(6) Has been released from the service under the provisions of AR 635-40 for a
psychiatric condition.
(7) Is paralyzed.
d. Roster of VSI/SI/SPECAT Patients.
(1) The patient administrator will prepare on a daily basis a roster of
VSI/SI/SPECAT patients according to the hospital's local procedures. The format of the
roster, the method of preparation and the distribution are locally determined. An example
of this roster is shown in figure 4-2.
(2) The roster must contain: name, grade or status; SSN or other identification
number; ward; date first placed on the roster; present condition; and other information
required by local procedure.
(3) The roster contains a signature block for the patient administrator. After the
patient administration clerk obtains the signature, the roster is reproduced and distributed
according to the policy of the local hospital.
ROSTER OF VSI/SI/SPECAT PATIENTS
Station:: U.S. Army Hospital
Date: 15 Oct 9x
Fort Sam Houston TX
Name
SPEC
Rel
Date
WD
Last, First M
VSI
SI
CAT
Pref
*
SSN
Reported
Condition
7J
Green, Milton L.
X
X
P
SFC
37331 32 75
10 Oct 9x
Worse
4A
Stover, Mary K.
X
C
CPT
53225 83 10
10 Oct 9x
Unchanged
8B
Dugi, Thomas A.
X
C
SGT
18523 00 99
11 Oct 9x
Worse
4D
Welk, Suzy G.
X
B
SFC
12477 88 76
11 Oct 9x
Unchanged
6C
Joseph, Judd
X
P
MAJ
32995 34 54
11 Oct 9x
Worse
FOR THE COMMANDER
C.R. GROSS
MAJ, MS
C, Pt Admin Div
Figure 4-2. Roster of VSI/SI/SPECAT Patients.
MD0755
4-5