GSA19M
Request for a Medical Exception to the COVID-19 Vaccination Requirement
21 fields, 2 pages
OF380
Reporting and Processing Medical Material Complaints/Quality Improvement Report
56 fields, 2 pages
OF520
Electrocardiographic Record
45 fields, 1 page
OF522
Medical Record - Request for Administration of Anesthesia and Performance of Operations and Other Procedures
27 fields, 1 page
SF503
Medical Record - Autopsy Protocol
32 fields, 1 page
SF504
Medical Record - History - Part 1
16 fields, 2 pages
SF505
Medical Record - History - Parts 2 and 3
21 fields, 2 pages
SF506
Medical Record - Physical Examination
30 fields, 2 pages
SF507
Medical Record
9 fields, 2 pages
SF509
Medical Record - Progress Report
92 fields, 2 pages
SF510
Medical Record - Nursing Notes
237 fields, 2 pages
SF512
Medical - Plotting Chart
1 field, 2 pages
SF513
Medical Record - Consultation Sheet
34 fields, 1 page
SF515
Medical Record - Tissue Examination
29 fields, 1 page
SF516
Medical Record - Operation Report
26 fields, 1 page
SF518
Blood or Blood Component Transfusion
78 fields, 2 pages
SF519B
Radiologic Consultation Request/Report (Radiology/Nuclear Medicine/Ultrasound/Computed Tomography Examinations)
72 fields, 3 pages
SF523
Medical Record - Authorization for Autopsy
27 fields, 1 page
SF526
Medical Record - Interstitial/Intercavitary Therapy
72 fields, 2 pages
SF527
Medical Record - Group Muscle Strength, Joint R.O.M. Girth and Length Measurements
718 fields, 2 pages
SF528
MUSCLE FUNCTION BY NERVE DISTRIBUTION: Face, Neck, and Upper Extremity
480 fields, 2 pages
SF529
MUSCLE FUNCTION BY NERVE DISTRIBUTION: Trunk and Lower Extremity
221 fields, 2 pages
SF535
Clinical Record - Newborn
128 fields, 2 pages
SF536
Medical Record - Pediatric Nursing Notes
483 fields, 2 pages
SF541
Medical Record - Gynecologic Cytology
48 fields, 1 page
SF558
Medical Record - Emergency Care and Treatment
199 fields, 2 pages
SF559
Medical Record - Allergen Extract Prescription - New and Refill
170 fields, 2 pages
SF600
Medical Record - Chronological Record of Medical Care
127 fields, 2 pages
SF601
Immunization Record
186 fields, 2 pages
SF602
Medical Record - Serology Record
172 fields, 2 pages
SF603
Medical Record - Dental
222 fields, 2 pages
SF603A
Medical Record - Dental - Continuation
289 fields, 2 pages
SF88
Medical Record - Report of Medical Examination
199 fields, 2 pages
SF93
Report of Medical History
307 fields, 2 pages
What is in Federal medical records?
Federal medical records holds 34 GSA forms. Open any one and it loads in the editor, where you can fill it in your browser for free.
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Open the forms libraryBackground checks & security clearance
29 GSA forms
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5 GSA forms
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28 GSA forms
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Federal medical records FAQs
What forms are in this topic?
It holds 34 GSA forms, such as GSA19M, OF380, and OF520.
Are these forms free to fill?
Yes. Open any form and fill it in your browser for free. Sign in when you want to download or print the filled copy.
How do I find one form in this topic?
Type a form number or a word in the search box above the list. The list narrows as you type.
Should I check the edition date?
Yes. Agencies retire old editions, so check the edition date on the form before you file it.
Where are the other forms?
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