BUMEDINST 5210.9B, FORMS AND REPORTS MANAGEMENT SYSTEM

Copies of forms must be generated from an approved source of supply and no more than a _____-day supply may be maintained.
30
Approved electronic forms (i.e. PDF) may be stored on a computer or storage device but must be checked every _____ days for updates.
30
SF-1
Printing and Binding Requisition to the Public Printer
DD Form 67
Form Processing Action Request
OPNAV 5213/10
Report Analysis Data Report
NAVMED 5210/1
Form Processing Continuation Sheet
NAVMED 6000/5
Medical Record – Supplemental Medical Data
Who is responsible for the design of all NAVMED and BUMED forms?
Bureau of Medicine and Surgery (BUMED) FMO
Who is responsible for coordinating revision requests to higher authority forms used by the Navy Medical Department?
BUMED
FREQUENTLY used NAVMED and BUMED forms must be reviewed _______ by who?
Yearly; Bureau of Medicine and Surgery (BUMED) FMO
Who is responsible for ensuring Regional forms do not duplicate higher authority forms in any way?
Region FMO’s
Who is responsible for managing all Activity-related forms used by the Activities Navy Medical Department personnel?
Activity FMO’s
Who is responsible for maintaining a forms index and case files for all Activity forms used by the Activities Navy Medical Department personnel?
Activity FMO’s
Which form is required for each new, revised, or cancelled form?
Signed DD Form 67
What are First Level Forms?
SF/OF and other Federal Agencies. Navy Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What are Second Level Forms?
DD. Established for DoD-wide use. Navy Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What are Third Level Forms?
DON Forms (SECNAV, OPNAV, and Navy Marine Corps (NAVMC)). Established for use at more than one Naval command. Navy Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What are Fourth Level Forms (Echelon II)?
BUMED and NAVMED forms. Established by BUMED for use at more than one Navy Medicine command. Navy Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What are Fifth Level Forms (Echelon III)?
NAVMED Region Forms (i.e. Navy Medicine West (NAVMEDWEST), etc.). Established by a Navy Region and made for use by Navy Medical personnel in that region. Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What are Sixth Level Forms (Echelon IV)?
Navy Medicine Activity forms. Established by an Activity and made for use by more than one Navy Medicine command within an Activity. Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What are Seventh Level Forms (Echelon V and below)?
Navy Medicine Activity forms. Established by an Activity and made for use by more than one Navy Medicine command within an Activity. Medical personnel are not authorized to create any form that duplicates these forms. Must use as prescribed.
What types of forms can be placed in medical and dental records?
SF, OF, NAVMED, DD, OPNAV, SECNAV, and approved exceptions to those forms.
What is the source of supply for all official DON forms?
The Naval Forms Online website. Broken down into the “general user” site and the “administrative” site.
How many user accounts for the administrative portion of the Naval Forms Online website are authorized per command?
1
What types of files are authorized to be uploaded to the Naval Forms Online website?
Only PDF.
Who serves as the BUMED Information Management Control (Reports) Manager?
BUMED Reports Manager (BUMED-M09B31)
What is an “Adopted Form”?
A form issued through a prescribing directive for use within the command, but not a form the command has the authority to change.
What does FMO stand for?
Forms Management Officer