Joint Circular No. 36/2011/TTLT-BYT-BQP guiding the health examination for fulfilling military service obligations

JOINT CIRCULAR

Guidelines for conducting health examinations to fulfill military service obligations

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Based on 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;

Based on Decree No. 188/2007/NĐ-CP dated December 27, 2007 of the Government stipulating the functions, tasks, powers, and organizational structure of the Ministry of Health;

Pursuant to Decision No. 257/2006/QĐ-TTg dated November 9, 2006 of the Prime Minister promulgating regulations on frequency band allocation for economic and social purposes, national defense, and security;

The Ministry of Health and the Ministry of National Defense provide guidelines for conducting health examinations to fulfill military service obligations as follows:

PART I

GENERAL PROVISIONS

Article 1. Scope of Regulation and Applicability

1. These guidelines provide guidance on conducting health examinations to fulfill military service obligations, including: health checks, preliminary health screenings, health examinations, re-examinations, medical assessments, and management of the health of Vietnamese citizens within the age range eligible for conscription; reserve soldiers included in plans to supplement regular forces of the Army (hereinafter referred to as reserve soldiers) and citizens registering to take the military recruitment examination.

2. These guidelines apply to agencies, units, organizations, and individuals related to the conduct of health examinations to fulfill military service obligations.

Article 2. Interpretation of Terms

In this Circular, the following terms are understood as follows:

1. Health check-up for military service obligations It refers to the implementation of health checks, classification, and conclusions regarding the health status of the target group being reserve soldiers.

2. Preliminary health screening for military service obligations Refers to the implementation of health checks and initial evaluation of the health status of the target group being citizens called for health examinations to fulfill military service obligations before each recruitment and conscription period.

3. Medical examination for military service obligations Refers to the implementation of health examinations, classification, and conclusions regarding the health status of the target groups being citizens called for military service obligations who have undergone preliminary health screenings and citizens registering to take the military recruitment examination.

4. Re-examination of health for military service obligations Refers to the implementation of re-examinations, classification, and conclusions regarding the health status of new recruits.

5. Medical assessment for military service obligations Refers to the use of means, techniques, and expertise to conduct health examinations and conclude on the health status of citizens called for military service obligations and citizens registering to take the military recruitment examination in cases of complaints or accusations.

6. Health records for military service obligations Are documents detailing the health situation of citizens called for military service obligations, citizens registering to take the military recruitment examination, and reserve soldiers, including the military service obligation health record form and other relevant health documents.

7. Military Service Obligation Health Record Is a medical document summarizing basic information about the health of citizens called for military service obligations.

Article 3. Funding for the implementation of military service health examinations

Funding for health examinations, preliminary health screenings, health checks, medical assessments, and tests for citizens subject to military service obligations shall be sourced from local budgets allocated for national defense and security work according to current regulations.

Chapter II

HEALTH EXAMINATIONS FOR MILITARY SERVICE OBLIGATIONS

Article 4. Military service health checks

1. Content of health checks:

a) Physical fitness check.

b) Pulse and blood pressure measurement.

c) Detection of internal medicine, surgery, and specialty diseases.

d) Collection of personal and family medical history.

2. Health check procedures:

a) Based on the training plan for reserve soldiers of the local Military Service Council, compile a list of individuals to be summoned for reserve training within the assigned jurisdiction.

b) Announce the time and location for organizing health checks.

c) Complete the health check form according to Model 1 of Appendix IV issued together with this Circular.

d) Conduct health checks according to the contents specified in Clause 1 of this Article.

đ) Summarize and report the results of health checks according to Models 1a and 5a of Appendix V issued together with this Circular.

3. Health check team:

a) The health check team is established by the District Health Center based on the health workforce at commune, ward, town levels (hereinafter collectively referred to as commune). When necessary, it may be reinforced with personnel from the District Health Center. The health check team consists of at least three people: one doctor as team leader and other healthcare staff.

b) The health check team shall be responsible for organizing health checks, issuing health check forms, and compiling and reporting results in accordance with the regulations.

