RECORD OF OCCUPATIONAL EXPOSURE
TO IONIZING RADIATION (DD FORM 1141)
This form is initiated when military personnel are
first exposed to ionizing radiation (with the exception
of patients incurring such radiation while undergoing
This form becomes a
permanent part of the members health record.
Instructions for preparing DD Form 1141 are on
the back of the form. Further instruction concerning
the applicability and use of the form are contained in
Figure 12-7.Abstract of Service and Medical History, NAVMED 6150/4.