12. Records sent to in-house clinics should be returned to the medical records area
____________________________________ unless the physician requires an extended
use of the medical record.
The same day of the clinic visit.
One day after the clinic visit.
Two days after the clinic visit.
One week after the clinic visit.
13. The following forms are filed in a patient's medical record. Which form must be read
and signed by the patient?
SF 600 (Chronological Record of Medical Care).
DA Form 4410-R (Disclosure Accounting Record).
DD Form 2005 (Privacy Act Statement - Health Care
DA Form 3444 (Alphabetical and Terminal Digit File for
14. Which form is used to request medical records from another MTF?
DD Form 877.
DD Form 2005.
DD Form 3444.
DD Form 3444-6.
15. Which regulation governs the preparation of Army medical records?