Joint Circular No. 14/2006/TTLT/BYT-BQP guides the health examination for performing military service obligations.

 

 

 

 

 

 

 

 

JOINT CIRCULAR

Guidelines for conducting military service physical examinations

Implementing the Military Service Law dated December 30, 1981; amended and supplemented on December 21, 1990; amended and supplemented on June 22, 1994; and amended and supplemented on June 14, 2005, the Ministry of Health and the Ministry of National Defense issue guidelines for conducting physical examinations to fulfill military service obligations as follows:

PART I

GENERAL ISSUES

1. Scope of application and regulated subjects:

These Circulars guide the conduct of physical examinations, health checks, re-examinations, medical assessments, and health management (hereinafter collectively referred to as physical examinations for fulfilling military service obligations) for Vietnamese citizens within the age range eligible for conscription; reserve military personnel included in plans to supplement regular forces of the Armed Forces (hereinafter referred to as reserve military personnel); and citizens participating in military recruitment exams.

2. Physical Examination: Conducted with citizens called up for military service and those participating in military recruitment exams, carried out at district, county, town, and city-level healthcare facilities (collectively referred to as counties).

3. Health Check: Conducted with citizens aged 17 years old who have registered for military service; reserve military personnel, carried out at commune health stations (collectively referred to as communes).

4. Re-Examination: Conducted with new recruits during their first month of service, carried out at divisional military hospitals and equivalent facilities.

5. Medical Assessment: Conducted with cases involving complaints or accusations related to the health of citizens performing military service, carried out at provincial medical assessment boards.

6. Preliminary Health Screening

Preliminary health screening is an initial evaluation and classification of the health status of citizens called up for military service through health monitoring by health authorities.

7. Health Records

These are documents regarding the health condition (military service physical examination forms and related health documents) of citizens called up for military service, citizens participating in military recruitment exams, and reserve military personnel.

8. Rewards and Sanctions

a) Rewards: Any organization or individual with outstanding achievements in conducting physical examinations for fulfilling military service obligations shall be rewarded according to the Law on Encouragement and Reward and guiding documents implementing this Law.

b) Sanctions: Organizations or individuals violating the provisions of these Circulars shall be disciplined, administratively punished, or criminally prosecuted depending on the nature and severity of the violation, as stipulated by law.

Chapter II

FUNCTIONS AND RESPONSIBILITIES OF HEALTH AUTHORITIES AT VARIOUS LEVELS IN CONDUCTING PHYSICAL EXAMINATIONS FOR FULFILLING MILITARY SERVICE OBLIGATIONS

COMMUNE HEALTH STATION

Section 1

1. Establish health records for citizens aged 17 years old who have registered for military service and reserve military personnel after they have been health-checked. Manage and monitor the health conditions of citizens (under management) within the age range for military service, promptly identifying cases of chronic diseases, particularly those listed under temporary exemptions from military service.

2. Coordinate with the Commune Military Command to organize preliminary health screenings for citizens called up for military service, compiling lists of citizens meeting health standards for military service after preliminary screenings.

3. Confirm and take responsibility for the medical history of citizens called up for military service. When escorting citizens for health examinations, bring along their health records and military service physical examination forms to hand over to the Military Service Physical Examination Board.

4. Coordinate with the Commune Military Command to compile lists of citizens suffering from diseases listed under temporary exemptions from military service, report to the Commune Military Service Board, and inform the county health department.

5. Record personal and family medical histories of citizens participating in military recruitment exams in their health records.

6. Conduct mid-term reviews, summaries, and lessons learned about health management for citizens called up for military service and reserve military personnel after each selection and conscription period.

COUNTY HEALTH DEPARTMENT

Section 2

1. Issue decisions (or delegate to the People's Committee of the commune) to establish health check teams for military service.

2. Receive and complete military service physical examination forms of citizens called up for military service transferred from the Military Service Boards of communes.

3. Take the lead and coordinate with the County Military Command to develop inter-departmental plans for military service physical examinations and direct healthcare facilities under its jurisdiction to participate in the physical examination process for citizens called up for military service.

