Enclosure (1) to COMDTINST 6010.18A
Status-Profile (CG-5460A) - must be used by active duty persons and civilian employees who are either
signing into the clinic/sickbay for the first time under CLAMS, or need a duty status chit. It has a limited
space for patient identification at the top, a duty status slip (with copies) in the middle, visit information on
the lower half, and a detailed patient information section on the back. Illustrations below have the area
under discussion marked in some distinctive way; arrows, shaded, or rest of form blacked out.
Top left Mechanical imprinting of the patient's Status name, if
available. Have the patient fill in the Profile appropriate data if
mechanical imprinting is not used.
Top right - Date of visit is entered by the Status patient. The patient's
social security number (SSN) Profile and status (active duty or
civilian employee) are also required if mechanical imprinting is not
used.
Rear - For a patient's first clinic visit after Audit Codes installation of
the CLAMS data base, more information is required on the back of
the form.
Middle Section Duty status chits are issued under CLAMS in the
same manner as they were before CLAMS. Fit for duty (FFD) chits
are required for grounded members cleared for aviation duties, and for
members returned to full duty before their restricted duty status has
expired. The provider fills out and signs the duty status chit (with
firm pressure, because two tear-off patient copies are produced at the
same time). DIF (under FIT FOR FULL DUTY) stands for Duties
Involving Flight.
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