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Privacy Act: [F044 AFSG C]...


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   Brooks Air Force Base, TX 78235.
     Notification procedure: 
       Individuals seeking to determine whether information about 
   themselves is contained in this system should address written 
   inquiries to or visit the Air Force Medical Service Center, Aerospace 
   Medical Consultants Division, Directorate of Professional Services 
   (HQ AFMSC/SGPA), Brooks Air Force Base, TX 78235.
     Record access procedures: 
       Individuals seeking access to information about themselves 
   contained in this system should address written inquiries to or visit 
   the Air Force Medical Service Center, Aerospace Medical Consultants 
   Division, Directorate of Professional Services (HQ AFMSC/SGPA), 
   Brooks Air Force Base, TX 78235.
     Contesting record procedures: 
       The Air Force rules for accessing records, and for contesting 
   contents and appealing initial agency determinations are published in 
   Air Force Instruction 37-132; 32 CFR part 806b; or may be obtained 
   from the system manager.
     Record source categories: 
       Information obtained from medical institutions.
     Exemptions claimed for the system:
       None.

   #..F044 AF SG B

   #....System name: 

       Drug Abuse Rehabilitation Report System.
     System location: 
       Headquarters United States Air Force and major command 
   headquarters. Official mailing addresses are published as an appendix 
   to the Air Force's compilation of systems of records notices.
     Categories of individuals covered by the system: 
       Any active duty military personnel who are confirmed as drug 
   abusers as a result of drug abuse urinalysis testing. These 
   individuals are not patients as defined in 42 U.S.C. 300s-3(6).
     Categories of records in the system: 
       File contains Drug Abuse Rehabilitation Reports in Electrical 
   Message Form in which demographic data, urine testing results and 
   abuser disposition are detailed.
     Authority for maintenance of the system: 
       Pub. L. 91-513 as applied to Federal agencies by Section 2b of 
   E.O. 11599, June 17, 1971, Comprehensive Drug Abuse Prevention and 
   Control Act of 1970.
   Purpose(s): 
       At HQ USAF to provide statistical data for required reports to 
   Department of Defense (DOD) and to the Special Action Office on Drug 
   Abuse Prevention, White House; to perform epidemiologic and 
   statistical studies for use in evaluating the effectiveness of Air 
   Force urinalysis testing programs; to provide information for 
   answering congressional inquiries.
     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' published at the beginning of the Air 
   Force's compilation of systems of records notices apply to this 
   system.
     Policies and practices for storing, retrieving, accessing, 
   retaining, and disposing of records in the system: 
     Storage: 
       Maintained in file folders and card files.
     Retrievability: 
       Retrieved by Social Security Number.
     Safeguards: 
       Records are accessed by custodian of the record system and are 
   controlled by personnel screening.
     Retention and disposal: 
       Retained in office files for fifteen years after annual cut-off, 
   then destroyed by tearing into pieces, shredding, pulping, macerating 
   or burning.
     System manager(s) and address: 
       The Surgeon General, Headquarters United States Air Force, 
   Washington DC 20330.
     Notification procedure: 
       Individuals seeking to determine whether information about 
   themselves is contained in this system should address written 
   inquiries to or visit the Surgeon General, Headquarters United States 
   Air Force, Washington DC 20330.
     Record access procedures: 
       Individuals seeking access to information about themselves 
   contained in this system should address written inquiries to or visit 
   the Surgeon General, Headquarters United States Air Force, Washington 
   DC 20330.
     Contesting record procedures: 
       The Air Force rules for accessing records, and for contesting 
   contents and appealing initial agency determinations are published in 
   Air Force Instruction 37-132; 32 CFR part 806b; or may be obtained 
   from the system manager.
     Record source categories: 
       Information obtained from medical institutions.
     Exemptions claimed for the system:
       None.

