PHA & Civilian Healthcare Provider

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PHA & Civilian Healthcare Provider

Guidance and Instruction

Letter to Civilian Healthcare Providers
Guidance for the completion of the Periodic Health Assessment
- OPNAVINST 6120.3A
  (Note:Page 7, paragraph (1), line 5 should read DD 2796, Post-Deployment Health Assessment)

Forms

PHA check-off sheet (to help the provider cover all areas of the PHA)
- Active Component
- Reserve Component
The NAVMED Form 6120-4 (Rev 9-2007)is to be completed for each active and reserve component member receiving a PHA
- NAVMED Form 6120-4 (Rev 9-2007)
Adult Immunization Record (Navmed 6230/4)

Assessment Tools

Fleet HRA
PARFQ (annual)

This page last updated on March 29, 2012.
Content last reviewed on March 29, 2012.