EXERCISES, LESSON 3
REQUIREMENT. The following exercises are to be answered by marking the lettered
response(s) that best answers the question, or by completing the incomplete statement,
or by writing the answer in the space provided at the end of the question, or by
completing the required form(s).
After you have completed all the exercises, turn to "Solutions to Exercises" at the
end of the lesson and check your answers with the solutions.
1. An Outpatient Treatment Record is prepared for each civilian treated as an
outpatient at a U.S. Army medical and dental treatment facility from whom an HREC is
not prepared.
a. True.
b. False.
2. Which of the following forms is the basic record of outpatient visits?
a. SF 519.
b. SF 600.
c. DA Form 4410-R.
d. DD Form 2005.
3. List the number of the forms that are required to be filed in an OTR.
_____________
_____________
_____________
_____________
_____________
_____________
MD0751
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