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OPENING HEALTH RECORDS FOR RESERVISTS
HEALTH RECORD FORMS

Hospital Corpsman Revised Edition - Complete Navy Nursing manual for hospital training purposes
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inside back cover. Enter the FMP code of 20 for all Navy and Marine Corps members. Enter an FMP code of 00 for all foreign military personnel. PATIENT’S NAME.—Enter the member’s full name (last, first, middle initial, in that order) in the upper-right corner. Indicate no middle name by the abbreviation “NMN.” If the member uses initials instead of first or middle names, show this by enclosing the initials in quotation marks (e.g., “J” “C”). Indicate titles, such as JR, SR, and III, at the end of the name. The name may be handwritten on the line provided or imprinted on a self-adhesive label and attached to the jacket in the patient identification box. ALERT BOX—In the lower center area of the outside front cover, indicate in the alert box whether the member has drug sensitivities or allergies by entering an “X” in the appropriate box. If there are no allergies or sensitivities, leave it blank. R E C O R D C AT E G O RY . — I n d i c a t e t h e appropriate record category by entering an “X” in the box marked “Health Record” on the outside front cover, just below the “Pencil Entries” block. Then attach ½- inch red tape to the record category block on the right edge of the inside back cover of the jacket; this indicates it’s an active duty record. PATIENT SERVICE AND STATUS.—Below the record category box is the patient service and status box. Mark an “X” in the appropriate service block. SPECIAL CATEGORIES OF RECORDS.— Identify the records of personnel assigned to special duty or medical surveillance programs (e.g., personnel reliability program, flight status, or the Asbestos Medical Surveillance Program) by marking an “X” at the appropriate special category entry listed below the record category type. Identify flag officers and general officers by stamping or printing “FLAG OFFICER” or 12-8 Figure 12-2.—Sample of completed outside front cover and inside back cover of a health record jacket (NAVMED 6150/26.)







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