While the personnelman is responsible for the
preparation and maintenance of the service
record, you, the hospital corpsman, are respon-
sible in the same way for health records. A health
record is the official medical and dental history
of Navy or Marine Corps personnel and eligible
In this chapter, we will discuss the require-
ments for opening, closing, verifying, and the
custody of the health record. We will also cover
the different component health record forms and
their sequential placement in the health records.
THE HEALTH RECORD
The military health treatment record (medical
and dental) is an individual chronological record
and a concise summary of all medical and dental
examinations, evaluations, and treatments af-
forded to a member of the Navy or Marine Corps.
It provides valuable assistance to Medical
Department personnel in conducting examina-
evaluating physical fitness, making
diagnoses, and rendering medical or dental care
in the treatment of injury or disease.
The health record has significant medicolegal
value to the member concerned, the members
beneficiaries, and the Government. Proper and
equitable determination of claims based upon
physical disability is largely dependent upon the
information recorded in the health record.
Various officials and boards refer to informa-
tion furnished by the health record in determin-
ing physical fitness.
It is often the determinant factor in the ad-
justment of internal revenue assessment and in the
establishment of veterans preference.
It affords basic data for the compilation of
The dental record is an invaluable aid in the
identification of the deceased, especially when
other means fail. It is also the source of dental
operational readiness data.
Accuracy is of utmost importance in the re-
cording of all entries, especially for periods of
The inclusion of special examinations, con-
sultations, and laboratory and x-ray reports is
vital to an individuals record. If they are not on
adjunct health record forms, they should be
transcribed into the record to prevent loss of
The various circumstances under which a
health record may be opened, closed, and main-
tained are described in detail in the Manual of the
Medical Department (MANMED), chapter 16.
Additional information is presented in the Navy
Implementation of a new program may re-
quire modification of existing regulations to fit
the particular need. Therefore, all personnel as-
sociated with health record maintenance must
keep abreast not only of MANMED but also of
all directives to ensure that correct procedures are
OPENING THE HEALTH RECORD
A health record is opened when an individual
becomes a member of the naval service, when a
member on the retired list is returned to active
duty, or when the original record has been lost
or destroyed. All applicable spaces on each of the
component forms designated for personal iden-
tification data will be completed. Official
abbreviation of grade or rate will be used. The
social security numbers (SSNs) of officers will be
followed by the designator code or MOS as appro-
priate, except on SF 88 (Report of Medical
Examination) where the designator code or MOS
will follow the grade and component in block 2.
All SSNs will be preceded by the family member
A health record will be opened at the time of
acceptance of appointment for individuals ap-
pointed from civilian life, and the record will be
forwarded to the initial place of active duty. If
the member is appointed and retained on inac-
tive duty, the record will be disposed of as follows:
1. Class II Marine Corps reservistsForward
to or retain at the Organized Marine Corps
Reserve unit to which assigned.