4. Organize Military Service Physical Examination Boards, implement health check teams according to the plan of the County Military Service Board; propose the County People's Committee to review and issue decisions establishing Military Service Physical Examination Boards, and report to the Provincial Department of Health.

5. Organize training and capacity building for healthcare staff involved in conducting physical examinations and health checks for military service.

6. Organize and direct health checks for reserve military personnel as required every two years.

7. Recommend to the Provincial Department of Health to strengthen specialist doctors for the County Military Service Physical Examination Boards when needed.

8. Coordinate with relevant county agencies (military affairs, police, culture, information) to ensure smooth conduct of military service physical examinations.

9. Participate in meetings of the County Military Service Board to review and approve lists of citizens temporarily exempted from military service due to health reasons.

10. Coordinate with the County Military Command to transfer health records of conscripts to receiving units in a timely and thorough manner.

11. Prepare budgets and consolidate expenses for the conduct of military service physical examinations.

12. Coordinate with the County Military Command to organize and implement physical examinations for citizens participating in military recruitment exams.

13. Lead and coordinate with the County Military Command to resolve complaints and accusations from citizens related to military service physical examinations and recruitment exams.

14. Report to the Provincial Department of Health on the results of military service physical examinations according to regulations (Form 2a; Form 4; Form 5 of Appendix 4 of these Circulars).

15. Organize mid-term reviews, summaries, and lessons learned about military service physical examinations after each selection and conscription period.

PROVINCIAL DEPARTMENT OF HEALTH

Section 3

1. Study, understand, and direct healthcare facilities under its jurisdiction to strictly implement state laws, government decrees, current regulations of the provincial people's committee, and guidelines from the Ministry of Health and the Ministry of National Defense regarding healthcare work in implementing the Military Service Law.

1. Study, understand, and direct medical facilities under their jurisdiction to strictly implement national regulatory documents, Government resolutions, current regulations of the Provincial People's Committee, and guidelines of the Ministry of Health - Ministry of National Defense regarding healthcare work in the implementation of the Law on Military Service.

2. Together with the Provincial Military Command, advise the Provincial National Defense Council to establish plans, direct, guide, and assist health authorities at the district level in organizing and implementing physical examinations for national defense obligations and military recruitment.

3. Dispatch specialist doctors to reinforce the Health Examination Boards for national defense obligations at the district level upon request.

4. Direct the Public Health Center or the Provincial AIDS Prevention Center to implement HIV screening tests, drug testing, and other necessary tests for citizens subject to call-up for national defense obligations in accordance with the law.

5. Organize inspections and supervision of physical examinations for national defense obligations at localities within the province.

6. Coordinate with the Provincial Military Command to organize and cooperate on medical matters with units receiving recruits regarding the transfer and acceptance of new soldiers.

7. Examine and resolve any difficulties, complaints, or accusations related to the physical examinations for national defense obligations and military recruitment.

8. Report to the Ministry of Health on the results of physical examinations for national defense obligations according to regulations (Form No. 2b, Appendix 4 of this Circular).

9. Conduct mid-term reviews, summaries, and lessons learned from the physical examinations for national defense obligations following each selection and call-up period for conscription.

Chapter III

FUNCTIONS AND DUTIES OF MILITARY AUTHORITIES AT DIFFERENT LEVELS

COMMUNE HEALTH STATION

Section 1

PROVINCIAL MILITARY COMMAND

1. Take the lead and coordinate with the District Health Station to organize preliminary selections and initial health classifications; compile lists of citizens subject to call-up for national defense obligations and those temporarily exempted therefrom to be submitted to the District National Defense Council for approval and report upwards as prescribed. Complete administrative procedures for the national defense obligation health form..

2. Inspect and urge citizens subject to call-up for national defense obligations to attend scheduled health examinations as planned by the District National Defense Council.

3. Announce the results of health examinations based on the conclusions of the District Health Examination Board for national defense obligations. Collect feedback and concerns about health examinations and health conclusions to report to the District Military Command and the District National Defense Council.

