Operational Obstetrics & Gynecology


This is a collection of many of the forms that are useful in providing health care to women in the military. They are written as PDF files and require an Acrobat Reader to open. If you do not have an Acrobat Reader and would like one, it is available free over the Internet from Adobe, at:

http://www.adobe.com/prodindex/acrobat/readstep.html#reader, or at the BUMED website at:


Standard Form 88 Report of Medical Examination
Standard Form 93 Medical Record - Report of Medical History
Standard Form 504 Medical Record History - Part I
Standard Form 505 Medical Record History - Part II
Standard Form 506 Clinical Record - Physical Examination
Standard Form 507 Clinical Record - Continuation Sheet
Standard Form 509 Medical Record - Progress Notes
Standard Form 513 Medical Record - Consultation Request/Report
Standard Form 515 Medical Record - Tissue Examination Request/Report
Standard Form 516 Medical Record - Operation Report
Standard Form 522 Request for Anesthesia and Operations
Standard Form 531 Anatomical Figure
Standard Form 533 Medical Record - Prenatal and Pregnancy
Standard Form 535 Clinical Record - Newborn
Standard Form 536 Pediatric Nursing Notes
Standard Form 538 Clinical Record - Pediatric History
Standard Form 539 Abbreviated Medical Record
Standard Form 541 Medical Record - Gynecologic Cytology
Standard Form 558 Medical Record - Emergency Care and Treatment
Standard Form 600 Medical Record - Chronologic Record of Medical Care
Standard Form 601 Health Record - Immunization Record
DA Form 3349 Physical Profile
DA Form 3349 (Modified) Physical Profile for the Post Partum Soldier
DA Form 5304-R Family Care Plan Counseling Checklist
DA Form 5305-R Family Care Plan
Appendix C to OPNAVINST 6000.1A Pregnancy Notification to Commanding Officer (Navy)
Enclosure 1 to MCO 5000.12D Format for Notification of Commanding Officer of Pregnancy (Marine Corps)
GYN Exam Template Overprint for SF600
Menstrual Flow Record Forms for a patient to document the dates of her menstrual flow.
Prenatal Registration and Obstetrical Questionnaire Detailed survey to determine a patient's obstetric, nutritional and, psychosocial needs during pregnancy.
Ultrasound Measurement Chart Chart with standard ultrasound measurements of various fetal parts throughout pregnancy.
Gestational Age Calculator Julian calendar for simple calculation of gestational age based on the last menstrual period.

Home    Introduction    Medical Support of Women in Field Environments    The Prisoner of War Experience    Routine Care    Pap Smears    Human Papilloma Virus    Contraception    Birth Control Pills    Vulvar Disease    Vaginal Discharge    Abnormal Bleeding    Menstrual Problems    Abdominal Pain    Urination Problems    Menopause    Breast Problems    Sexual Assault    Normal Pregnancy    Abnormal Pregnancy    Normal Labor and Delivery    Problems During Labor and Delivery    Care of the Newborn

Bureau of Medicine and Surgery
Department of the Navy
2300 E Street NW
Washington, D.C

Operational Obstetrics & Gynecology - 2nd Edition
The Health Care of Women in Military Settings
CAPT Michael John Hughey, MC, USNR
January 1, 2000

This web version of Operational Obstetrics & Gynecology is provided by The Brookside Associates Medical Education Division.  It contains original contents from the official US Navy NAVMEDPUB 6300-2C, but has been reformatted for web access and includes advertising and links that were not present in the original version. This web version has not been approved by the Department of the Navy or the Department of Defense. The presence of any advertising on these pages does not constitute an endorsement of that product or service by either the Department of Defense or the Brookside Associates. The Brookside Associates is a private organization, not affiliated with the United States Department of Defense. All material in this version is unclassified.

This formatting 2006 Medical Education Division, Brookside Associates, Ltd.
All rights reserved


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