Navmed 6120 4-2026

1. Click ‘Get Form’ to open the navmed 6120 4 in the editor.
2. Begin by entering your personal information in the 'Patient's Identification' section, including your name, sex, date of birth, and identification number.
3. Proceed to the 'Subjective' section where you will report your age and gender. Ensure to review and verify your health risk factors and clinical preventive services.
4. Fill in the 'Screening' section with your height, weight, BMI, temperature, pulse, respirations, and blood pressure. If any measurements are deferred, indicate that accordingly.
5. In the 'Medical Equipment' section, document any allergies, chronic illnesses, medications, hospitalizations/surgeries since last PHA, family history, and occupational history as referenced on DD 2766.
6. Complete the 'Objective' section by noting vital signs and any other relevant health assessments. Indicate if records were reviewed or not available.
7. Move to the 'Assessment' section to confirm if a health risk assessment was completed and note any current health concerns.
8. Finally, fill out the 'Plan/Prevention' section detailing any referrals made for further assessments or counseling. Ensure all comments are documented clearly.

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