Figure 2-25. - Report of Medical Examination, SF 88, (back) boxes 43 and 50.
Two other forms may be associated with dental treatment. These forms are the Consultation Sheet, SF 513, and the Reserve Dental Assessment and Certification, NAVMED 6600/12, which are discussed next.
Dental Treatment Facilities (DTFs), Medical Treatment Facilities (MTFs), and shipboard medical and dental departments use the SF 513 (fig. 2-26) to refer patients from one DTF/MTF, or department to another. Please note that SF 513 refers patients with both dental and medical conditions needing a second opinion or a referral to a specialist for further evaluation or treatment. To assist you in filling out this form, make the following entries on the SF 513:
To: Enter the name of the DTF/MTF, or depart- red. ment to which the patient is being refer
From: The name of the requesting facility.Continue Reading