The results of the reenlistment physical examination are recorded on form SF-600, Chronolo- gical Record of Medical Care. The healthcare provider will indicate on the SF-600 if the service member is physically qualified for reenlistment. After the physical examination is completed, the SF-600 will be filed in the member's health record.

Separation Physical Examination
Before being released from active duty, members receive a thorough physical examination. If the separation is the result of an evaluation by a medical board, the medical board report serves as the document for the physical examination.

Members who separate from the service-for any reason (i.e., retirement, end-of-enlistment, or administrative discharge)-are required to read the following statement at the time of their physical examination:

You are being examined because of your separation from active duty. If you feel you have a serious defect or condition that style="mso-spacerun: yes"> interferes, or has interfered, with the performance of your military duties, advise the examiner. If you are considered by the examiner to be not physically qualified for separation, you will be referred for further evaluation, and, if indicated, appearance before a medical board. If, however, you are found physically qualified for separation, any defects will be recorded in item 74 of the SF-88 or on an SF-600. Such defects, while not considered disqualifying for military service, may entitle you to certain benefits from the Department of Veterans Affairs (DVA). If you desire further information in this regard, contact the DVA office nearest your home after your separation.

In the case of a service member separating from the Navy or Marine Corps before completion of 90 days of service, a similar statement as above must be read by the separating member. Refer to article 15-29 of the MANMED for this statement. In either case the separating member will be requested to sign the following entry in item 73 on the SF-88 or the SF-600.

I have been informed of and understand the provisions of article XX-XX of the Manual of the Medical Department.

Refusal of the member to sign this statement will not delay separation. Rather, the examiner will note in item 73 of the SF-88 or on the SF-600 that the provisions of MANMED article XX-XX have been fully explained to the member, who declined to sign a statement to that effect. Give each member released from active duty a signed, legible copy of the SF 88 or SF-600.

SPECIAL DUTY PHYSICAL EXAMINATIONS

Military personnel who are assigned to or applying for special duty such as aviation duty, diving duty, submarine duty, etc., are required to meet physical requirements above the basic entrance examination requirements. In addition, personnel are required to have a special duty physical if they have psychosocial considerations, are exposed to extreme physical hazards, or if they are to be assigned to sites with inadequate medical facilities. Other special duties requiring preplacement examinations include handling explosives, operating explosives vehicles, and duty as a fire fighting instructor. Specific details for each type of special duty physical examination is delineated in the MANMED.

As with routine physicals, special duty physical examinations are performed by medical officers or DoD civilian physicians. For operational units (squadrons or groups), the medical officer assigned will normally perform special duty examinations. If there is not a unit medical officer, a medical officer assigned to a supporting clinic, hospital, or related operational unit should perform the examination.

Physician assistants (PAs) and nurse practitioners may perform special duty examinations if a medical officer or DoD physician is not available or if the examination workload is too great. When a PAor nurse practitioner performs special duty examinations, the examination MUST be countersigned in block 80 of the SF 88 by a physician.

Physical examinations for special duty applicants must be completed before reporting for their special duty assignment. If a service member is determined by the medical examiner to be "not qualified for special duty," the member can usually remain in the service but will not be given special duty assignments. To maintain special duty status, service members may have more frequent physical examinations than service members not on special duty status. Validity periods for special duty physicals are discussed in the MANMED. Also, refer to Navy directives that apply to specific special duty examinations for current information on physical qualifications.