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.)
