Navhosppncla form naval template 2025

1. Click ‘Get Form’ to open the navhosppncla form naval template in the editor.
2. Begin by filling in the 'Member's Name' section with the first name, last name, and middle initial. Ensure accuracy as this information is crucial for identification.
3. In the 'Diagnosis' field, provide a clear description of the medical condition. Follow this with the 'Cause of Injury' to give context to the diagnosis.
4. Indicate the number of days recommended for light duty in the designated field. If this exceeds 30 days, note that a medical board review is required.
5. Complete the restrictions section by checking applicable boxes and specifying durations for each restriction as necessary. This ensures clarity on what activities are permitted or prohibited.
6. Fill out any additional fields regarding SIQ status, including start and expiration times, ensuring all details are accurate for compliance.
7. Finally, sign and date where indicated to confirm understanding and compliance with the outlined instructions.

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