Article 5. Preliminary health screening for military service obligations

1. Content of preliminary health screenings:

a) Identify cases that do not meet physical fitness requirements, deformities, and diseases exempting them from military service obligations.

b) Collect personal and family medical history.

2. Preliminary health screening procedures:

a) Based on the recruitment and conscription plan of the local Military Service Council, compile a list of citizens within the jurisdiction who are eligible for health examinations to fulfill military service obligations.

b) Conduct preliminary health screenings according to the contents specified in Clause 1 of this Article.

c) Complete and confirm the personal and family medical history of citizens called for health examinations to fulfill military service obligations according to Part I of Model 2 of Appendix IV issued together with this Circular.

d) Compile a list of citizens suffering from diseases exempting them from military service obligations and report to the Military Service Council at the commune level.

đ) Summarize and report the results of preliminary health screenings according to Models 2 and 5b of Appendix V issued together with this Circular.

3. Preliminary health screenings are conducted by the commune health force under the professional direction of the District Health Center.

Article 6. Military Service Physical Examination

1. Content of health examinations:

a) Physical fitness examination; comprehensive clinical examination of all specialties according to the criteria specified in Part II of Model 2 of Appendix IV issued together with this Circular.

b) Conduct necessary ancillary clinical tests to support health conclusions as required by the Military Service Obligation Health Examination Board, including drug testing.

c) Classify health status according to the provisions of Article 9 of this Circular.

2. Health examination procedures:

a) Compile a list of citizens eligible for conscription who have undergone preliminary health screenings within the assigned jurisdiction.

b) Announce the time and location for organizing physical examinations;

c) Conduct health examinations according to the contents specified in Clause 1 of this Article.

d) Organize counseling and HIV testing for those meeting the annual conscription health standards according to the guidelines of the Minister of National Defense. HIV testing must be carried out strictly in accordance with the Law on Prevention and Control of HIV/AIDS.

đ) Complete the health record form according to Part II of Model 2 of Appendix IV issued together with this Circular.

e) Summarize and report the results of health examinations according to Model 3a of Appendix V issued together with this Circular.

3. Military Service Obligation Health Examination Board:

a) The Military Service Medical Examination Board is a specialized board operating on a part-time basis established by the Chairman of the People's Committee of the district upon the proposal of the District Health Office; each district may establish from one to two boards depending on the area and number of citizens who need to be examined.

b) Composition of the Military Service Medical Examination Board:

- The composition of the Military Service Medical Examination Board at the district level includes medical staff from the District General Hospital, with the participation of specialists from the District Health Office, military doctors from the Military Command Board of the district, and related units.

- The number of members of the Board shall be determined based on the specific conditions of each locality, but must ensure sufficient quantity and quality for the examination rooms according to the contents prescribed in Clause 1 and Clause 7 of this Article; there must be a minimum of 3 to 5 doctors. Internal medicine and surgery examinations must be conducted by internal medicine and surgery doctors respectively; other specialties can be handled by doctors or specialist nurses, technicians. The Board consists of:

+ 01 Chairperson: to be held by the Director of the District General Hospital;

+ 01 Vice-Chairperson;

+ 01 Standing Member兼任秘书，由卫生办公室的专业人员担任；

+ Other members.

4. Duties of the Military Service Medical Examination Board:

a) The Military Service Medical Examination Board is responsible to the Military Service Council of the district for conducting health examinations, classifying, and concluding the health status of each citizen called up for military service.

b) After the health examination, compile and report the examination results to the Military Service Council of the district and the Provincial Department of Health (hereinafter referred to as the province) in accordance with regulations; hand over all health records to the Military Service Council of the district (through the District Health Office).

5. Principles of operation of the Military Service Medical Examination Board:

a) The Board operates on the principle of collective decision-making, deciding issues by majority rule.

b) In cases where there is no consensus within the Board regarding classification and health conclusions, the Chairperson of the Board will record the conclusion of the majority on the health form. In case of a tie vote, the decision will be made according to the side with the Chairperson's vote. Dissenting opinions must be fully recorded in the minutes and sent to the Military Service Council of the district. The minutes must have the signatures of each member of the Military Service Medical Examination Board.

