BASICS
REQUIREMENTS
INDIVIDUAL MEDICAL EQUIPMENT
FORMS
PHA COMPONENTS
100

INSTRUCTION #


SECNAVINST 6120.3A

100

WHO IS RESPONSIBLE FOR SCHEDULING AND COMPLETING ALL REFERRALS FOR IMR REQUIREMENTS. 

THE SERVICEMEMBER

100

SERVICEMEMBERS WHO REQUIRE CORRECTIVE EYEWEAR MUST HAVE HOW MANY PAIRS TO BE CONSIDERED DEPLOYABLE?

2

100

SF 600

CHRONOLOGICAL RECORD OF MEDICAL CARE

100

HOW OFTEN IS A DENTAL EXAM REQUIRED?

ANNUALLY

200

A CURRENT PHA MUST BE COMPLETED WITHIN HOW MANY MONTHS TO PARTICIPATE IN THE PFA?

12 MONTHS

200
WHO'S RESPONSIBILITY IS IT TO ENSURE IMR FOR ASSIGNED PERSONNEL?

THE COMMANDING OFFICER

200

WHO MUST MAINTAIN MEDICAL WARNING TAGS?

Service members with documented allergies or permanent conditions which would delay treatment

200

DD 2766

ADULT PREVENTATIVE AND CHRONIC CARE FLOW SHEET

200

WHAT FACTORS MAKE A MEMBER NOT DEPLOYABLE?

LIMITED DUTY

UNDERGOING PEB/MEB

PREGNANT OR POSTPARTUM

300

WHAT ELECTRONIC DATA SYSTEM TRACKS MEDICAL READINESS?

MRRS

MEDICAL READINESS REPORTING SYSTEM

300

WHO DOES NOT REQUIRE A PHA?

-NEWLY ACCESSIONED SERVICE MEMBERS NOT WHO HAVE NOT COMPLETED WITH INITIAL TRAINING/TECH SKILLS.

-Service members who have completed medical in-processing within the previous year will not require a PHA until 12 months post-accession unless they are in receipt of orders to an operational platform. 

300

MEMBERS REQUIRING CORRECTIVE EYEWEAR THAT ARE SUBJECT TO DEPLOYMENT MUST POSSESS WHAT?

BALLISTIC PROTECTION OPTICAL INSERTS

GAS MASK INSERTS

300

PRE DEPLOYMENT HEALTH ASSESSMENT

DD 2795

300

WHAT IS USED TO DETERMINE DISTANCE VISUAL ACUITY

SNELLEN CHART


REFER TO OPTOMETRY FOR VISION WORSE THAN 20/40

400

WHO ARE APPROVED PROVIDERS FOR COMPLETING PHA'S

IDC

PHYSICIANS

NURSE PRACTITIONERS

AND PHYSICIANS ASSISTANTS

400

HEIGHT AND WEIGHT VERIFICATION CAN BE RETRIEVED FROM THE LAST IN PERSON VISIT IF PHA IS VIRTUAL (TRUE OR FALSE)

TRUE, AS LONG AS IT IS WITHIN THE LAST YEAR.
400

WHEN WILL RESERVE COMPONENTS RECEIVE REQUIRED OPTICAL EQUIPMENT?

UPON ASSIGNMENT TO DEPLOYABLE/OPERATIONAL UNITS OR WHEN NOTIFIED OF DEPLOYMENT. 

400

DD 2796


POST DEPLOYMENT HEALTH ASSESSMENT

400

HOSPITAL CORPSMEN CAN PERFORM WHICH CLINICAL SKILLS FOR THE PHA?

IMMUNIZATIONS; PHLEBOTOMY; HEALTH RISK PROMOTION; DOCUMENTATION OF CLINICAL ENCOUNTER

500

ARE SERVICEMEMBERS WITH DENTAL CLASS 3 OR 4 STATUS DEPLOYABLE?

Yes; BUT compromises unit combat effectiveness and is considered at increased risk to experience a dental emergency. 

500

WHAT LABS ARE REQUIRED TO BE DOCUMENTED TO BE CONSIDERED DEPLOYABLE?

BLOOD TYPE & Rh FACTOR

G6PD STATUS

DNA SPECIMEN 

HIV TESTING (BIENNIAL)

500

WHAT OTHER MEDICAL EQUIPMENT MUST BE QUERIED DURING PHA?

HEARING AIDS OR DENTAL ORTHODONTIC EQUIPMENT

500

DENTAL EXAMINATION FORM

EZ 603A

500

WHAT ARE THE FOUR COMPONENTS OF THE PHA

SELF ASSESSMENT, RECORD REVIEW, MENTAL HEALTH ASSESSMENT, PROVIDER REVIEW