2100 Second Street, S.W.
United States Coast Guard
Washington, DC 20593-0001
1 JUN 1990
COMMANDANT INSTRUCTION 6200.11
Use of Preventive Medicine Stamp
PURPOSE. To instruct health services personnel in the use of the preventive medicine stamp.
BACKGROUND. The traditional physical examinations using SFs 88 and 93 is an excellent
format for determining past history and current fitness of personnel for assigned duties. It is
less useful as a tool for looking ahead. Specifically, it does not asses behaviors which may
impact future health and well-being. It does not address many of the preventive medicine
issues which have come to be known collectively as wellness.
DISCUSSION. The routine exam, especially in young persons, can have relatively little
payoff in terms of health benefit. Including a check list of preventive medicine concerns can
make the interaction a much more productive opportunity for both the practitioner and the
patient. For this reason, a stamp has been devised to aid the practitioner in documenting such
a check list. The following suggested notations are only examples which may or may not suit
the style of individ- ual practitioners. The intent is to discuss each of these issues with
patients who present for exams.
The stamp will be applied to box 73 of SF-88.