Flight Personnel in Locations | where Flight Surgeons are not Available
61
DoDD 5136.13
Defense Health Agency (DHA)
62
NAVMEDCOMINST 6320.3
Medical and Dental Care for Eligible Persons at Navy Medical Department Facilities
63
NAVSUP P-485
Navy Supply Procedure (AFLOAT),
64
COMNAVSURFORINST 6000.1
Shipboard Medical Procedures Manual
65
DD 200
Financial Liability Investigation or Property Loss form
66
NAVSUP 1250-1
Single Line Item Consumption Requisition | Document
67
DD 1149
Requisition and Invoice/Shipping Document
68
DD form 2642
Request for payment
69
DD Form 2064
Certificate of death overseas
70
MILPERSMAN 1770.10
PERSONNEL CASUALTY REPORTING REQUIREMENTS

IDC School (13 decks)

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