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Get Navmed 6110/4 2011-2026
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How to fill out the NAVMED 6110/4 online
The NAVMED 6110/4 form is essential for documenting physical fitness assessments and medical clearances. This guide provides clear instructions on completing this form online, ensuring that users can submit their information accurately and efficiently.
Follow the steps to fill out the NAVMED 6110/4 online.
- Click 'Get Form' button to access the form and open it in your preferred online editor.
- In Section 1, completed by the member, fill out the command information and Unit Identification Code (UIC). Provide the name and telephone number of the Command Fitness Leader (CFL) or Point of Contact (POC), and indicate the reason for referral by selecting the appropriate boxes based on your situation.
- Move to Section 2, which is completed by the AMDR or treating provider. Fill out the PRT waiver section, indicating if waivers are granted for curl-ups, push-ups, or cardio events. Also, indicate if the individual is cleared to participate in various physical activities, and provide comments if necessary.
- Proceed to Section 3, where a treating physician and AMDR supervisor complete the BCA waiver details if applicable, including obtaining necessary signatures and providing a reason for the waiver.
- In Section 4, the AMDR completes additional evaluations, indicating if the member is cleared and whether any waivers are recommended. Fill in the required names and signatures, including the LIMDU expiration date.
- Finally, complete Section 5, which requires the Commanding Officer's endorsement. This section includes waivers’ status and acknowledgments. Ensure to sign and date where necessary, and verify that all personal information, including the patient's name and identification, is accurate.
- Once all sections are properly filled out, save your changes, download the form for your records, print a copy if needed, or share it as required with the relevant authorities.
Start filling out the NAVMED 6110/4 online today to ensure your physical fitness assessment is properly documented.
Medical waivers are typically approved by a designated medical review board within the respective military branch. For the Navy, this often means submitting your case for a review based on NAVMED 6110/4 standards. Staying informed and presenting complete documentation to support your request can significantly impact the approval process.