dental   classifications   of   patients,   a   standard color  code,  utilizing  a  strip  of  appropriately colored  cellophane  tape  shall  be  placed  on  the record  so  that  it  will  be  readily  visible  when filed. White  tape  indicates  a  Dental  Class  l— Patients  who  do  not  require  dental  treatment. Green  tape  indicates  a  Dental  Class  2— Patients  who  have  dental  conditions  that  are unlikely  to  result  in  a  dental  emergency  within  12 months. Yellow   tape   indicates   a   Dental   Class   3— Patients who have oral and/or dental conditions that  are  likely  to  result  in  a  dental  emergency within  12  months. Red  tape  indicates  a  Dental  Class  4— Patients  whose  oral  classification  is  unknown because  the  patient  has  not  received  a  dental examination in the past 12 months or the patient’s dental   record   is   not   held   by   the   responsible medical  department  activity. The military health (dental) treatment record shall  be  verified  annually  by  Medical  Department personnel  maintaining  the  record.  In  addition, verification shall be accomplished upon reporting and  upon  detachment  from  a  duty  station,  and at  the  time  of  physical  examination.  A  signed, dated entry to the effect that the verification has been  accomplished  shall  be  recorded  on  the current SF 603 and the appropriate year block on the  treatment  record  jacket  front  leaf  shall  be blocked   out. Military Health (Dental) Treatment Record Contents Each member’s military health (dental) treat- ment   record   shall   consist   of   NAVMED 6150/10-19, Treatment Record Jacket, containing the  health  care  treatment  forms  prescribed  below. The  forms  shall  be  arranged  in  top  to  bottom sequence  with  the  most  recent  placed  on  top  of each  previous  form. Right Side: 1. 2. 3. 4. Record Identifier for Personnel Reliability Program, NAVPERS   5510/1,   when appropriate Health   Record-Dental   Continuation, SF  603A  (If  applicable) Health  Record-Dental,  SF  603 Consultation Sheet, SF 513 (when related to dental treatment) 5. 6. 7. Narrative   Summary,   SF   502;   Doctor’s Progress  Notes,  SF  509;  and  Tissue  Exami- nation,  SF  515 Request for Administration of Anesthesia and  for  Performance  of  Operations  and other Procedures, SF 522; and Anesthesia, SF 517 Navy  Periodontal  Screen  Exam Left  Side: 1. 2. 3. 4. 5. 6. Unmounted  radiographs  in  envelopes Sequential  bitewing  radiograph  mounts Panographic   and/or   full   mouth   radio- graphs Dental  Health  Questionnaire,  NAVMED 6600/3 Privacy  Act  Statement,  DD  Form  2005 Record  of  Disclosure-Privacy  Act  of  1974, OPNAV   5211/9 The Health Record-Dental (SF 603) is an aid to   diagnosis,   treatment,   planning   practice management. It is a means of identification and a  record  of  the  initial  examination  showing missing  teeth,  existing  restorations,  diseases,  and other abnormalities. It is also a record of diseases and  abnormalities  occurring  after  the  initial examination;   a   chronological   record   of   dental care; and a basis for dental statistical information. The Dental Health Questionnaire (NAVMED 6600/3, fig. 2-24) is a self-explanatory form. The first  part  is  used  to  record  the  patient’s  chief complaint. The second part is the Check and Sign section and is normally completed by the patient. It is a simplified statement of the patient’s medical history.  All  positive  responses  require  explanation, especially   the   items   for   “any   allergies   or sensitivities,  ”   “ill  effects  from  injections  of Novocaine   or   Xylocaine,”   and   “heart   disease/ rheumatic  fever/murmur.”  You  must  make  sure the  responses  are  marked  in  red  in  prominent letters  across  the  top  of  SF  603.  Also,  on  the NAVMED 6150/10-19 record jacket immediately below  the  name,  indicate  in  the  alert  box whether the member has sensitivities or allergies by  entering  an  “X”   in   the   appropriate   box   or boxes.  The  third  portion  of  NAVMED  6600/3  is used  to  record  dental  radiographs.  The  fourth portion  is  the  Routing/Treatment  Plan  and  is  used to consult with other medical and dental personnel in  the  facility  and  to  plan  a  course  of  examina- tion leading to a diagnosis. The Patient Identifi- cation section must be completely filled out and updated as necessary. 2-55