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Chest Film Protocol
Asbestos Medical Surveillance Program (AMSP) Occupational Health

Clinics certified to take AMSP X-rays must follow the procedures listed below to obtain B-readings:

  1. Use routine medical procedures and NAVMED 6260/7 Report Form (Stock Number 0105-LF-009-9900) to order routine posterior/anterior (P/A) chest X-rays for individuals in the AMSP.&Complete Section I of NAVMED 6260/7.
  2. The local radiologist must read the films before they are forwarded to the B-reader. All additional X-rays and consultations are the responsibility of the examining physician, in consultation with the local radiologist as needed. Use routine procedures established by the X-ray department to track films checked out of the department.
  3. To obtain authorization for mailing AMSP chest films to the B-reader, use the attached sample letter and request the DD 1155 (delivery order) from NAVENVIRHLTHCEN. The number of radiograph evaluations you request in the letter will be entered in block 19 of DD 1155. If the number of AMSP chest evaluations varies from the number on the DD 1155, contact NAVENVIRHLTHCEN to have the order modified before you ship the films and DD 1155 to the B-reader. Failure to comply could result in an unauthorized procurement with funding charged to your activity.
  4. Prepare a NAVMED 6260/7 with all of Section I completed for each chest film. If two exposures are required to obtain the P/A chest film, count these two chest films as one chest film, and prepare one NAVMED 6260/7 to request one evaluation. Place the NAVMED 6260/7 on top of each corresponding film (do not staple form to film), and stack up to 25 films in one X-ray jacket for efficient packaging. This will enable a mailing case to hold up to 100 AMSP films and forms. The B-reader is not responsible for sorting forms to match films. Films must be securely packed in the film mailing case. Mailing cases are furnished by NAVENVIRHLTHCEN upon request.
  5. Prepare a mailing label for the X-ray mailer case, containing the B-reader address (found in block 9 of the DD 1155). Prepare a second mailing label with your address to be used by the B-reader in returning the AMSP chest films and NAVMED 6260/7s. Place the second label in the mailing case with the films, NAVMED 6260/7s, and DD 1155.
  6. Mail AMSP films certified "priority 13". This ensures films can be traced in case they are lost in the mail. The DD 1155 must be used within 14 days (21 days for overseas activities) from the date found in block 3 of the DD 1155.
  7. Forward AMSP films at least monthly in batches of no more than 100 films. Facilities taking more than 100 films per month may request B-readings when they have obtained 100 films. The minimum order is 2 films.
  8. The B-reader has fifteen days to read the films. If the films and original NAVMED 6260/7s are not returned within two (2) months from the date you mailed the films, or by the date in block 10 of the order document DD 1155, contact NAVENVIRHLTHCEN.
  9. Do not ask the B-reader to make comparisons with old films. Forward only P/A chest films, NAVMED 6260/7s, and the mailing label to the B-reader. Do not forward other radiology reports, X-rays, or related information.
  10. You must always send both the original and copy of the NAVMED 6260/7 to the B-reader. Do not send the films to the Navy Environmental Health Center (NAVENVIRHLTHCEN).
  11. B-reader interpretations (NAVMED 6260/7) are medical documents which must be incorporated into the permanent health record after review by the medical health provider.


This page last updated on March 4th, 2009.
Content last reviewed on February 27th, 2009.