6. Specific duties of members of the Military Service Medical Examination Board:

a) Chairperson:

- Directing all activities of the Board; responsible to the Military Service Council of the district for the quality of health examinations of citizens eligible for military service;

- Implementing and disseminating the plan for military service health examinations; guiding standards for health, responsibilities, tasks, working principles, and specific assignments to staff participating in the health examination board;

- Summoning and chairing meetings of the Board to conclude in cases where there are dissenting opinions about the health conclusions of citizens eligible for military service;

- Organizing consultations and issuing referral letters for citizens eligible for military service to undergo health examinations at healthcare facilities when necessary;

- Personally concluding health classifications and signing the military service health form;

- Organizing lessons learned from health examinations for military service and reporting to the Military Service Council of the district after each examination round.

b) Vice-Chairperson:

To replace the Chairperson in their absence and assist the Chairperson in performing the following tasks:

- Conducting health examinations directly and participating in consultations when necessary;

- Participating in meetings of the Military Service Medical Examination Board as prescribed.

c) Standing Member and Secretary of the Board:

- Preparing budgets, medicines, and consumables for military service health examinations; summarizing and settling accounts;

- Preparing equipment, infrastructure, health records, and other necessary documents for the Military Service Medical Examination Board to operate; participating in meetings of the Military Service Medical Examination Board as prescribed;

- Participating in health examinations and consultations when necessary;

- Registering, statistics, and assisting the Chairperson in reporting to the Military Service Council of the district and the Provincial Department of Health according to Model 3a, 5c of Appendix V issued together with this Circular.

d) Members of the Board:

- Conducting health examinations directly and participating in consultations when necessary;

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

- Participating in meetings of the Military Service Medical Examination Board as prescribed.

7. Organization of examination rooms:

a) The arrangement of examination rooms must follow the principle of one-way flow, closed-loop, convenient for examinees, and ensuring minimum conditions for examinations in each specialty.

b) The number of examination rooms shall be arranged based on the number of medical staff of the Military Service Medical Examination Board and actual circumstances, including:

- Physical strength examination room;

- Blood pressure and pulse measurement room;

- Eye and vision examination room;

- Ear, nose, throat and hearing examination room;

- Oral and maxillofacial examination room;

- Internal medicine and neurology examination room;

- Surgery and dermatology examination room;

- Laboratory examination room;

- Conclusion room.

c) Minimum medical equipment and supplies for one Military Service Medical Examination Board as specified in Appendix III issued together with this Circular.

Article 7. Re-examination of Military Service Health Status

1. Content of re-examination for health:

a) According to the annual health standards for citizens called up for military service as stipulated by the Ministry of National Defense.

b) Classifying health according to the provisions of Article 9 of this Circular.

2. Procedure for re-examination for health:

a) Announcing the time and location of the re-examination for health.

b) Organizing re-examinations for health according to the contents prescribed in Clause 1 of this Article; for cases where the health form has the letter "T", the re-examination board must conclude:

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

- If not recovered or showing a worsening trend, it is necessary to reassess and conclude whether they are fit or unfit for military service and return them to their place of origin.

c) Summarizing and reporting the results of the re-examination for health according to Model 4d of Appendix V issued together with this Circular.

3. Re-examination for health board:

a) The Re-examination for Health Board is a specialized board operating on a part-time basis established by the Head of the Unit (regiment level and above) upon the proposal of the Unit's Chief Medical Officer.

b) The members of the Medical Review Board for health examination include medical officers and staff from the regiment level and above. When necessary, the Board may be reinforced with specialized forces from higher-level military healthcare.

4. The tasks of the Medical Review Board for health examination:

a) Organize and implement health examinations, classification, and re-evaluation of the health status of all new recruits according to the approved plan.

b) Compile and report on the results of the health review examination as prescribed.

