Military Health History Pocket Card for Clinicians
Ask these questions of military service members and all Veterans:
? General Questions
- Tell me about your military experience.
- When and where do you / did you serve?
- What do you / did you do while in the service?
- How has military service affected you?
If your patient answers "Yes" to any of the following, ask: "Can you tell me more about that?"
- Did you see combat, enemy fire, or casualties?
- Were you or a buddy wounded, injured or hospitalized?
- Did you ever become ill while you were in the service?
- Were you a prisoner of war?
? Compensation and Benefits
? Hepatitis C Virus (HCV) Infection
- Did you have a blood transfusion?
- Have you ever injected drugs such as heroin or cocaine?
? Living Situation
- Where do you live?
- Is your housing safe?
- Are you in any danger of losing your housing?
- Do you need assistance in caring for dependents?
? Sexual Harassment, Assault and Trauma
- Have you ever experienced physical, emotional, or sexual harassment or trauma?
- Is this experience causing you problems now?
- Do you want a referral?
? Stress Reactions / Adjustment Problems
In your life, have you ever had an experience so frightening, horrible, or upsetting that, in the past month, you…
- Have had nightmares about it or thought about it when you did not want to?
- Tried hard not to think about it or went out of your way to avoid situations that reminded you of it?
- Were constantly on guard, watchful, or easily startled?
- Felt numb or detached from others, activities, or your surroundings?
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