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Page Title: TYPES OF PHYSICAL EXAMINATIONS
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REPORT  OF  MEDICAL EXAMINATION
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ROUTINE/PERIODIC    EXAMINATIONS

The name of the medical and dental examiner must  be  legibly  recorded,  including  rank  and social  security  number.  All  reports  of  medical examination must be signed by a Medical Corps officer. If a physician’s assistant or a nurse prac- titioner did the initial examination, the report of medical examination must be countersigned by a Medical   Corps   officer. REPORT  OF  MEDICAL  HISTORY, SF 93 The  SF  93,  Report  of  Medical  History,  pro- vides a record of complete medical history at the time  of  a  member’s  reporting  for  active  duty. Subsequent reports of medical history are specif- ically required to record medical events that have occurred since the last SF 93 was completed. This is  the  minimum  requirement;  it  is  not  incorrect to  record  a  review  of  the  member’s  complete significant   medical   history,   i.e.,   operations, hospitalizations,  etc.  Allow  the  member  ample time  and  provide  any  necessary  assistance  to  com- plete  this  form.  Because  illegible  or  incomprehen- sible abbreviations compromise the value of this report,  spell  out  any  abbreviation  that  may  be misinterpreted. The medical examiner is responsible for com- pleting block 25, including signature, with legible name, rank, and social security number. All en- tries the medical examiner makes in block 25 must end  with  the  abbreviations  of  “NCD”  (not  con- sidered   disqualifying)   or   “CD”   (considered disqualifying). OFFICER  PHYSICAL  EXAMINATION QUESTIONNAIRE,   NAVMED   6120/2 The  NAVMED  6120/2,  Officer  Physical  Ex- amination Questionnaire, provides the examinee the opportunity to review medical problems, life style,  and  other  medical  concerns  to  assist  the medical examiner in adequately reviewing the of- ficer’s  health  status.  This  form  is  an  adjunct  to the  SF  93,  Report  of  Medical  History.  Pending completion of a wellness evaluation form similar to  the  NAVMED  6120/2,  the  NAVMED  6120/2 should be used for all personnel, enlisted and of- ficer  alike,  at  the  time  of  periodic  medical  ex- aminations. Note: Date this report, recording the place of the medical examination and the printed name  of  the  medical  examiner. 9-3 SPECIAL  DUTY  MEDICAL ABSTRACT,   NAVMED   6150/2 The NAVMED 6150/2, Special Duty Medical Abstract, represents a source of special informa- tion  to  the  medical  examiner  regarding  special physical qualifications the member requires to per- form  assigned  duties.  Bring  information  on  the special duty medical abstract to the attention of the  medical  examiner  at  the  time  of  each  physical examination.  Personnel  assigned  to  aviation,  sub- marine, or diving duties, as well as other special- ized  duties  may  require  examination  by  a  medical officer  or  Medical  Service  Corps  officer  specif- ically trained to perform the physical examination. ANNUAL  CERTIFICATE  OF PHYSICAL   CONDITION, NAVMED   6120/3 The  NAVMED  6120/3,  Annual  Certificate  of Physical   Condition,   is  principally  an  adminis- trative   form   used   by   NROTC   students,   mid- shipmen,  and  others  enrolled  in  officer  training programs, and for inactive reservists. The member completes  this  form  annually  and  submits  it  to his or her administrative office during the years between  periodic  physical  examinations.  A Medical  Department  representative  (MDR)  to  the specific program manager reviews the certificate. When appropriate, the MDR orders the member to a more thorough physical examination if there is an indication of injury or illness that may im- pair the member’s ability to report to active duty. TYPES  OF  PHYSICAL EXAMINATIONS Each member of the armed services requires a physical examination at certain times in his or her  career.  The  first  of  these  is  the  enlistment, appointment,  or  commissioning  physical  examina- tion,  and  the  last  is  the  separation  physical  ex- amination. In addition to these two, there could be several more depending on the length of service or  special  requirements.  All  physical  examinations must have the following tests or procedures per- formed:   serologic   test   for   syphilis   and   HIV (HTLV III) screen; urinalysis, to include protein, sugar, and microscopic examination; visual acu- ity;  and  dental  examination.

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