Article 8. Medical Appraisal of Military Service Health Status

1. The Provincial Medical Appraisal Board shall organize the implementation to resolve complaints and reports related to the health status of citizens called up for military service and those registering for military recruitment exams, upon request by the Military Service Council at the district level.

2. Health appraisal shall be based on the health standards specified in Table 1, Table 2, Table 3, and Appendix I of this Circular.

3. Within 7 to 10 working days from the date of receipt of the application file for health appraisal, the Provincial Medical Appraisal Board must issue a conclusion on the health status of conscripts and notify in writing the Military Service Council at the district level.

4. The decision of the Provincial Medical Appraisal Board is the final conclusion regarding the health complaints of citizens called up for military service and military recruitment.

Article 9. Classification of Health Status for Performing Military Service

1. Basis for health classification: According to the health standards specified in Table 1, Table 2, Table 3, and Appendix I of this Circular.

2. Scoring method: For each criterion, after the examination, the doctor will score an even number from 1 to 6 in the "score" column, specifically:

a) Score 1: Indicates very good health condition.

b) Score 2: Indicates good health condition.

c) Score 3: Indicates fairly good health condition.

d) Score 4: Indicates average health condition.

đ) Score 5: Indicates poor health condition.

e) Score 6: Only very poor health condition.

3. Method of recording the military service health form:

a) Each specialty, after examination, the doctor will score in the "score" column; in the "reason" column, a summary of the reason for the score must be recorded; 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 bases on the scores given for each criterion to conclude and classify health status according to the regulations, recorded in both numbers and words (the word part enclosed in parentheses).

c) The Chairman of the Health Examination Board is responsible for signing the military service health form after concluding.

d) The signature of the Chairman of the Health Examination Board is stamped by the authority of the Chairman of the Health Examination Board; the signature of the Chairman of the Medical Review Board for health examination is stamped by the unit that decides to establish the Medical Review Board for health examination.

4. Method of health classification: Based on the scores given for the 8 criteria listed in the military service health form, classified as follows:

a) Class 1: All 8 criteria score 1, capable of serving in almost all 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 limitedly in some military branches.

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

e) Class 6: At least one criterion scores 6, exempted from military service due to health reasons.

5. Some points to note:

a) If suffering from acute illness, which may improve or worsen over time or after treatment, then the score must be accompanied by the letter "T" (meaning "temporary"). The examiner must record a brief summary of the disease name in Vietnamese next to it (may be written in international terms between parentheses). In the conclusion, if the letter "T" is present in the highest score, it must also be written in the health classification.

b) In cases where there is doubt and immediate scoring cannot be done, the Health Examination Board may refer the citizen to a hospital for a more accurate conclusion.

c) If still unable to reach a conclusion, refer the citizen to the nearest specialist hospital for urgent examination. The maximum time allowed for a conclusion is 7 to 10 days and this should only be done in truly necessary cases.

d) For cases where the health record indicates "T", the Military Service Health Examination Board is responsible for guiding the citizen to healthcare facilities for treatment.

Article 10. Requirements for citizens when undergoing health check-ups, preliminary health screenings, and military service physical examinations

Citizens must comply with the following requirements when attending health check-ups, preliminary health screenings, and military service physical examinations:

1. Must present:

a) The call-up order for health examination or health check-up issued by the Military Command Board of the district.

b) Identity card.

2. Bring personal health-related documents (if available) to hand over to the Military Service Health Examination Board or the Military Service Health Check-up Team.

3. Shall not consume alcohol, beer, or stimulants during the health examination or check-up.

4. Strictly adhere to the rules of the health examination and check-up areas.

Chapter III

MILITARY SERVICE HEALTH RECORD AND RESERVE SOLDIER HEALTH MANAGEMENT

Article 11. Military Service Health Record

1. Content of the Military Service Health Record:

a) Part I - Personal history and medical history: Recorded by the Military Command Board of the commune.

b) Part II - Health Examination: Recorded by the Military Service Health Examination Board of the district on the left half and by the Military Service Re-examination Board of the military unit on the right half.