Section 2

DISTRICT MILITARY COMMAND

1. Coordinate with the District Health Department to develop plans for health examinations for citizens subject to call-up for national defense obligations and those participating in military recruitment exams; plans for health checks for citizens aged 17 registering for national defense obligations for the first time and reserve military personnel according to the District National Defense Council's schedule.

2. Summon citizens subject to call-up for national defense obligations and those participating in military recruitment exams to attend scheduled health examinations or health checks as planned by the district.

3. Appoint officers to participate in the District Health Examination Board for national defense obligations or health check teams to monitor the quantity and quality of health of citizens from various localities attending examinations. Coordinate with the district police to ensure safety in the examination areas.

4. Manage the national defense obligation health forms handed over by the District Health Examination Board for national defense obligations until the citizen reaches the age limit for reserve service or according to the statute of limitations under the current Law on Complaints and Accusations.

5. Take the lead and coordinate with the District Health Department and other relevant agencies to organize the handover of conscripts to receiving units; accept cases returned to the locality due to unsuitability for national defense obligations as reported and agreed upon by the receiving unit.

6. Coordinate with the District Health Department and county-level agencies to resolve complaints and accusations related to health examinations for national defense obligations and military recruitment.

7. Compile and report the results of conscription work to the Provincial Military Command after each selection and call-up period for conscription (Form No. 6, Appendix 4 of this Circular).

Section 3

PROVINCIAL MILITARY COMMAND

1. Direct the implementation of health examinations for national defense obligations according to the plan of the Provincial National Defense Council.

2. Coordinate with the Provincial Health Department to organize and supervise military agencies and district health departments in conducting health checks, examinations, and other aspects of health examinations for national defense obligations.

3. Organize coordination with each receiving unit regarding health standards, quantity, timing, location, and methods of transferring and accepting recruits.

4. Direct health examinations for citizens participating in military recruitment exams.

5. Coordinate with the Provincial Health Department to examine and resolve difficulties, complaints, and accusations related to health examinations for national defense obligations and military recruitment.

6. Compile and report the results of conscription and military recruitment work to the military region as prescribed.

Chapter IV

FUNCTIONS AND DUTIES OF MILITARY MEDICAL SERVICES AT DIFFERENT LEVELS

COMMUNE HEALTH STATION

Section 1

DISTRICT MILITARY MEDICAL SERVICES

1. Proactively grasp the annual plans for health examinations for national defense obligations and military recruitment in their locality, coordinate with the district health department to oversee health examinations, health checks of citizens performing national defense obligations, and participate in the District Health Examination Board for national defense obligations.

2. Coordinate with the district military command to thoroughly understand the health records of citizens performing national defense obligations from each locality concluded by the Health Examination Board for national defense obligations to provide to the National Defense Council for issuance of conscription orders.

3. Assist and coordinate with military medical services of units receiving recruits to identify cases with health concerns requiring verification before transfer to units.

4. Coordinate with relevant agencies to grasp the situation of health examinations for military recruitment.

5. Compile and report the results of health examinations for national defense obligations to the Provincial Military Medical Services after each selection and call-up period for conscription.

Section 2

PROVINCIAL MILITARY MEDICAL SERVICES

1. The Chief of Provincial Military Medical Services is responsible for advising the Provincial Military Command on matters related to health examinations for national defense obligations.

2. As Deputy Head of the Provincial Military-Civilian Medical Board, the Chief of Provincial Military Medical Services advises the Provincial Health Department Director on directing and coordinating between health, military, and unit medical services to manage health, conduct health examinations for citizens performing national defense obligations, and handle the transfer and acceptance of recruits.

3. Coordinate with the Provincial Health Department to examine and resolve difficulties, complaints, and accusations related to health examinations for national defense obligations and military recruitment.

4. Report the results of health examinations for national defense obligations to the Military Region Medical Services Department as prescribed.

