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STANDARD FORM 513 (REV. 4 98). Prescribed by GSA/ICMR PMR (41 CFR) 101 11.203(b)(10). SIGNATURE AND TITLE. DATE. WARD NO. REGISTER NO.
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How to fill out standard form 513 fillable
How to fill out SF 513:
01
Read the instructions carefully: Familiarize yourself with the purpose of SF 513 and the information that needs to be provided in each section.
02
Complete personal information: Fill out your name, date of birth, contact details, and any other required personal information as indicated on the form.
03
Provide medical history: Include details about any previous medical conditions, surgeries, or allergies that may be relevant to your current health status.
04
Describe current health concerns: Explain the symptoms or issues you are experiencing and any treatments or medications you are currently undergoing.
05
Include contact information of healthcare providers: If applicable, provide the names and contact details of the healthcare providers you are currently seeing or have seen in the past.
06
Sign and date the form: Review your answers, sign the SF 513, and indicate the date of completion.
Who needs SF 513:
01
Military personnel: SF 513 is commonly required for members of the military to document their medical history and current health concerns.
02
Veterans: Veterans may need to complete SF 513 when seeking medical care from Veterans Affairs (VA) facilities or when applying for certain benefits.
03
Civilian employees: In some cases, civilian employees of the government or certain organizations may need to complete SF 513 for medical purposes related to their job or insurance coverage.
Video instructions and help with filling out and completing standard form 513
Instructions and Help about us army standard form 513
In this video we're going to talk about standard form our standard form is one way of writing very big numbers of very, very small numbers its just a way of writing our writing very big numbers or very small numbers so the way to do well it takes this form here where an is a number, so it could be lets say seven point three two and then times 10 to the power of something so here it could be 10 to the power 7, or you could have a 2.37 times 10 to the power minus 12 12 if you want to so this end here it can be a positive number, or it can be a negative number, but it has to be a whole number it cannot be 6.3 you can't write 10 to the power 6.7 it has to be a whole number, but it can be a negative or a positive whole number and this number here a number here a well a has to be it can be here one or larger than one um, but it has to be less than 10, so you can't write let's say 12 our times 10 to the power of or six say because this number here has to be what it can be one, and it can be one point 0 2 or whatever, but it has to be it has to be one or above, but it has to be less than 10 this 12 is not valid because it's bigger than 10 it can't be a 10-point are too okay because well this is bigger than 10, so it has to be less that this is important it has to be less than ten armed, but it can be one your laptop one, so it can be one or above okay let me give you some examples if you look at the if you look our solar system ah this is Earth here are Pluto's here I know Pluto's not a planet but let's just say the distance from here too here is that is given by this here okay in meters so rather than having to write on r60 000 well, well this is your combo by the way up it just helps us to identify these so thousands here a million here a billion here, and I don't know you've got to look on internet okay um well anyway rather than writing this huge number here we can use standard form, so you can just write six times ten to the power of town wait there so start here just despair with me on this one two three four five six seven eight nine ten eleven twelve so rather than writing this long number here I can just write six times ten to the power of 12 okay, so this number here is the same as this number here okay or if you look at a bacterium let's say if I don't know what bacteria look like so let's let's just say I so a bacterium ah, but bacterium is one fact you have one bacterium but then if you have more than one the plural bacterium is bacteria so let's say you have a bacterium here I don't know what a bacterium like maybe some eyes here a nose here, and I don't know let's give you some fangs okay I don't know what I bacterium looks like so what when you're studying biology in school could try to concentrate a nun and try and get idea what are bacteria a bacterium looks like okay let's say the distance from here to here is I don't know naught point naught naught naught 2 meters okay meters um so here I'm rather than writing this number here we can...
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What is sf 513?
SF 513 refers to a form used by the United States Department of Defense (DoD) to document medical examination results. The form is known as the "Consultation Sheet" and is used to record diagnostic consultations with other medical providers, including specialists or physicians. it allows for a summary of the consultation and any proposed treatments or follow-up actions to be documented.
Who is required to file sf 513?
SF 513 is a form that is required to be filed by individuals who have been injured or become ill while on duty as a federal government employee. This form is used to document and report the incident, as well as to initiate a claim for compensation and benefits related to the injury or illness. Therefore, federal government employees who have suffered work-related injuries or illnesses are typically required to file SF 513.
How to fill out sf 513?
SF 513 is a Medical Record – Narrative Summary form used by the Department of Defense (DoD) to document medical information for military personnel. Below are the steps to fill out SF 513:
1. Obtain the SF 513 form: You can download the form from the DoD forms website or get a physical copy from your unit's medical office.
2. Begin with the patient's personal information: Fill in the patient's name, social security number, military rank or grade, and date of birth. Ensure the accuracy of the information provided.
3. Specify the medical facility: Enter the name of the medical facility or hospital where the patient is being treated, along with the date and time of admission.
4. Provide a narrative summary: This is the main section of the form. Write a detailed narrative summary of the patient's medical condition, including significant symptoms, diagnoses, treatments provided, and any further steps or plans for care. Be thorough but concise, using clear and concise language.
5. Medical officer's name and signature: The attending or treating medical officer should print their name, sign, and date the form.
6. Authorized signature: An authorized person, such as the unit commander or another responsible authority, should also sign and date the form to validate its accuracy and completeness.
7. Distribution: Indicate where the completed form should be sent. This could include the patient's medical record, the unit's medical office, or other relevant departments.
8. Review and ensure accuracy: Before submitting the form, review all information and ensure its accuracy. Make any necessary corrections or additions.
9. Submit the form: Once completed, submit the SF 513 according to your unit's procedures. This may involve digitally transmitting the form, submitting it physically to the appropriate office, or following other established protocols.
Remember, it is important to follow any specific instructions or guidance provided by your unit or the medical facility when completing and submitting the SF 513 form.
What is the purpose of sf 513?
SF 513 is a medical record consultation sheet that is used by healthcare professionals in the military primarily for documenting and requesting consultations for patients. The purpose of SF 513 is to provide a standardized form that ensures all essential information related to the consultation request is recorded accurately and efficiently. It helps facilitate communication between healthcare providers, enabling comprehensive and coordinated care for military patients.
What information must be reported on sf 513?
The SF 513, also known as the Medical Record - Consultation Sheet, must include the following information:
1. Patient identifying information: Name, rank, service number, and other personal details.
2. Date and time of consultation: The exact date and time the consultation took place.
3. Referring healthcare provider: Name, title, and contact information of the healthcare provider who initiated the consultation.
4. Reason for consultation: A brief explanation of why the consultation was sought.
5. Medical history: Relevant information about the patient's medical history, previous illnesses, surgeries, or ongoing conditions that are pertinent to the consultation.
6. Presenting symptoms or complaints: A detailed description of the patient's current symptoms or complaints.
7. Physical examination findings: The healthcare provider's observations and examination findings relevant to the consultation request.
8. Diagnostic tests or procedures: Any tests, procedures, or investigations conducted to help make a diagnosis or determine the appropriate course of treatment.
9. Assessment and diagnosis: The healthcare provider's assessment and diagnosis based on the consultation.
10. Treatment plan and recommendations: Detailed information about the treatment plan, including medication, therapies, referrals, or any other course of action.
11. Follow-up plan: Instructions for follow-up care, including any further appointments or tests.
12. Healthcare provider's signature: The signature of the healthcare provider who conducted the consultation, along with their name, credentials, and contact information.
It is important to note that the SF 513 may vary slightly depending on the specific military branch and service. Therefore, it is essential to follow the guidelines provided by the respective military healthcare facilities when completing the form.
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