2. Management of the Military Service Health Record:

a) Before enlistment, the Military Service Health Record is managed by the Military Command Board of the district.

b) Upon enlistment, the Military Service Health Record is handed over to the receiving military unit for management at the division-level military hospital and equivalent facilities.

c) After discharge, it is returned to the management of the Military Command Board of the district.

3. The Military Service Health Record is valid only if:

a) In accordance with the prescribed format.

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

c) Clear handwriting, no erasures, no abbreviations.

d) Fully record all contents specified in the Military Service Health Record.

đ) Not exceeding six months from the date the Military Service Obligation Health Examination Board concludes on the health status, except in cases of special health developments.

Article 12. Transfer of Military Service Health Records for Enlisted Citizens

1. Prior to the Military Service Board of the district issuing the call-up orders for citizens to enlist, the District Health Office must complete the list of eligible citizens based on their health status, finalize the Military Service Health Record, and hand it over to the Military Command Board of the district.

2. Based on the agreement plan between the receiving military unit and the local authority, the Military Command Board of the district hands over the Military Service Health Records of eligible citizens to the military unit's medical personnel.

3. The medical personnel of the receiving military unit organize a review of the health records of the called-up citizens. If there are doubts about their health, they should request the Military Service Board of the district to re-examine and conclude. During the handover period, the medical personnel may conduct re-checks on suspected cases if necessary.

4. After the handover, compile and report the results according to the model prescribed in Appendix V accompanying this Circular (local authorities handing over troops use Model 4a, 4b; military unit's medical personnel use Model 4c).

5. The receiving military unit must organize a re-examination of new recruits' health immediately upon their arrival at the unit to classify and re-conclude their health status, identify those who are not fit for service and return them to their place of origin, and inform the Military Command Board of the district of the following:

a) Number of citizens meeting the health standards.

b) Number of citizens not meeting the health standards and needing to be returned to their place of origin (due to errors in the initial examination or newly developed illnesses during new recruit training).

6. Regulations regarding the return of citizens not meeting health standards to their place of origin:

a) Citizens not meeting health standards are returned to their place of origin when the re-examination results are confirmed by the Division-level Medical Department Head or higher and approved by the immediate superior.

b) The health records of citizens not meeting health standards and being returned to their place of origin must include:

- The Military Service Health Record of the local Military Service Health Examination Board;

- The health examination results of the unit's Re-examination Board.

c) The replacement and return of citizens not meeting health standards to their place of origin shall be carried out in accordance with the regulations of the Ministry of National Defense. Local health authorities may organize re-checks if deemed necessary (within 7 to 10 days from the date the unit hands over the citizen not meeting health standards to the local authority). If there is disagreement with the conclusion of the unit's Re-examination Board, the Military Service Board of the district may transfer the citizen's file to the Provincial Military Service Board for further health assessment.

Article 13. Management of the health of reserve military personnel

1. All military personnel before returning to their place of origin (discharge, retirement, transfer to another profession), the unit's medical personnel are responsible for organizing health examinations, classifying health statuses, and recording these in the military personnel health record. When returning to their place of origin, military personnel within the reserve age must submit their health records to the Military Command Board of the district for management.

2. Reserve military personnel are subject to health checks prior to each concentrated training session according to the plan of the local Military Service Board. Those who meet the health standards continue to be assigned to reserve mobilization units. Those who do not meet the health standards are reported by the District Health Office to the managing unit to remove them from the reserve roster.

3. During training sessions and readiness combat inspections of reserve forces, the medical personnel of the reserve mobilization units are responsible for closely monitoring the health status of reserve military personnel.

4. Upon mobilization orders, the Military Command Board of the district is responsible for transferring the entire health records of reserve military personnel to the receiving unit for management.

