INSIDE BACK COVER OF DENTAL RECORD JACKET On this page of the dental record jacket, place all dental 1. 2. 3. 4. 5. forms listed below in the order given. Record  Identifier  for  Personnel  Reliability Program, NAVPERS 5510/1 (if applicable). Current Status Form. Reserve Dental Assessment and Certification Form, NAVMED 6600/12 (if applicable). Most  current  Dental  Treatment  Form,  EZ603A. Previous Dental Treatment Forms (EZ603As, Old  SF603s  and  603As)  in  reverse chronological order. 6. 7. 8. 9. 10. Consultation  Sheet,  SF  513  (when  related  to dental treatment). Narrative Summary, SF 502 (when related to dental treatment). Doctor’s Progress Notes, SF 509 (when related to dental treatment). Tissue Examination, SF 515 (if required). Request for the Administration of Anesthesia and for Performance of Operations and Other Procedures, SF 522 (if required). ADDITIONAL FORMS Under  the  following  conditions,  additional  dental treatment forms are approved for inclusion in the dental record. Other health care treatment forms (e.g., Veterans Affairs  (VA),  Office  of  Personnel  Management (OPM), Compensation Act (CA), Standard Forms (SF),  and  optional  forms  (OF),  and  civilian practitioner forms) not prescribed may be incorporated in the dental record when considered necessary to document care and treatment. The forms shall be filed in the inside back cover of the dental record jacket at the bottom of the last authorized form listed above (e.g., SF 522), numbered forms grouped together with the most recent form placed on top of each previous form. Pertinent  health  care information, necessary to document  treatment,  but not available on authorized forms as listed above, may be filed in the treatment record. When  feasible,  attach  the  form  to  the appropriate  approved  form  (e.g.,  attach  summaries  of reports from civilian practitioners to EZ603 or old SF 603) in the proper sequential order. MAINTENANCE OF THE DENTAL RECORD In  the  previous  section,  we  discussed  the NAVMED  6150/21-30  and  the  various  forms associated with the record. Part of your duties as dental receptionist and Dental Technician are to properly maintain the dental treatment records and know how to file and retrieve them. To accomplish this, you must understand the following: SSN Number Groups Terminal  Digit  Filing  System  (TDFS) Internal  Chargeout  Control Records  review SSN Number Groups The nine digits of the SSN are divided into three number groups for ease in reading. This reduces the chance of transposing numbers. For example the SSN 123-45-6789 is visually grouped and read from right to left as follows: Primary Group    Second Group    Third  Group 89 67 123-45 Terminal Digit Filing System File dental records by SSN, according to a terminal digit, color-coded, and blocked filing system. Under this   system,   the  central  files  are  divided  into approximately 100 equal sections, which are identified by a maximum of 100 file guides bearing the 100 primary numbers, 00 consecutively through 99. Each of these 100 sections contain all records whose terminal primary digits (last two numbers) correspond to the section’s primary number. For example, every record with the SSN ending in 89, is filed in section 89. Within each of these 100 sections, dental records are  filed  in  numerical  sequence  according  to  the second group of numbers. For example, SSNs ending with 6789, 5489, and 8889 would be filed in the order 5489, 6789 and 8889. Centralized files having records based upon more than 200 SSNs, or a file of more that 200 records, may need to use the third group of numbers in filing if 2-18