4. What three diseases must be authenticated on PHS Form 731 according to
international rules to show immunization against the diseases?
_________________
_________________
_________________
5. ________________________
authorizes
the
disposition
of
Outpatient
Treatment Records.
6. In an Outpatient Treatment Record, what form provides a chronological record
of outpatient visits?
a. SF 600.
b. SF 522.
c. SF 513.
d. SF 560.
7. When a person for whom an Outpatient Treatment Record is maintained at one
facility moves to a location where treatment will be provided by another facility, the file
is:
a. Transferred through personnel record channels.
b. Forwarded to the National Personnel Record Center.
c. Retained at the original facility without transfer.
d. Handcarried or mailed directly to the gaining facility.
8. Special category records are given to the patient to be handcarried to the
gaining MTF.
a. True.
b. False.
MD0751
3-12