Chapter IV

DUTIES OF HEALTH AUTHORITIES AT ALL LEVELS IN MILITARY SERVICE HEALTH EXAMINATIONS

Article 14. Health stations at commune level

1. Appoint cadres to participate in the Health Examination Team for Military Service Obligation.

2. Organize health checks, establish health records for citizens subject to military service according to the plan of the local Military Service Board. Manage and monitor the health status of citizens (under management) within the military service age group, promptly identifying cases of chronic diseases and diseases exempted from military service.

3. Based on the plan of the Military Service Board of the commune, coordinate with the Military Command Board of the commune to organize preliminary health screenings for citizens called up for military service health examinations.

4. After the preliminary screening, compile lists of citizens meeting the health standards for military service and those suffering from diseases exempted from military service as stipulated in Section III (Table 3) of Appendix I accompanying this Circular, and submit these to the Military Service Board of the commune.

5. Confirm and take responsibility for the medical history of citizens called up for military service and registering for military recruitment exams; hand over health records and compulsory military service health forms of citizens who have undergone health checks to the Military Service Health Examination Board at the district level.

6. Conduct mid-term reviews, summaries, and lessons learned regarding preliminary health examinations and compulsory military service health checks after each selection and call-up period for conscription or concentration for reserve military training.

Article 15. District Health Department

1. Advise the People's Committee and the Military Service Council at the district level on the implementation of health examinations for compulsory military service.

2. Receive, complete compulsory military service health forms of citizens called up for military service, compile lists of citizens with illnesses exempting them from compulsory military service reported by the Military Service Council at the commune level, and submit these for consideration and decision by the Military Service Council at the district level.

3. Based on the plan for selecting and calling up citizens for conscription by the Military Service Council at the district level, coordinate with the District General Hospital to develop plans, budget for health examinations for citizens called up for military service, and organize their implementation.

4. Propose the establishment of the Military Service Health Examination Board, request the District People's Committee to review and issue a decision; report to the Provincial Department of Health.

5. Coordinate with the Military Command at the district level to timely transfer health records of citizens called up for conscription to receiving units.

6. Lead and coordinate with the Military Command at the district level to resolve complaints and reports related to health examinations for compulsory military service and military recruitment.

7. Lead and coordinate with the District Health Center to direct health checks for reserve military personnel according to the plan of the Military Service Council at the district level.

8. Summarize results of health examinations for compulsory military service, report to the Military Service Council at the district level and the Provincial Department of Health as stipulated in Form Nos. 1b, 3b, 4a, 5c, Appendix V issued together with this Circular.

9. Conduct interim reviews, summaries, and draw lessons learned regarding health examination work for citizens performing military service obligation after each selection and call-up of citizens for enlistment.

Article 16. Health Center of the District

1. Decides to establish the Military Service Health Examination Team for communes.

2. Directs professionally, supervises the implementation of health examinations and preliminary health screenings for military service.

3. Increases professional staff participation in health examinations and preliminary health screenings for military service when requested by communes.

4. Organizes training and capacity building on professional and vocational matters related to health examinations and preliminary health screenings for military service for commune health workers.

Article 17. The District General Hospital

1. Lead and coordinate with the Health Office and the Military Command at the district level to develop plans for health examinations for citizens called up for military service and organize their implementation.

2. Coordinate with the Health Office at the district level to establish the Military Service Health Examination Board; dispatch specialized staff and medical equipment to participate in the Military Service Health Examination Board for citizens called up for military service within the district.

3. Coordinate with the Military Command at the district level to organize health examinations for citizens registering for military recruitment exams.

For districts where the District General Hospital has not been separated independently, the District Health Center shall perform tasks as prescribed in this Article.

Article 18. Provincial Health Department

1. Directs healthcare facilities under its authority:

a) Implement guidelines from competent authorities regarding healthcare work in implementing the Law on Military Service.

b) Mobilize forces and means to participate in compulsory military service health examinations according to the plan of the Military Service Councils at the districts when requested.