Section 3

MILITARY REGION MEDICAL SERVICES

1. The Chief of Military Region Medical Services is responsible for advising the Military Region Party Committee and Command on directing health examinations for national defense obligations according to the annual plan of the Ministry of Defense and managing the health of reserve military personnel to meet mobilization requirements when called upon.

2. Direct the Military Medical Committees of provinces in the work of health examinations, health checks, and health appraisals for performing National Service Obligations (NSO).

3. With the function of Deputy Head of the Military-Civilian Medical Committee of the Military Region, coordinate with Provincial Health Departments to direct the work of health examinations for performing NSO.

4. For areas facing difficulties in medical personnel, the Chief of the Military Medical Department of the Military Region may mobilize military medical staff from the Military Region to participate in the Health Examination Board for NSO at the request of the Provincial Health Department and the Military-Civilian Medical Committees of the provinces.

5. Report the results of the health examination work for performing NSO to the General Department of Military Medicine after each recruitment and conscription period.

Section 4

MILITARY MEDICAL DEPARTMENT

1. Based on the number of citizens called for enlistment in a year decided by the Government, the General Department of Military Medicine will coordinate with relevant agencies under the Ministry of Defense to advise the Ministry of Defense on setting health standards for citizens enlisting in each region, military branches, and services, and guide and direct military medical units to implement these standards.

2. Annually, based on the requirements for building the military, the General Department of Military Medicine will coordinate with relevant agencies to advise the Ministry of Defense on issuing health standards for military recruitment and guide and direct military medical units to implement them.

3. Direct military medical units receiving new recruits to implement plans to gather information on the health status of conscripts, organize follow-up health examinations for new soldiers according to approved plans.

4. Direct and organize inspections of health examinations for performing NSO and the reception and dispatch of troops in key areas.

5. Report the results of the health examination work for performing NSO and military recruitment as prescribed.

Chapter V

ORGANIZATION OF HEALTH CHECKS, HEALTH EXAMINATIONS,

FOLLOW-UP HEALTH EXAMINATIONS, HEALTH APPRAISALS

FOR PERFORMING NATIONAL SERVICE OBLIGATIONS

Section 1

ORGANIZATION OF HEALTH CHECKS

1. Health check team for NSO

a) The health check team for NSO is established by the County Health Bureau (or delegated to the People's Committee of the commune) based on the commune's medical force, and may be reinforced with additional county medical personnel when necessary. The health check team must include at least three people: one doctor (or medical officer) as team leader and two other medical staff members.

b) Functions and responsibilities: Conduct health checks and establish health records for citizens registering for NSO for the first time; conduct health checks for reservists every two years.

2. Content of health checks (model number 2, Appendix 2 of this Circular)

a) Physical fitness assessment.

b) Identify health issues, personal and family medical history.

c) Preliminary classification of health status.

Section 2

ORGANIZATION OF HEALTH EXAMINATIONS

1. Health Examination Board for NSO

a) The Health Examination Board for NSO is established upon proposal by the County Health Bureau and decision by the Chairman of the County People's Committee. The Board operates on a part-time basis. Depending on the area, the number of medical personnel assigned, and the number of citizens requiring examination, each county may organize one or two Health Examination Boards for NSO..

b) Composition of the Health Examination Board for NSO

- The Health Examination Board for NSO consists of 3 to 5 doctors, including one chairman, one vice-chairman, and one permanent member who also serves as secretary. The Board must have at least one internist and one surgeon.

- The Health Examination Board may utilize additional medical personnel as needed to carry out health examinations for NSO. The number of medical personnel participating in health examinations is determined based on actual needs but must ensure that all examination rooms can operate adequately and meet the quality standards specified in Clause 3 and Clause 4, Section 2, Chapter V of this Circular.

c) Functions and responsibilities of the Health Examination Board for NSO

The Health Examination Board for NSO is responsible to the NSO Board of the county for implementing health examinations, health checks, classification, and health conclusions for each citizen called for NSO.

d) Principles of operation of the Health Examination Board for NSO

- The Board operates on a collective principle, making decisions by majority to ensure objectivity in assessing the quality of health examinations, classification, and health conclusions for citizens called for NSO.

