Forms

Forms

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FORM DESCRIPTION
How to Self Register on MHS Learn.pdf Instructions on obtaining an MHS Learn account (HIPAA)
OPNAV_5239_14_SAAR_N_Rev_9.pdf SAAR form to include security clearance information
AERO_request-Form.pdf AERO Request to be filled out and signed by member and CO/OIC/Dept Head or SMO
SF93 Continuation SF507 Medical Record Special - Aviation Applicant
D 2807-1 Report of Medical History (DoD Exception to SF93)
DD 2808 Report of Medical Examination (DoD Exception to SF88)
Short Form Physical (NAVMED 6410/10) Abbreviated Aeromedical Examination
NAVMED 6120-2 Officer Physical Examination Questionnaire
Additional Info FAX Cover Sheet Use for "by-name" additional info to NAMI-342 staff
PE Submission FAX Cover Sheet Use as cover for all NAMI exam/waiver submissions
PRK AMS Template Word Version of AMS template without error checking
Hypertension AMS Template Fill in the blanks format for HTN waiver submission
SF600 Flight Deck Personnel Flight Deck Personnel Medical Screening SF600 Overprint
Fleet Flight 2808 Excel Spreadsheet Report of Medical Examination (DoD Exception to SF88) Completely editable for full functionality
Reading Aloud Test  
CRS Consult  
The Nerve Center  
Smallpox Fact Sheet  
Request to Continue Flying  
Pregnancy AMS Template  
Completion of Pregnancy AMS  
Asthma Questionnaire