Privacy Act: [A0040-905 DASG]...

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   retirees or dependents.
       To former DoD health care providers, who have been identified as 
   being the subjects of potential reports to the National Practitioner 
   Data Bank as a result of a payment having been made on their behalf 
   by the U.S. Government in response to a malpractice claim or 
   litigation, for purposes or providing the provider an opportunity, 
   consistent with the requirements of DoD Instruction 6025.15 and Army 
   Regulation 40-68, to provide any pertinent information and to comment 
   on expert opinions, relating to the claim for which payment has been 
   made.
       The DoD `Blanket Routine Uses' set forth at the beginning of the 
   Army's compilation of systems of records notices also apply to this 
   system.

       Note: Records of identity, diagnosis, prognosis, or treatment of 
   any client/patient, irrespective of whether or when he/she ceases to 
   be a client/patient, maintained in connection with the performance of 
   any alcohol or drug abuse prevention and treatment function 
   conducted, regulated, or directly or indirectly assisted by any 
   department or agency of the United States, shall, except as provided 
   therein, be confidential and be disclosed only for the purposes and 
   under the circumstances expressly authorized in 42 U.S.C. 290dd-2. 
   This statute takes precedence over the Privacy Act of 1974 in regard 
   to accessibility of such records except to the individual to whom the 
   record pertains. The DoD `Blanket Routine Uses' do not apply to these 
   types of records.
     Policies and practices for storing, retrieving, accessing, 
   retaining, and disposing of records in the system: 
     Storage: 
       Paper records in file folders; visible card files; microfiche; 
   cassettes; magnetic tapes/discs; computer printouts; x-ray film 
   preservers.
     Retrievability: 
       By patient or sponsor's surname or by sponsor's Social Security 
   Number.
     Safeguards: 
       Records are maintained in buildings which employ security guards 
   and are accessed only by authorized personnel having an official 
   need-to-know. Automated segments are protected by controlled system 
   passwords governing access to data.
     Retention and disposal: 
       Military health/dental and procurement/separation x-ray records 
   are permanent. Clinical (inpatient), outpatient, dental and 
   consultation record files for military members are destroyed after 
   50-75 years.
       All records (except the Military Health/Dental records) which are 
   active while individual is on active duty, then retired with 
   individual's Military Personnel Records Jacket and the procurement/
   separation x-ray records which are forwarded to the National 
   Personnel Records Center on an accumulation basis) are retained in an 
   active file while treatment is provided and subsequently held for a 
   period of 1 to 5 years following treatment before being retired to 
   the National Personnel Records Center. Subsidiary medical records, of 
   a temporary nature, are normally not retained long beyond termination 
   of treatment; however, supporting documents determined to have 
   significant documentation value to patient care and treatment are 
   incorporated into the appropriate permanent record file.
       Until the National Archives and Records Administration approves 
   the disposition of Psychological Assessment and Selection Case 
   records, treat as permanent.
     System manager(s) and address:  
       Commander, U.S. Army Medical Command, Suite 13, 2050 Worth Road, 
   Fort Sam Houston, TX 78234-6010.
     Notification procedure: 
       Individuals seeking to determine whether information about 
   themselves is contained in this system should address written 
   inquiries to the medical facility where treatment was provided. 
   Official mailing addresses are published as an appendix to the Army's 
   compilation of record systems notices.
       Red Cross employees may write to the Medical Officer, American 
   National Red Cross, 1730 E Street, NW, Washington, DC 20006. For 
   verification purposes, the individual should provide the full name, 
   Social Security Number of sponsor, and current address and telephone 
   number. Inquiry should include name of the hospital, year of 
   treatment and any details which will assist in locating the records.
     Record access procedures: 
       Individuals seeking access to information about themselves 
   contained in this system should address written inquiries to the 
   medical facility where treatment was provided. Official mailing 
   addresses are published as an appendix to the Army's compilation of 
   record systems notices.
       Red Cross employees may write to the Medical Officer, American 
   National Red Cross, 1730 E Street, NW, Washington, DC 20006. For 
   verification purposes, the individual should provide the full name, 
   Social Security Number of sponsor, and current address and telephone 
   number. Inquiry should include name of the hospital, year of 
   treatment and any details which will assist in locating the records.
     Contesting record procedures:  
       The Army's rules for accessing records, and for contesting 
   contents and appealing initial agency determinations are contained in 
   Army Regulation 340-21; 32 CFR part 505; or may be obtained from the 
   system manager.
     Record source categories: 
       Subject individual, personal interviews and history statements 
   from the individuals; abstracts or copies of pertinent medical 
   records; examination records of intelligence, personality, 
   achievement, and aptitude; reports from attending and previous 
   physicians and other medical personnel regarding results of physical, 
   dental, and mental examinations, treatment, evaluation, consultation, 
   laboratory, x-ray and special studies and research conducted to 
   provide health care and medical treatment; and similar or related 
   documents.
     Exemptions claimed for the system:
       None.