2. Coordinates with the Provincial Military Command:

a) Advise the Military Service Council at the provincial level to develop plans, direct, and guide districts to organize and implement health examinations for compulsory military service and military recruitment.

b) Organize and coordinate on healthcare matters with units receiving new recruits regarding the transfer and reception of new recruits.

3. Organizes training on professional and vocational matters for healthcare personnel participating in military service health examinations at the district level.

4. Conducts inspections of military service health examinations in localities within the province.

5. Examine and resolve issues, complaints, and reports related to health examinations for compulsory military service and military recruitment.

6. Report to the Provincial People's Committee and the Ministry of Health the results of health examinations for compulsory military service as stipulated in Form No. 3c, Appendix V issued together with this Circular.

7. Implements mid-term reviews, summaries, and lessons learned from military service health examinations following each recruitment and conscription period.

Chapter V

TASKS OF MILITARY AUTHORITIES AT ALL LEVELS IN HEALTH EXAMINATIONS FOR MILITARY SERVICE

Article 19. Military Command of the Commune

1. Lead and coordinate with the Commune Health Station to organize preliminary health screenings; compile lists of citizens fit for compulsory military service and those exempted from it after preliminary screening, through the Military Service Council at the commune level, and report upwards as required. Complete administrative procedures for compulsory military service health forms.

2. Supervise citizens eligible for compulsory military service to undergo health examinations according to the plan of the Military Service Council at the district level.

3. Announce health examination results as concluded by the Military Service Health Examination Board at the district level. Collect any concerns related to health examinations and health conclusions of citizens (if any), report to the Military Command at the district level and the Military Service Council at the district level for study and resolution.

Article 20. Military Command Board of the District

1. Coordinate with the Health Office at the district level and the District General Hospital to develop plans for health examinations for citizens eligible for compulsory military service.

2. Summon citizens eligible for compulsory military service to undergo health examinations or health checks according to the plan of the Military Service Council at the district level.

3. Coordinate with relevant county functional agencies to participate in organizing compulsory military service health examinations according to the plan; monitor the quantity and quality of health of citizens from various localities attending the examination.

4. Manage compulsory military service health forms handed over by the Military Service Health Examination Board at the district level. Retain until the citizen reaches the age limit for reserve service as stipulated by the Law on Military Service.

5. Take the lead and coordinate with the Health Office of the District to organize the handover of health records of citizens called up for military service to receiving units according to the plan.

6. Lead and coordinate with the District General Hospital to develop and organize health examinations for citizens registering for military recruitment exams.

7. Coordinate with the Health Office and relevant county agencies to resolve complaints and reports related to health examinations for compulsory military service and military recruitment.

8. Summarize and report results of health examinations for compulsory military service to the Provincial Military Command after each selection and call-up period for conscription according to Form No. 4b, Appendix V, issued together with this Circular.

Article 21. Provincial Military Command

1. Coordinate with the Provincial Department of Health to direct, organize, and supervise health examinations for compulsory military service in localities according to the plan of the Military Service Council at the provincial level.

2. Organize coordination with each receiving unit regarding health standards, quantity, time, location, and method of handing over troops.

3. Direct health examinations for citizens registering to take the military recruitment exam.

4. Coordinate with the Provincial Department of Health to examine and resolve issues, complaints, and reports related to health examinations for compulsory military service and military recruitment.

5. Summarize and report the results of compulsory military service health examinations and military recruitment as prescribed.

Chapter VI

TASKS OF HEALTH SERVICES AT ALL LEVELS IN CONDUCTING HEALTH EXAMINATIONS FOR COMPULSORY MILITARY SERVICE

Article 22. Health Services of the Military Command Board of the District

1. Proactively grasp the annual health examination plan for compulsory military service in their locality, coordinate with the Health Office at the district level to monitor health examinations and health checks for citizens performing military service. Participate in the Military Service Health Examination Board at the district level.

2. Coordinate with the Military Command Board of the county to grasp the results of health examinations for citizens called up for military service within the county; coordinate with military medical units receiving troops to check the health records of citizens called up for enlistment.