- In cases where there is disagreement within the Board regarding classification and health conclusions, the Chairman of the Board will record the majority conclusion on the health record. Dissenting opinions must be fully recorded in the minutes and submitted to the NSO Board of the county. The minutes must be signed by each member of the Health Examination Board.

2. Specific tasks of members of the Health Examination Board for NSO

a) Chairman of the Board:

- Oversee and be responsible for all activities of the Board;

- Plan and organize the implementation of health examinations for NSO, and be accountable for the quality of health examinations before the NSO Board of the county;

- Organize training, guidance, and dissemination of health standards, duties, and principles of work to medical personnel before each round of health examinations for NSO;

- Convene and chair meetings of the Board to conclude in cases where there are dissenting opinions about the health conclusions of citizens called for NSO;

- Organize consultations and issue referral letters for citizens undergoing health examinations for NSO to undergo further tests at healthcare facilities when necessary;

- Organize lessons learned from health examinations for NSO and report to the County Health Bureau after each round of examinations.

b) Vice Chairmen of the Council:

Serve as substitute for the Chairman in their absence and assist the Chairman with the following tasks:

- Prepare budgets, compile, and settle accounts for funds, medicines, and consumables used for health examinations for NSO with the County Health Bureau;

- Directly conduct health examinations and participate in consultations when necessary;

- Attend Health Examination Board meetings as required..

c) Permanent member and Secretary of the Board:

- Prepare equipment, physical infrastructure, health records, and other necessary documents for the Health Examination Board for NSO to operate;

- Organize registration, statistics, and reporting to the County Health Bureau and the NSO Board of the county as prescribed (model number 1; model number 7, Appendix 4 of this Circular).

d) Members of the Board:

- Directly conduct health examinations and participate in consultations when necessary;

- Be responsible for the quality of health examinations and health conclusions within their assigned scope;

- Attend Health Examination Board meetings as required.

3. Content of health examinations

a) Physical fitness examination.

b) Conduct a comprehensive examination across all specialties, clinical and paraclinical according to the criteria specified in Part II, Item 1 of Appendix 2 (Health Status Form NVQS) of this Circular.

c) Classify health status according to the provisions set out in Section 2, Chapter VI of this Circular.

d) Conduct screening tests for HIV, drugs, and other tests as prescribed by Law.

4. Organize health check-ups

a) Arrange examination rooms in a unidirectional, closed-loop manner, facilitating the examination process and ensuring minimum conditions for each specialty.

b) The number of examination rooms shall be based on the number of medical personnel of the Health Examination Board and actual circumstances, including:

- Physical strength examination room;

- Eye and ear examination room;

- Specialty examination room (Ear-Nose-Throat; Eyes; Teeth-Jaw-Face);

- Internal medicine and neurology examination room;

- Surgery and dermatology examination room;

- Laboratory (Equipped with necessary conditions to conduct health examinations as stipulated in Point d, Clause 3, Section 2, Chapter V of this Circular).

- Conclusion room.

Section 3

ORGANIZATION OF HEALTH REEXAMINATION

1. The Re-examination Health Examination Board

a) The Health Reexamination Board for new recruits is organized at the regiment level and above upon proposal by the Regiment Medical Chief and decision by the unit commander. The Board operates on a part-time basis.

b) The Health Reexamination Board consists of medical officers and staff from the regiment level and above. When necessary, the Board may be reinforced with specialized forces from higher-level medical units.

c) Functions and responsibilities: The Health Reexamination Board is responsible to the unit commander for implementing reexaminations, classifications, and concluding health statuses for all new recruits according to the approved plan.

2. Content of health reexamination, organization of health reexamination

Conducted as per the health examination for new recruits as stipulated in Clause 3, Clause 4, Section 2, Chapter V of this Circular.

Section 4

ORGANIZATION OF MILITARY SERVICE HEALTH ASSESSMENT

1. Military service health assessment is conducted by the provincial medical assessment board when there are complaints or accusations regarding the health status of citizens eligible for military service, as requested by the district military service board.