   #..A0040-400 DASG

   #....System name: 

       Entrance Medical Examination Files.
     System location: 
       Army medical examining facilities; military entrance processing 
   stations (for enlistees); Department of Defense Medical Review Board, 
   U.S. Academy, CO 80840-2200 (except for reservists). Official mailing 
   addresses are published as an appendix to the Army's compilation of 
   record systems notices.
     Categories of individuals covered by the system: 
       Individuals who enroll in the Reserve Officers Training Corps 
   (nonscholarship) program, enlist or are appointed in the active or 
   reserve units of the Armed Forces.
     Categories of records in the system: 
       Entrance medical examination and resulting documentation such as 
   SF 88, Report of Medical Examination, and SF 93, Report of Medical 
   History, together with relevant and supporting documents.
     Authority for maintenance of the system: 
       10 U.S.C. 3013, Secretary of the Army; 10 U.S.C., Chapter 55; 
   Army Regulation 601-270, Military Entrance Processing Station; and 
   E.O. 9397 (SSN).
   Purpose(s): 
       To determine medical acceptance of applicant for military service 
   and thereafter to properly assign and use individual. Management data 
   are derived from and used by Health Services Command to evaluate 
   effectiveness of procurement medical standards.
     Routine uses of records maintained in the system, including 
   categories of users and the purposes of such uses: 
       In addition to those disclosures generally permitted under 5 
   U.S.C. 552a(b) of the Privacy Act, these records or information 
   contained therein may specifically be disclosed outside the DoD as a 
   routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
       The `Blanket Routine Uses' set forth at the beginning of the 
   Army's compilation of systems of records notices also apply to this 
   system.
     Policies and practices for storing, retrieving, accessing, 
   retaining, and disposing of records in the system:  
     Storage: 
       Paper records in file folders; selected management data are 
   stored on word processing or magnetic discs and tapes.
     Retrievability: 
       By individual's surname and Social Security Number.
     Safeguards: 
       Records are maintained in secured buildings, accessible only to 
   authorized personnel.
     Retention and disposal: 
       Original SF 88 and SF 93 become permanent documents in 
   individual's Health Record: 1 copy of these forms and supporting 
   documentation is retained by the military entrance processing station 
   examining facility for 2 years; 1 copy is forwarded to the Department 
   of Defense Medical Review Board where it is retained until no longer 
   needed then destroyed. Medical records on qualified applicants are 
   retained for 2 years then destroyed. Records of individuals rejected 
   for military service will be maintained until all requirements of 
   Pub.L. 104-201 are met and until a records disposition is obtained 
   from the National Archives and Records Administration.
     System manager(s) and address: 
       Chief Information Officer, Office of the Surgeon General, U.S. 
   Army Medical Command, 2050 Worth Road, Suite 13, Fort Sam Houston, TX 
   78234-6013.
     Notification procedure: 
       Individuals seeking to determine whether information about 
   themselves is contained in this system should address written 
   inquiries to the commander of the medical examining facility where 
   physical examination was given. Official mailing addresses are 
   published as an appendix to the Army's compilation of systems of 
   records notices.
       For verification purposes, the individual should provide their 
   full name, Social Security Number, home address, approximate date of 
   the examination, and signature.
     Record access procedures: 
       Individuals seeking access to information about themselves 
   contained in this system should address written inquiries to the 
   commander of the medical examining facility where physical 
   examination was given. Official mailing addresses are published as an 
   appendix to the Army's compilation of systems of records notices.
       For verification purposes, the individual should provide their 
   full name, Social Security Number, home address, approximate date of 
   the examination, and signature.
     Contesting record procedures: 
       The Army's rules for accessing records, and for contesting 
   contents and appealing initial agency determinations are contained in 
   Army Regulation 340-21; 32 CFR part 505; or may be obtained from the 
   system manager.
     Record source categories: 
       From the individual; the physician and other medical personnel.
     Exemptions claimed for the system:
       None.

