strenuous screening and evaluation standards. The MTF commander is required by AR
50-5 to ensure that medical records of each candidate and member of the Nuclear Surety
Program are screened periodically to see that he meets the standards of the Personnel
Reliability Program (PRP). The MTF commander also must see that unit commanders are
kept informed about the medical status of these individuals. To facilitate the required
notification, medical records of members of the PRP are identified by a mark on the health
record folder, and a DA Form 4515 (Personnel Reliability Program Record Identifier) is
filed as the top form on the right side of the health record folder.
c. Special Category Records. Certain records are individually identified for
special handling to reduce the risk of harming or embarrassing the patient or when content
of the record makes handcarrying undesirable. These records are marked by placing a
conspicuous strip of tape on the empty block of the lower right edge of the record folder.
The hospital commander or patient administrator determines how this category of record is
handled within the hospital or how transfer is effected.
Among the thousands of records maintained by the Federal Government, medical
records are unique. Because of the confidential information they contain, special care
must be taken to properly safeguard them. That is why it is so important that patient
administrators and patient administration specialists who handle records are well-informed
about the regulations governing the control of medical records and the release of medical