TAB C - Selected Medical Record Forms
SF 88 ........................................................................................................Report
of Medical Examination SF 502 ............................................................................................Narrative Summary (Clinical Resume) SF 513 .........................................................................................................................Consultation Sheet SF 539 .........................................................................................................Abbreviated Medical Record AF 560 ..........................................................................................Authorization and Treatment Statement SF 600 ..........................................................................................Chronological Record of Medical Care SF 601 .....................................................................................................................Immunization Record HSC 621-R (Test) ............................................................................................Individual Medical History PHS 731 .......................................................................................International Certificates of Vaccination DD 771 ....................................................................................................................Eyewear Prescription AF 1480 ........................................................................................................................Summary of Care AF 1480A ..........................................................................Adult Preventive and Chronic Care Flowsheet DD 2766 .............................................................................Adult Preventive and Chronic Care Flowsheet DA 3647 .....................................................................................Inpatient Treatment Record Cover Sheet DA 8007 ..........................................................................................................Individual Medical History Deployment Health Assessments
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