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Get Navmed 6110 4
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How to fill out the Navmed 6110 4 online
Filling out the Navmed 6110 4 form is essential for medical clearance within the military context. This guide provides a detailed and user-friendly walkthrough of each section of the form to ensure accuracy and completeness.
Follow the steps to complete the Navmed 6110 4 efficiently.
- Click the ‘Get Form’ button to obtain the form and open it in the designated editor.
- In Section 1, complete the fields for the member, including command, UIC/RUIC, CFL/POC, CFL telephone number, and reason for referral. Indicate whether there are any positive screenings or expired health assessments.
- Proceed to Section 2 and have the AMDR or treating provider fill out the PRT waiver details. They should assess curl-ups, push-ups, and cardio events, indicating whether waivers are required and their expiration dates.
- In Section 3, note any BCA waivers and reasons in conjunction with the signatures from the treating physician and the AMDR supervisor. Ensure to document any medical treatment that affects BCA measurement.
- Move to Section 4, where the AMDR will confirm if the member is cleared for participation, if PRT waivers or BCA waivers are recommended, and address any limitations in duty (LIMDU).
- In Section 5, CO endorsement is required. Confirm waiver statuses and obtain necessary signatures and dates from the command and patient.
- Finally, review all sections for completeness before saving changes, downloading, printing, or sharing the completed form.
Complete your document online today to ensure proper processing!
To obtain a Navy Physical Readiness Test (PRT) waiver, you must complete the Navmed 6110 4 form, outlining your health concerns. It's crucial to attach all relevant medical records to support your request. Additionally, resources such as US Legal Forms can guide you through the paperwork process, ensuring you meet all requirements for successful submission.
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