Enclosure (1) to COMDTINST 6010.18A
Visit Profile (CG-5460B) - must be used by ALL dependents and
retirees. It can also be used by active duty and civilian employees if
they have previously been entered into the data base and do not need a
status chit. If a Visit Profile Sheet is started on a patient who turns out
to need a status chit, discard the Visit Profile and start over on a
Status-Profile. Visit Profile sheets should be used by most active duty
patients for the dental clinic, most non-sick call visits (except refill or
renewal of a prescription), health benefit visits, weight checks, follow-
up lab testing, immunizations, allergy shots, audio grams, etc.
The bottom half of this form is virtually identical to the Status-Profile
sheet, so these paragraphs will only cover the few differences. For all
other blocks/sections, see the Status-Profile instructions.
Top Half - A new patient must fill out all information on the top half
of the form. A staff member (front desk or provider) should carefully
review the form for completeness before the patient leaves the
building since the patient cannot be properly entered into the data base
without ALL this information.
Note: The New Patient Information section will not have to be used
again unless there is a change of address, phone, or drug reactions.
Top left - Mechanical imprinting of the patient's name, if available; if
not, the patient fills in. Reason for Visit box is optional and is
provided for facility triage. Its use will probably save both you and
the patient time.