   #..A0040-407 DASG

   #....System name: 

       Army Community Health Nursing Records - Family Records.
     System location: 
       Army Medical Centers and hospitals. Official mailing addresses 
   are published as an appendix to the Army's compilation of systems of 
   records notices.
     Categories of individuals covered by the system: 
       Individuals eligible for Army military medical care.
     Categories of records in the system: 
       Family Record Form (DA Form 3762) Case Referral Form (DA Form 
   3763); Medical diagnosis, observations, socioeconomic plans and goals 
   for nursing care, summarization of consultations, and similar 
   relevant documents and reports.
     Authority for maintenance of the system: 
       5 U.S.C. 301, Departmental Regulations; 10 U.S.C., Chapter 55; 
   and E.O. 9397 (SSN).
   Purpose(s): 
       To identify family members who receive Army community health 
   nursing care.
     Routine uses of records maintained in the system, including 
   categories of users and the purposes of such uses: 
       In addition to those disclosures generally permitted under 5 
   U.S.C. 552a(b) of the Privacy Act, these records or information 
   contained therein may specifically be disclosed outside the DoD as a 
   routine use pursuant to 5 U.S.C. 552a(b)(3) as follows:
       The `Blanket Routine Uses' set forth at the beginning of the 
   Army's compilation of systems of records notices also apply to this 
   system.
     Policies and practices for storing, retrieving, accessing, 
   retaining, and disposing of records in the system:  
     Storage: 
       Paper records in file folders retained in the Army Community 
   Health Nursing Office; copy of DA Forms 3762 and 3763 is filed in 
   individual's outpatient medical record.
     Retrievability: 
       By surname of eligible military member or sponsor.
     Safeguards: 
       Records are maintained in areas accessible only to authorized 
   personnel having official need therefor. Facilities are locked during 
   non-duty hours.
     Retention and disposal: 
       Records are destroyed 3 years after case is closed.
     System manager(s) and address: 
       Chief Information Officer, Office of the Surgeon General, U.S. 
   Army Medical Command, ATTN: MCIM, 2050 Worth Road, Suite 13, Fort Sam 
   Houston, TX 78234-6013.
     Notification procedure: 
       Individuals seeking to determine whether information about 
   themselves is contained in this system should address written 
   inquiries to the Patient Administrator of the Army medical treatment 
   facility which provided the health nursing care. Official mailing 
   addresses are published as an appendix to the Army's compilation of 
   systems of records notices.
       For verification purposes, the individual should furnish the full 
   name, Social Security Number, name and Social Security Number of 
   sponsor, if applicable, relationship to military member, current 
   address and telephone number, and signature.
     Record access procedures: 
       Individuals seeking access to information about themselves 
   contained in this system should address written inquiries to the 
   Patient Administrator of the Army medical treatment facility which 
   provided the health nursing care. Official mailing addresses are 
   published as an appendix to the Army's compilation of systems of 
   records notices.
       For verification purposes, the individual should furnish the full 
   name, Social Security Number, name and Social Security Number of 
   sponsor, if applicable, relationship to military member, current 
   address and telephone number, and signature.
     Contesting record procedures: 
       The Army's rules for accessing records, and for contesting 
   contents and appealing initial agency determinations are contained in 
   Army Regulation 340-21; 32 CFR part 505; or may be obtained from the 
   system manager.
     Record source categories: 
       From the individual, family members, other persons having 
   information relevant to health of family members; educational 
   institutions; civilian health, welfare, and recreational agencies; 
   civilian law enforcement agencies.
     Exemptions claimed for the system:
       None.

   #..A0040-905 DASG

   #....System name: 

       Defense Privately Owned Animal Record Files.
     System location: 
       Medical facilities on DoD bases and installations where 
   veterinary services are provided.
     Categories of individuals covered by the system: 
       Persons who privately own animals which receive veterinary care 
   on any DoD base or installation.
     Categories of records in the system: 
       Name, Social Security Number, home address and telephone number 
   of animal's owner; record of treatment of animal; and related 
   information.
     Authority for maintenance of the system: 
       10 U.S.C. 3013, Secretary of the Army; DoD Directive 6015.5, 
   Joint Use of Military Health and Medical Facilities and Service; Army 
   Regulation 40-905, Veterinary Health Services; and E.O. 9397 (SSN).
   Purpose(s): 

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