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BUMPKINS 5721.3DNAVY MEDICINE CLEARANCE OF AUTHORED WORKS FORM
DATE FORM COMPLETED:08/14/2018
AuthorsRank/CIV/Command/
OrganizationInstitutional
affiliationRole in a research
or Workman AddressPhone
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To fill out NAVMED 6110/4, follow these steps:
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Open the document and read the instructions carefully.
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Provide your personal information such as name, rank, and social security number in the designated fields.
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Enter your contact details including address, phone number, and email.
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Fill in your medical history, including any past illnesses, surgeries, or allergies.
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Who needs navmed 6110 4?
01
The NAVMED 6110/4 is required for individuals in the military or other authorized personnel who need to provide their medical information. It is mainly used for medical screening, assessment, or evaluation purposes. Consult with your commanding officer or medical department to determine if you need to fill out this form.
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What is navmed 6110 4?
Navmed 6110 4 is a form used by military personnel to document any medical conditions they may have.
Who is required to file navmed 6110 4?
All active duty military personnel are required to file navmed 6110 4.
How to fill out navmed 6110 4?
Navmed 6110 4 should be filled out by providing accurate information about any medical conditions, treatments, and medications.
What is the purpose of navmed 6110 4?
The purpose of navmed 6110 4 is to ensure that military personnel are medically fit for their duties and to provide necessary medical information in case of emergencies.
What information must be reported on navmed 6110 4?
Information such as medical conditions, medications, treatments, allergies, and contact information for medical providers must be reported on navmed 6110 4.
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