3. Participate in health examinations for citizens registering to take the military recruitment exam according to the plan of the Military Recruitment Office of the District.

4. Report the results of compulsory military service health examinations and military recruitment after each selection and call-up of citizens for military service and military recruitment.

Article 23. Military Medical Service of the Provincial Military Command

1. Advise the Provincial Military Command on the work of conducting health examinations for military service obligations and military recruitment.

2. Advise the Provincial Health Department on directing, organizing, and coordinating among health agencies, military authorities, and military medical units receiving troops to carry out health examinations for citizens performing military service and the handover and reception of troops.

3. Coordinate with the Provincial Health Department to examine and resolve any difficulties, complaints, or accusations regarding health examinations for citizens performing military service and military recruitment.

4. Report the results of the work of conducting health examinations for military service obligations and military recruitment to the Military Medical Department of the Military Region in accordance with the regulations of the Ministry of National Defense.

Article 24. Military Medical Service of the Military Region

1. Advise the Party Committee and the Military Region Command on directing health examinations for citizens performing military service, military recruitment, and managing the health of reserve military personnel according to the annual plan of the Ministry of National Defense.

2. Coordinate with the Health Departments to direct the work of conducting health examinations for military service obligations and military recruitment.

3. Direct the Military Medical Departments of the provinces in the work of conducting health examinations, health inspections, and health appraisals for military service obligations and military recruitment.

4. For areas facing difficulties in medical personnel, the Chief of Military Medicine of the Military Region shall mobilize medical staff from the Military Region to participate in the Military Service Health Examination Board at the request of the Provincial Health Department and the Military-Civilian Medical Boards of the provinces.

5. Report the results of the work of conducting health examinations for military service obligations and military recruitment after each selection and call-up of citizens for military service and military recruitment in accordance with the regulations.

Article 25. General Department of Military Medicine

1. Coordinate with functional agencies under the Ministry of National Defense to advise the Ministry of National Defense on setting health standards for citizens enlisting in each region, military branches, and services, and direct and guide military medical units to implement these standards.

2. Annually, based on the requirements for building the Army, coordinate with functional agencies to advise the Ministry of National Defense to issue health standards for military recruitment and direct and guide military medical units to implement them.

3. Direct military medical units receiving troops to thoroughly understand the health records of citizens called up for enlistment and organize follow-up health examinations for new recruits as prescribed.

4. Direct and organize inspections of the work of conducting health examinations for military service obligations and the transfer and reception of military personnel in key areas.

5. Report the results of the work of conducting health examinations for military service obligations and military recruitment in accordance with regulations.

Chapter VII

IMPLEMENTATION

Article 26. Responsibilities of the Ministry of National Defense

1. Based on the number of citizens enlisting annually set by the Government and the requirements for building the Army, issue specific regulations on health standards suitable for citizens called up for enlistment for each region, military branch, and service.

2. Direct military agencies at all levels to be responsible for coordinating with local health agencies in planning and implementing health examinations for citizens eligible for military service and those participating in military recruitment exams as prescribed.

3. Functional agencies are responsible for directing and guiding units throughout the military to implement plans for health examinations for citizens performing military service and military recruitment annually.

4. Units receiving troops are responsible for coordinating with military agencies at all levels and local health agencies to implement the handover and receipt of health examination certificates for citizens called up for enlistment as prescribed.

Article 27. Responsibilities of the Ministry of Health

Direct health agencies at all levels to strictly implement the annual regulations and guidelines issued by the Government and relevant ministries and sectors concerning health examinations for citizens performing military service.

Article 28. Effective Date

This Circular takes effect from December 22, 2011.

Circular Jointly Issued No. 14/2006/TTLT-BYT-BQP dated November 20, 2006, by the Ministry of Health and the Ministry of National Defense, guiding health examinations for citizens performing military service, shall cease to be effective from the date this Circular takes effect.

During implementation, if there are any difficulties or obstacles, please promptly report to the Ministry of Health and the Ministry of National Defense for consideration and resolution./.