1. Physicals Clinic Brief CDR Lake, LT’s Etim, Gilman and Horn

2. Objective
Familiarize the IDC to timelines, documentation and requirements of the physicals process

3. Reference
MANMED Chapter 15

4. Terminal Leave
No IDC should be signing ANY patient off as physically qualified to be separated. This is done by the physician.
Loss of benefits.
A message has been sent out that no Active Duty service member should be signed off for terminal leave without the Physician approving them as physically qualified. You are screwing over the member and making yourself liable if you do. PLEASE DON’T TRY TO GET A HOOK UP.

5. Timelines
Routine separation and retirement packages need to be submitted early (<180 days).
ADMIN Separations for discipline will be reviewed on a case by case
basis.
The sooner that this is done the better. One of the things that I have been finding is that individuals who need further evaluation for chronic conditions (sleep apnea) will not have the time to have this looked into if not done in a timely manner.

6. Timelines
Physical packages of any type can be dropped off at the clinic and placed in the drop box by patient, baby doc and you. Don’t wait until the last minute-there are minute slots and more complicated appointments take two of those slots.
Every week my docs get asked for hook ups all the time. They have other responsibilities and don’t have time to make up for other peoples lack of preparation.

7. Documentation
This is a matrix that we have started and will publish on the website for your use. It lists very specifically what forms you need for various types of physicals. I am still working on some of the sections section. As you can see there are date limitations. Please be aware before you turn the package in. Also, you are not limited to this. For example, if someone has complained of back pain in the past and never has been seen for it, an x-ray should be ordered and completed before the package is turned in.

8. Documentation Need: Don’t Need: All paperwork-completed.
ALL paperwork filled in with patient information.
ALL “yes” marks on the 2807 addressed by the IDC with a differential diagnosis, finding, plan, etc…DO NOT just repeat what the patient said.
Your signature and stamp.
Hep C screening form-EVERYONE now gets screened for HEP B & C
Put in name of test to order

9. Common Documentation Issues:
High B/P-Needs Serial B/P’s with a manual cuff after resting for 5 minutes.
Chest pain-X-ray and EKG that are normal.
Back pain-X-ray, possible physical therapy.
Difficulty Breathing-X-ray and possible consult.
Mental Health-consult or contact with Fleet and Family Services.
Alcohol-DAPA consult.
PPD form-filled out, but no follow through on those needing testing.

10. Documentation: NEVER FORGET This is a legal document that may come to haunt you if not well done!

11. See if you can see what’s wrong:

12. No audiogram date, no signature and stamp, no dental officers signature and stamp. ETOH was marked, but this could be huge! May need DAPA before leaving.

13. Almost Everything!

14. Blood pressure is over 130. Please do serials
Blood pressure is over Please do serials. No ETOH or Tobacco mentioned

17. Qualified circled but for what? Red arrow is not a doctor’s signature.

18. Questions?