   #..F044 AF SG C

   #....System name: 

       Dental Health Records.
     System location: 
       Air Force hospitals, medical centers and clinics; other 
   authorized medical units serving military personnel and/or 
   dependents. Official mailing addresses are published as an appendix 
   to the Air Force's compilation of record systems notices. Air Force 
   Military Personnel Center, Randolph Air Force Base, TX 78148; 
   National Personnel Records Center, Military Personnel Records, 9700 
   Page Boulevard, St. Louis, MO 63132, National Personnel Records 
   Center, Civilian Personnel Records, 111 Winnebago Street, St. Louis, 
   MO 63118.
     Categories of individuals covered by the system: 
       Active duty and retired Air Force military personnel; Air Force 
   Academy nominees/applicants; family members of military and retired 
   personnel; foreign Nationals residing in the United States; American 
   Red Cross personnel; other DOD civilian employees, Peace Corps and 
   State Department personnel; Exchange Officers.
     Categories of records in the system: 
       Chronological record of all care received in military dental 
   facilities. This is primarily a record of all treatment received on 
   an outpatient basis with supporting documentation such as 
   consultations, dental history, laboratory, and x-ray reports; the 
   record also includes temporary copies of appointment slips and 
   attendance records until entered in the record.
     Authority for maintenance of the system: 
       10 U.S.C. 55, Medical and Dental Care.
   Purpose(s): 
       Chronological record of patient's dental health while authorized 
   care in a military dental facility. Used by patient for further 
   dental care, other uses such as insurance requests or compensation 
   claims as specifically authorized by the patient. Used by dentist for 
   further dental care of the patient, research, teaching. Used by other 
   patient care providers within the hospital for further medical/dental 
   care of the patient, research, teaching. Used by hospital and dental 
   staff for evaluation of dental staff performance in the dental care 
   rendered; dental research; teaching; hospital accreditation; 
   preparation of statistical reports. Used by Army, Navy, Department of 
   Veterans Affairs, Public Health Service, and other hospitals/clinics, 
   for further dental care of the patient if currently undergoing 
   treatment there. Record is released only upon receipt of the 
   patient's signed authorization or a court order. Insurance companies 
   require the patients' written consent for release. Used for 
   establishing insurance benefits or payment of benefits. Used by other 
   Air Force Agencies such as Central Tumor Registry which maintains 
   files on all patients in whom a malignancy has been diagnosed.
     Routine uses of records maintained in the system, including 
   categories of users and the purpose 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' published at the beginning of the Air 
   Force's compilation of record system notices apply to this system, 
   except as stipulated in `Note' below.
       Information from the inpatient or outpatient dental records of 
   retirees and dependents may be disclosed to third party payers in 
   accordance with 10 U.S.C. 1095 as amended by Public Law 99-272, for 
   the purpose of collecting reasonable inpatient/outpatient hospital 
   care costs incurred on behalf of retirees or dependents.
       Records are used and reviewed by health care providers in the 
   performance of their duties. Health care providers include military 
   and civilian providers assigned to the medical facility where care is 
   being provided.
       Students participating in a training affiliation program with a 
   USAF medical facility may also use and review records as part of 
   their training program.
       In addition, records may be disclosed to: (1) Officials and 
   employees of the Department of Veterans Affairs in the performance of 
   their official duties relating to the adjudication of veterans claims 
   and in providing medical care to members of the Air Force. (2) 
   Officials and employees of other departments and agencies of the 
   Executive Branch of government upon request in the performance of 
   their official duties relating to review of the official 
   qualifications and medical history of applicants and employees who 
   are covered by this record system and for the conduct of research 
   studies. (3) Private organizations (including educational 
   institutions) and individuals for authorized health research in the 
   interest of the Federal government and the public. When not 
   considered mandatory, patient identification data shall be eliminated 
   from records used for research studies. (4) Officials and employees 
   of the National Research Council in cooperative studies of the 
   National History of Disease; of prognosis and of epidemiology. Each 
   study in which the records of members and former members of the Air 
   Force are used must be approved by the Surgeon General of the Air 
   Force. (5) Officials and employees of local and state governments and 
   agencies in the performance of their official duties pursuant to the 
   laws and regulations governing local control of communicable 
   diseases, preventive medicine and safety programs, child abuse and 
   other public health and welfare programs. (6) Authorized surveying 
   bodies for professional certification and accreditations. (7) The 
   individual's organization or government agency as necessary when 
   required by Federal statute, E.O., or by treaty.
       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/drug abuse treatment function conducted, requested, or 
   directly or indirectly assisted by any department or agency of the 
   United States, shall, except as provided herein, be confidential and 
   be disclosed only for the purposes and under the circumstances 
   expressly authorized in 42 U.S.C. 290dd-2. These statutes take 
   precedence over the Privacy Act of 1974 in regard to accessibility of 
   such records except to the individual to whom the record pertains. 
   The `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: 
       Maintained in file folders, notebooks/binders, visible file 
   binders/cabinets, card files, on x-ray film, and as photographs.
     Retrievability: 
       Retrieved by name, Social Security Number, or Military Service 
   Number.
     Safeguards: 
       Records are accessed by commanders of medical centers and 
   hospitals, custodian of the record system and by person(s) 
   responsible for servicing the record system in performance of their 
   official duties who are properly screened and cleared for need-to-
   know. Records are stored in locked cabinets or rooms, protected by 
   guards, and controlled by personnel screening.
     Retention and disposal: 
       Records for military personnel are retained for fifty years after 
   date of last document; for all others, twenty-five years. While on 
   active duty, the Health Record of a US military member is maintained 
   at the dental unit at which the person receives treatment. On 
   separation/retirement the records are forwarded to National Personnel 
   Records Center (NPRC/MPR) or other designated depository; such as Air 
   Reserve Personnel Center, if reservist; to appropriate state National 
   Guard unit, if National Guard member, to appropriate Department of 
   Veterans Affairs Regional Office, if VA claim has been filed. Records 
   of other personnel may be handcarried or mailed to the next military 
   medical facility at which treatment will be received, or the records 
   are retained at the treating facility for a minimum of 1 year after 
   date of last treatment then retired to NPRC or other designated 
   depository, such as but not limited to, Commandant (G-PO) US Coast 
   Guard, Washington DC 20593 for Coast Guard active duty members; 
   Medical Director, American Red Cross, Washington DC 20006 for Red 
   Cross Personnel.
     System manager(s) and address: 
       The Surgeon General, Headquarters United States Air Force. 
   Assistant Surgeon General for Dental Services USAF; commanders of 
   medical centers, hospitals, clinics, and medical aid stations. 
   Official mailing addresses are published as an appendix to the Air 
   Force's compilation of record systems notices.
     Notification procedure: 
       Individuals seeking to determine whether this system of records 
   contains information on them should address inquiries to or visit the 
   system manager giving complete name, social security number of 
   individual through whom eligibility for care is established, year in 
   which treatment was received, location treatment was received, 
   whether treatment was on an inpatient or outpatient basis.
     Record access procedures: 
       Individuals seeking to access records about themselves contained 
   in this system should address requests to the system manager. An 
   appropriately signed authorization for the release of information is 
   required with complete name and Social Security Number of individual 
   through whom eligibility for care was established.
     Contesting record procedures: 
       The Air Force rules for accessing records, and for contesting 
   contents and appealing initial agency determinations are published in 
   Air Force Instruction 37-132; 32 CFR part 806b; or may be obtained 
   from the system manager.
     Record source categories: 
       Information obtained from patient and other medical institutions.
     Exemptions claimed for the system:
       None.

