SECNAVINST 6120.3 Periodic Health Assessment for Individual Medical Readiness

Question 1

What form is the Adult Preventive and Chronic Care Flowsheet?

Answer 1

DD 2766

Question 2

What form is the Pre-Deployment Health Assessment?

Answer 2

DD 2795

Question 3

What form is the Post Deployment Health Assessment?

Answer 3

DD 2796

Question 4

What form is the Post Deployment Health Re-Assessment?

Answer 4

DD 2900

Question 5

Who are approved providers that can sign a PHA?

Answer 5

IDC
Phyisicans
PA
NP

Question 6

What distal visual acuity measurement would require referral to optometry?

Answer 6

Worse than 20/40

Question 7

At what age do service members require testing of reading acuity (near vision)?

Answer 7

45 and older

Question 8

What form is the reference audiogram?

Answer 8

DD 2215

Question 9

What findings on an audiogram require in-depth auidometric testing?

Answer 9

shift of an average of 30 dB at 500, 1000, and 2000 Hz
45 dB at 3000 Hz
55 dB at 4000 Hz

Question 10

Which immunizations are required to be considered deployment ready?

Answer 10

Hep  A
Hep B
Td/Tdap
MMR
IPV
Influenza

Question 11

Which readiness studies are required for an individual to be deployment ready?

Answer 11

ABO type and Rh factor
G6PD status
DNA - verified at Armed forces institute of Pathology Repository
HIV

Question 12

What form must be used for RC service members completing their T2 dental exam with a civilian provider?

Answer 12

DD 2813

Question 13

How often are RC services members required to see a military dentist?

Answer 13

at least over a 3 year period

Question 14

What is the PHA for IMR instruction?

Answer 14

SECNAVINST 6120.3