2. Health assessments are based on the health standards specified in Table 1, Table 2, and Table 3 of Appendix 1 of this Circular.

3. The provincial medical assessment board must respond to requests from the district military service board within 7 to 10 days from the date of receipt of the health assessment request.

4. The decision of the provincial medical assessment board is the final conclusion regarding health complaints of citizens performing military service.

Section 5

RESPONSIBILITIES OF CITIZENS IN HEALTH CHECK-UP

HEALTH EXAMINATIONS FOR MILITARY SERVICE OBLIGATIONS

Citizens attending health examinations or health checks must comply fully with the following principles and procedures:

1. Must present:

a) A summons for health examination or health check issued by the District Military Service Board;

b) Identity card.

2. Bring any relevant health-related documents (if available) to hand over to the Health Examination Board or health check team.

3. Shall not consume alcohol, beer, or stimulants before undergoing a health examination or health check.

4. Strictly adhere to the rules of the health examination or health check area.

Chapter VI

MILITARY SERVICE HEALTH FORM

CLASSIFICATION OF HEALTH STATUS FOR MILITARY SERVICE

Section 1

MILITARY SERVICE HEALTH FORM

1. The military service health form is a medical document summarizing basic health information about citizens, serving as the basis for selecting citizens who meet the health requirements for performing military service and participating in military recruitment exams. The military service health form is uniformly used nationwide, printed on white paper measuring 19 x 24 cm (Item 1 of Appendix 2 of this Circular)., The form consists of two parts:

a) Part I - Brief Personal History: Recorded by the Military Affairs Office of the commune.

b) Part II - Health Examination: Recorded by the district military service health examination board.

2. The military service health form is established by the commune military service board and must complete Part I (Brief Personal History) before handing it over to the district military service board.

3. Management of the military service health form

a) Before enlistment, the military service health form is managed by the district military service board.

b) Upon enlistment, the military service health form is handed over to the receiving unit.

c) During service, the military service health form is managed by the battalion medical unit and equivalent units.

d) Upon discharge, return to the management of the district military service board.

4. The military service health form is valid only if:

a) It conforms to the prescribed model;

b) Written with ink pen or ballpoint pen, not with pencil;

c) Writing is clear, without erasures, abbreviations, or illegible handwriting;

d) All contents in the military service health form are fully recorded;

đ) The conclusion of the military service health examination board remains valid for six months from the date of examination, unless there are significant changes in health status.

Section 2

CLASSIFICATION OF HEALTH STATUS FOR MILITARY SERVICE

1. Basis for classification of health status

Classification of health status for military service is based on the health standards specified in Table 1, Table 2, and Table 3 of Appendix 1 of this Circular.

2. Scoring method

Each criterion, after examination, the doctor assigns an even score from 1 to 6 in the "score" column.

a) Score 1: Indicates very good health status.

b) Score 2: Indicates good health status.

c) Score 3: Indicates satisfactory health status.

d) Score 4: Indicates average health status.

đ) Score 5: Indicates poor health status.

e) Score 6: Only very poor health condition.

3. Recording of the military service health form

a) After examination, the doctor assigns a score in the "score" column; in the "reason" column, briefly state the reason for the assigned score; in the "signature" column, the examining doctor must sign and write their full name.

b) In the conclusion section, the Chairman of the Health Examination Board and members of the Board base their conclusions and health classifications on the scores given for each criterion, recording them numerically and in parentheses as prescribed (as previously guided).

c) The Chairman, Vice-Chairman, and Regular Members of the Board are responsible for signing the military service health form after the Health Examination Board has concluded.

d) The signature of the Chairman of the Health Examination Board must be stamped by the county health authority.

4. Method of Classifying Health Status

Health classification is based on the scores given for eight criteria listed in the military service health form.

a) Class 1: All eight criteria score 1, capable of serving in most military branches.

b) Class 2: At least one criterion scores 2, capable of serving in most military branches.

c) Class 3: At least one criterion scores 3, capable of serving in some military branches.

d) Class 4: At least one criterion scores 4, capable of serving in limited military branches.

