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Military Health (Dental) Treatment Record Contents |
MILITARY HEALTH (DENTAL)
TREATMENT RECORD
A Military Health (Dental) Treatment Record
Jacket (NAVMED 6150/10-19, fig. 2-23) shall be
prepared upon initial entry of a member into the
naval service, and shall also be prepared when
either the existing jacket has been damaged or,
because of deterioration, is approaching the point
of illegibility. A felt tip pen is used to record
all identifying data, except the information
recorded on the inside of the front leaf.
The information on the inside of the front
leaf shall be recorded in pencil to permit changes
and updating.
The outside front of the treatment jacket
will have the patient’s name and SSN (Social
Security number). The second to the last digit of
the SSN is preprinted on the treatment record
jacket. The color of the treatment record jacket
corresponds to the preprinted digit as follows:
Preprinted Digit
Jacket Color
0
Orange
1
Light Green
2
Yellow
3
Grey
4
Tan
5
Light Blue
6
White
7
Brown
8
Pink
9
Red
The patient’s dental classification will be
designated in the top right corner on the jacket’s
back leaf. To facilitate recognition of the four
267.32A
Figure 2-23.-Military Health (Dental) Treatment Record NAVMED 6150/10-19.
2-54
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