ESO GUIDELINE FOR CONDUCTING | Page 96

regardless of interruptions in their training. >           >            b. MTFs will use approved forms to document Soldiers’ medical problems, treatment received, and prescribed courses of action/treatment. >           >                   (1)  The commander or authorized representative issues DD Form 689 (Individual Sick Slip). >           >                   (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 information.  >           >                   (b)  Soldiers’ medications should be managed as follows: >           >         • Soldiers who possess the necessary responsibility and stability to self-medicate will retain possession of their authorized non-controlled prescription medications, to include EpiPens®.  They are stored outside the view of others and are not subject to display for inspection. (list of controlled substances can be found at http://www.justice.gov/dea/pubs/scheduling.html). >         • Commanders who elect to require Soldiers to turn in their medications to a central location and take doses under supervision (for example, because of historical misuse of medications) must establish policy that provides for security of the medications, and for the Soldier to handle the prescription bottle and dispense the medication himself or herself. >           >                   (c)  Medication will be stored in a locked area whose sole purpose is intended for the distribution of such medication.  Coordination must be made with the local medical treatment facility for proper disposal of unused and expired medication. >           >                   (d)  Commanders and other permanent party personnel must be aware of restricted/ confidential reporting option available to Soldiers IAW AR 600-20, chapter 8 for sexual assault prevention and response (SAPR)/SHARP) reporting.  When collecting pre-sick call information from Soldiers, the SAPR/SHARP program limits the extent of this questioning and protects the type of information that the Soldier chooses to divulge.  See AR 600-20, appendix H for details on the commander’s responsibility for assuring privacy and providing confidential disclosure options for Soldiers through restricted reporting.  Failure to adhere to this policy could subject the individual found to have violated the SAPR/SHARP policy to disciplinary action >           >                   (2)  DA Form 3349 is used to record both permanent profiles and temporary profiles in excess of 30 days in duration.  Temporary profiles written on DA Form 3349 will not exceed three months in duration, except in specific circumstances IAW AR 40-501, chapter 7.  For more information on profiles written on the physical profile form, see paragraph 6-29g(2) of this regulation. >