If the servicemembers condition cannot be
corrected during the initial or subsequent period of
TLD and treatment, or if it is clear that the condition
will continually interfere with or preclude his ability to
function effectively in an operational arena or to
deploy worldwide, notify the transferring or parent
command and NAVPERSCOM. Subsequent to the
second period of TLD, if appropriate, a Physical
Evaluation Board (PEB) will adjudicate the case. If the
PEB (in Washington, DC) finds the member fit to
continue Naval Service, NAVPERSCOM will direct
the command to initiate appropriate administrative
action, which may include a recommendation of
administrative separation (per MILPERSMAN
Formal Board Report
If conditions warrant (i.e., when the period of
recovery is expected to exceed 8 months), the
physician or dental officer will dictate a formal board
report in accordance with SECNAVINST 1850.4 and
MANMED, chapter 18, for submission to NAV-
PERSCOM (NPC-821). The LIMDU Coordinator is
responsible for reviewing the medical board, verifying
the content and that the processing time is consistent
with current policy.
However, a command
endorsement is not required on a formal board.
COMPLETING REQUIRED FORMS
appropriate form(s) used for physical
examinations and recall how each form
should be completed.
While there are several forms used to record
physicals, the scope and purpose of the physical
dictates which form or forms should be used. For
example, the preplacement and annual physical
evaluation of food service personnel or personnel
exposed to hazardous materials can, in most cases, be
adequately documented on an SF 600. This section
discusses the most commonly used physical examina-
REPORT OF MEDICAL EXAMINATION,
The SF 88, Report of Medical Examination, is the
principal document for recording a complete physical
examination (figs. 11-1 and 11-2). The SF 88 is, like
most medical documentation, a legal document.
Entries on the form must be legible. If you make a
typographical or clerical error, correct the entry by
drawing a single line through the erroneous entry,
initialing above the error, and making the corrected
entry in the same block. If space is not available in that
block, make the corrected entry in block 42
(identifying the erroneous entry by number). Chapter
16 of the MANMED provides specific details on
information for each block to complete this form
Stamps are used routinely by many naval medical
facilities to incorporate routine information or data
onto medical documents, as illustrated in blocks 50 and
73 of figures 11-1 and 11-2. The use of stamps must,
however, be in accordance with physical examination
directives and the MANMED.
REPORT OF MEDICAL HISTORY, SF 93
The purpose of Standard Form (SF) 93, Report of
Medical History, is to provide a complete personal
medical history and to serve as a source of information
that supplements information reported on the SF 88.
The SF 93 provides a current, concise, and
comprehensive record of a service members personal
medical history before entering the service and any
subsequent changes in the members medical status.
After the military entrance examination, any
subsequent medical examinations that require the use
of the SF 88 will also require an SF 93 to be completed.
Any medical information entered by patients on the SF
93 is made only to document changes in medical
history since their last physical examination. If no
changes have occurred since the previous SF 93 was
generated, the examiner should enter no significant
interval history in block 25.
When you prepare the SF 93, complete items 1
through 7 in the same manner as you did the SF 88 (fig.
11-3). This information can be handwritten or typed.
Inform examinees that they are responsible for
completing items 8 through 25 (figs. 11-3 and 11-4).
Item 8 should contain a handwritten statement from
examinees regarding their present state of health and
any medications they may be taking. Items 9 through
24 are checked either yes, no, or dont know by
Assist examinees by explaining
unfamiliar medical terminology that appears on these
items. Helping them complete the form will ensure an
accurate accounting of the members medical history.
Keep in mind that the SF 93 is information of