đ) Class 5: At least one criterion scores 5, capable of performing certain administrative tasks during general mobilization.

e) Type 6: Having at least one criterion scored as 6, this type indicates temporary exemption from performing compulsory military service due to health reasons.

5. Some Points to Note

a) When suffering from acute illness that may improve or worsen over time or after treatment, the score must be accompanied by the letter "T" (meaning "temporary") next to it. The examining physician must briefly record the name of the disease in Vietnamese next to the score (the international term can be placed in parentheses). In the conclusion, if the highest score has the letter "T", then the letter "T" must also be included in the health classification.

b) In cases where there is doubt and immediate scoring cannot be made, the Health Examination Board may send the citizen for examination at a hospital to determine the condition.

c) If a conclusion still cannot be reached, the citizen should be sent to the nearest specialized hospital for urgent examination and health assessment. The maximum time allowed for this process is between 7 to 10 days and should only be done when truly necessary.

6. Re-examination of health records marked with the letter "T".

a) For health records of compulsory military service marked with the letter "T", immediately after the health examination, the commune health station must conduct a round of treatment or send the citizen to a hospital for treatment (if necessary).

b) After one month, the Health Examination Board for compulsory military service must re-examine and conclude:

- If the illness has been cured, remove the letter "T" and change the health classification.

- If not cured or showing a worsening trend, re-examine and conclude whether the person is fit or unfit for military service.

c) Do not transfer citizens whose health status is marked with the letter "T" on their health records for compulsory military service to the military.

Chapter VII

HANDOVER OF HEALTH RECORDS FOR COMPULSORY MILITARY SERVICE OF CITIZENS

ENLISTMENT, MANAGEMENT OF RESERVE MILITARY PERSONNEL'S HEALTH

Section 1

HANDOVER OF HEALTH RECORDS FOR COMPULSORY MILITARY SERVICE

OF ENLISTED CITIZENS

1. Before the Military Service Council of the district issues orders for citizens to enlist, the health authority of the district must complete the list of citizens meeting the health standards, finalize the health records for compulsory military service, and hand them over to the Military Command Post of the district. Local health authorities are responsible for the health conclusions of citizens when handing them over to military units.

2. The Military Command Post of the district hands over the health records for compulsory military service of enlisted citizens to the receiving unit's medical department at the level of regiment and above. This process must be carried out strictly according to the prescribed health standards.

3. The receiving unit's medical department must be present in the receiving area at least 20 days before the handover date to receive and review the health records for compulsory military service (the number of health files of citizens meeting the health standards handed over by local health authorities for preliminary review shall not exceed 120% of the recruitment quota). Cooperate with the Military Command Post of the district to investigate and identify cases with health doubts, paying attention to chronic diseases. If health doubts are identified, immediately report to the Military Service Council of the district for re-examination and conclusion. In case of disagreement between the receiving unit and the Military Service Council of the district regarding the health classification of citizens for compulsory military service, report to the Military Service Council of the province to organize a health assessment. During the handover period, the receiving unit's medical department may organize re-examinations of suspected cases, if deemed necessary, without conducting widespread examinations.

4. Within one month from the date of receiving personnel, the receiving unit must organize a follow-up health examination for new recruits to reclassify and conclude their health status, identify those who are not fit for service and return them to their place of origin, and have the responsibility to inform the Military Command Post of the district:

a) The number of citizens meeting the prescribed health standards;

b) The number of citizens not meeting the prescribed health standards who need to be returned to their place of origin (due to errors in the initial examination or new illnesses arising during the training of new recruits).

5. Regulations on returning citizens who do not meet health standards to their place of origin.

a) Citizens who do not meet health standards and are returned to their place of origin are determined by the Medical Department Head of the regiment and above based on the results of the follow-up health examination, and approved by the direct superior.

b) Handing over citizens who do not meet health standards to their place of origin.

