Get DD 2697 1995
than 12 months old and/or there are new signs and/or symptoms. If the service member answers "Worse" to Item 10 or "Yes" to Items 11, 12, or 14 through 18, documentation of the injury, illness, or problem should be included in the service member's medical or dental record. 20. HEALTH CARE PROVIDER COMMENTS (All patient complaints must be addressed) 21. WAS PATIENT REFERRED FOR FURTHER EVALUATION? (X one. If "Yes," specify where.) NO YES 22. PURPOSE OF ASSESSMENT (X one. If "Other," explain.) .
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