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Click ‘Get Form’ to open the navmc 11639 in the editor.
Begin by entering your name, Social Security Number (last four digits), command, section, and phone number in the designated fields at the top of the form.
In Section A, answer the compliance questions regarding your medical physical examination requirements. Select 'YES' or 'NO' as applicable and provide the date of your last periodic physical examination.
Proceed to Section B, where you will respond to a series of health-related questions. Carefully read each question and mark 'YES' or 'NO' based on your current health status.
If required, Section C must be completed by an appropriately privileged healthcare provider. Ensure they fill in their evaluation date and provide remarks as necessary.
Finally, review all sections for accuracy before signing and dating the form at the bottom. If needed, utilize our platform's features to save or share your completed document.
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A Marine has completed the Risk Factor Worksheet (is at risk) and not medically unclearedMarineNetThe Risk Factor Worksheet required must be completed withinThe CFT was designed to evaluate which of the followingPFT Calculator
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