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Back Internal Chargeout Control | Up Dental Volume 1 - Dentist training manual for military dentists | Next Figure 2-12.—Request for Medical/Dental Records or Information, DD Form 877 |
patients record until the record is returned. By using
different colored chargeout guides to denote the day or
week that a record is charged out from the file, a quick
reference is provided.
Records Review
Also included in your duties for the upkeep of
dental records is records review. You may be
responsible to identify inactive records, verify records,
and to process dental records that are illegible or
contaminated.
INACTIVE RECORDS.Dental
records
become eligible for retirement because of inactivity.
However, allowances will be made for longer sponsor
tours of duty, extensions of the sponsors projected
rotation date, and back-to-back tours of duty in the
same area. Problems arise as a result of premature
retirement of a dental record of a patient who has not
requested treatment during the previous 2-year period.
Dental records are not retired without an attempt to
verify the sponsors duty status and location. To retire
records, you should use MANMED, Article 16-20.
VERIFICATION OF RECORDS.Dental
records should be verified for accuracy when
transferred, retired, or at other times as directed by the
director of the DTF. At these times, records should be
reviewed for proper identification, placement of
forms, and completion of the record jacket according
to MANMED, Chapter 6. Listed below are some of the
specifics of record verification procedures that you
will look at:
Verify the record with the patient present, if
possible.
Cross-check the military patients name or
sponsors name against a current roster of the patients
or sponsors last known unit. This is essential.
Verify that the Privacy Act statement has been
signed.
Verify that pencil entries are complete and
accurate.
Verify the treatment plan is current (i.e., the
treatment plan is not over 12 months old).
Appoint the patient for treatment if the patient is
dental class 3. Appoint the patient for a T-2
examination if the patient is dental class 1 or 2
and 12 months or more have elapsed since the
last T-2 examination.
ILLEGIBLE OR CONTAMINATED
DENTAL RECORDS.For individual records,
duplicate dental record forms whenever they approach
a state of illegibility or deterioration or become
contaminated, and the future use or value as permanent
records is endangered. The duplicate forms must be a
reproduction of the original as much as possible. Enter
the designation DUPLICATE RECORD on the front
of the NAVMED 6150/21-30 above the block Dental
Treatment Record when the entire contents of a dental
record is duplicated. Use bold writing to make it stand
out. When only part of the dental record is duplicated,
identify the individual forms as DUPLICATE at the
bottom of each form.
MANMED, Article 16-19
provides further guidance on illegible or contaminated
dental records.
REQUEST FOR MEDICAL/DENTAL
RECORDS INFORMATION.Occasionally,
dental records may be left behind at a members
previous duty station. Some commands may elect to
mail dental records to the next duty station for
personnel who transfer. Whatever the case may be, the
Request for Medical/Dental Records or Information
Form, DD 877, is used as shown in figure 2-12. The
requesting DTF will complete blocks 1 through 10,
(except 8b) and block 19. The DTF who receives the
DD 877 will retrieve and verify the requested dental
record(s) and will complete blocks 8b and blocks 11
through 14 or 15 through 18. The requesting DTF will
keep the top copy and the DTF who retrieves the dental
record will keep the second copy. Files are set up for
the DD 877 and arranged in alphabetical order. The
DD 877 is sent via U.S. Mail.
TRANSFER OF THE DENTAL RECORD
The following procedures are designed to protect
against loss or misfiling of the dental record during
transfer between treatment facilities without
jeopardizing the interest of the individual or the federal
government.
Temporary Transfers, Active Duty
When a dental record is transferred temporarily to
another activity (e.g., for consultation or specialty
treatment), follow the procedures discussed in the
internal chargeout control section in this chapter.
HANDCARRYING PERSONAL DENTAL
RECORD.Patients frequently handcarry their
dental records when they have an appointment external
to the record keeping DTF. If resources and time
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