   #..F044 AF SG D

   #....System name: 

       Automated Medical/Dental Record System.
     System location: 
       At Air Force medical centers, hospitals and clinics, major 
   command headquarters and separate operating agency headquarters; Air 
   Force Data Service Center, Air Force Medical Service Center, USAF 
   School of Aerospace Medicine, and USAF School of Health Care 
   Sciences. Official mailing addresses are published as an appendix to 
   the Air Force's compilation of systems of records notices.
     Categories of individuals covered by the system: 
       Any individual who is hospitalized in, is dead on arrival at, or 
   has received medical or dental care at an Air Force medical treatment 
   facility.
       Individuals who have received medical care at other DOD or 
   civilian medical facilities but whose records are maintained at or 
   processed by Air Force medical facilities.
       Any military active duty member who is on an excused-from-duty 
   status, on quarters, or subsistence elsewhere, on convalescent leave, 
   meets Medical Evaluation Board (MEB), or a Physical Evaluation Board 
   (PEB), on an outpatient basis or who is hospitalized in a non-federal 
   hospital and for whom an Air Force medical facility has assumed 
   administrative responsibility.
       Any individual who has undergone medical or dental examinations 
   at any Air Force medical facility (or whose records are maintained or 
   processed by the Air Force), e.g., pre-employment examinations and 
   food handlers examinations, or who has otherwise had medical or 
   dental tests performed at any Air Force medical facility.
     Categories of records in the system: 
       Files consist of automated records of treatment received and 
   medical/dental test performed on an inpatient/outpatient basis in 
   military medical treatment facilities and of military members treated 
   in civilian facilities. These records may include radiographic images 

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