- Must have complete health records including: Health records for compulsory military service of the local Military Service Health Examination Board; results of the follow-up health examination of the unit's follow-up health examination board.

- The receiving unit must return citizens who do not meet health standards for enlistment to the Military Command Post of the district where the unit received them.

c) The deadline for returning to the place of origin is within one month from the date of handover.

d) Local health authorities may organize re-examinations if deemed necessary (within 7 to 10 days from the date the citizen is handed back to the place of origin). If there is disagreement with the conclusion of the unit's follow-up health examination board, the Military Service Council of the district may transfer the citizen's file to the Military Service Council of the province to organize a health assessment.

Section 2

MANAGEMENT OF RESERVE MILITARY PERSONNEL'S HEALTH

1. All military personnel before returning to their place of origin (discharge, retirement, transfer), the unit's medical department is responsible for organizing health examinations and classifications, recording in the health record of the military personnel. Upon returning to their place of origin, reserve military personnel within the age limit must submit their health records to the Military Command Post of the district for management.

2. Reserve military personnel are examined once every two years. Those who still meet the health standards will remain in their assigned units. In cases where they do not meet the health standards, the District Health Department will notify the managing unit to remove them from the roster.

3. During training and readiness exercises for reserve military personnel, the mobilization medical department is responsible for closely monitoring the health of reserve military personnel.

4. When mobilization orders are issued, the Military Command Post of the district is responsible for transferring all health records of reserve military personnel to the receiving unit for management.

Chapter VIII

IMPLEMENTATION

1. The Ministry of National Defense

a) Based on the number of citizens enlisting each year by the Government and the requirements for building the military, specific regulations on the health standards for citizens called up for enlistment are established and implemented for each region, branch, and service.

b) Military agencies at all levels shall be responsible for coordinating with local health authorities in planning and implementing medical examinations and health checks for citizens called up for compulsory military service and those participating in military recruitment exams in accordance with regulations.

c) Functional agencies under the Ministry of National Defense shall be responsible for guiding and directing units throughout the military to implement plans for medical examinations and health checks for compulsory military service and annual military recruitment in accordance with regulations.

d) Units receiving new recruits shall be responsible for coordinating with military agencies at all levels and local health authorities to handle the transfer and receipt of compulsory military service health records for citizens called up for enlistment in accordance with regulations.

2. The Ministry of Health

a) Directing health agencies at all levels to strictly implement annual regulations and guidelines issued by the Government, relevant ministries, and sectors regarding medical examinations for compulsory military service.

b) Health agencies at all levels shall be responsible for:

- Coordinating with local military agencies in planning medical examinations for compulsory military service and organizing their implementation in accordance with regulations;

- Coordinating with military medical units receiving new recruits in handling the transfer and receipt of health records for citizens called up for enlistment in accordance with regulations.

3. Reporting and Statistics System

After each round of medical examinations for compulsory military service, health agencies shall compile results and report them to higher levels up to the Ministry of Health; military medical agencies at all levels shall report vertically to the Military Medical Bureau; military units shall report in accordance with regulations of the Ministry of National Defense.

4. Funding

Funding for medical examinations, health checks, health assessments, HIV screening tests, drug testing, and other tests as prescribed by law to implement compulsory military service and military recruitment shall be sourced from local budgets in accordance with current regulations.

Chapter IX

EFFECTIVE DATE

This Circular shall take effect fifteen days after its publication in the Official Gazette and shall replace Circulars Jointly Issued by the Ministry of Health and the Ministry of National Defense No. 13/TTLB dated October 13, 1992 on medical examinations, health checks, health standards, and health assessments for the implementation of the Law on Compulsory Military Service; Circular Jointly Issued by the Ministry of Health and the Ministry of National Defense No. 14/TTLB dated December 4, 1993; and Circular Jointly Issued by the Ministry of Health and the Ministry of National Defense No. 12/TTLB dated October 20, 1997 amending and supplementing Circular No. 13.

During implementation, if there are difficulties or obstacles, they should be reported to the joint ministries for consideration and resolution./.