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b. The self-care program is managed by the local MEDDAC and provided through the MTF. The self-care process
may be decentralized to the unit level. Self-care program elements are:
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(1) Formal instruction to the Soldier in self-care conducted by MEDDAC personnel.
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(2) Soldier access to Technical Guide 272 Self Care Soldier Health Maintenance Manual published by the U.S.
Army Center for Health Promotion and Preventive Medicine available at
> http://chppm-www.apgea.army.mil/documents/TG/TECHGUID/shmm.PDF.
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(3) Under direction of cadre or medical personnel, Soldier use of the "Green Sheet" (Treatment Options for
Symptoms/Conditions, available at http://chppmwww.apgea.army.mil/dhpw/Wellness/SelfCare/toolkit/forms/GreenSheet.doc).
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(4) Accessibility to medical personnel.
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(5) Accessibility of over-the-counter medications and self-treatment items to the Soldier.
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c. Under supervision of cadre or medical personnel, a Soldier using the self-care program will follow symptom
evaluation charts to one of three endpoints. If the chart ends with "use self-care measures," the Soldier may directly
obtain over-the-counter medications or other self-care items.
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> H-4.
Sick call
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a. Inform Soldiers of sick call procedures upon arrival in their training units. Conspicuously post key information on
sick call and emergency medical/dental procedures. Instruct Soldiers on the need to seek prompt medical attention,
regardless of interruptions in their training.
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b. MTFs will use approved forms to document Soldiers’ medical problems, treatment received, and prescribed
courses of action/treatment.
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(1) The commander or authorized representative issues DD Form 689 (Individual Sick Slip).
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(a) Ensure compliance with the Health Insurance Portability and Accountability Act, by limiting pre-sick call
questioning to information needed to complete the top portion of the sick slip IAW AR 40-66 (Medical Record
Administration and Health Care Documentation), paragraph 13-3. Units can and should inquire as to the severity of
the illness or injury to determine if the Soldier can move on foot to sick call with another Soldier, or whether
transportation is required. Provide for Soldiers’ privacy when they complete the personal information and remarks
sections stating the reason why they want to go on sick call. Disclosure of information on the completed sick slip or
physical profile is limited to the commander and other persons the commander designates to receive protected health