Naval Medical Administrative Unit (NMAU)

Navy and Marine Corps Personnel can check in and out at the Presidio of Monterey Army Health Clinic located at DLI.

Presidio of Monterey Army Health Clinic

473 Cabrillo Street, Bldg 422
Presidio of Monterey, CA 93944
Phone: 866-957-2256

Medical Records Hours of Operation:

Monday–Friday 0700–1430 (closed 1100–1300 for lunch) 
3rd Thursday Each Month: 0700-1100

Senior Enlisted Leader
HMC Renzon Lejarde

Mission

Naval Medical Admin Unit (NMAU), Monterey, serves as the medical liaison office for all Navy and Marine Corps service members attached to Naval Postgraduate School, the Defense Language Institute, Naval Support Activity Monterey, Fleet Numerical and Oceanography and several other smaller tenant commands. The mission of NMAU is to provide medical support services in order to detect and resolve issues impacting unit and individual mission requirements. Services provided include suitability screenings for all Operational duty screenings, the administrative portion of the Periodic Health Assessment, health benefits advisement for international students, consultation and referral authorization, limited duty and medical evaluation board coordinator, preventive medicine and industrial hygiene inspections of Naval Support Activity Monterey.

Instructions for Checking In/Out

Check in: Bring check in sheet and your medical records to the Army Health Clinic medical records window (to right of the front desk).

Check out: Take your PCS orders and check out sheet to the Army Health Clinic medical records window (to right of the front desk).

Physical Health Assessments

• The Periodic Health Assessment (PHA) is a screening tool used by the armed forces to evaluate the individual medical readiness of their Service members. 
• The Annual PHA replaces the 5-yr physical exam for Active Component and the 6120/3 Annual Certificate of Physical Examinations for Reserve Component
• PHAs should be completed during your Birth Month. Completing a PHA within a three-month window of its next due date is acceptable to facilitate completion during your birth month.

Steps to Complete Your PHA

1. PHA Part I: Complete the online assessment at https://eha.health.mil/EHA/
2. PHA Part II: After completing your online assessment, please call the POM CLINIC to schedule your PHA Part II appointment at 1-800-404-4506.
3. FYSA. Other medical/dental requirements in the completion of your PHA:

   • *DENTAL EXAM: Call to schedule a Dental Exam: Phone: 1-559-760-0508
     Please notify us the date of appointment.

     *IMMUNIZATIONS: Call to schedule at 1-800-404-4506.
     Please notify us when completed/scheduled.

     *HIV BLOOD DRAW (within 1yr of transfer for Suitability): Walk in at the main Army Health Clinic (M–F 0700–1530).
     Please notify us when completed.
     
     *AUDIOGRAM: Call to schedule at 1-800-404-4506.
     Please notify us when completed/scheduled. This item will not hold up your screening-we just need a scheduled appointment date to show the intent to complete.

     *OPTOMETRY (EYE EXAM): Call to schedule at 1-800-404-4506
     Please notify us when completed/scheduled. This item will not hold up your screening-we just need a scheduled appointment date to show the intent to complete.

     *PAP Smear: Call to schedule at 1-800-404-4506
     Please notify us when completed/scheduled.

     *PDHRA: To complete, call the PDHRA Call Center at 1-833-782-7477.
     Please notify us when complete.

Guiding Directives

DODI 602519
PHA SECNAVINST 6120.3A
Electronic Health Assessment

NMAU assists active duty members and their families with completing their OPERATIONAL/OVERSEAS/SEA DUTY/SUITABILITY SCREENING (all refer to the same screening), or MEDICAL ASSIGNMENT SCREENING (after a period of limited duty). Per BUMEDINST 1300.2B, the Suitability Screening process is required to be completed within 30 days of receipt of orders, 60 days for dependents. It is important that a Suitability Screening is thoroughly completed on each service and family member that is selected to go overseas.

Process Steps

1. Contact NMAU with UN-ENCRYPTED email: andre.s.jacob.mil@health.mil, cameron.d.ausman.mil@health.mil, thomas.p.hanson3.mil@health.mil with the following information, to begin a Suitability Screening:
   1. -Name/Rank
   2. -Next Duty Station/Unit
   3. -Planned PCS Date
   4. -Telephone
   5. -Dependents (if going OCONUS or enrolled in EFMP)
   6. * SPECIAL PHYSICAL (i.e., SUB/DIVE/SPECOP/AIRCREW/FLIGHT)-if applicable to orders
   7. COPY OF ORDERS
2. From here, NMAU will provide forms and due requirements, with instructions on how to complete. *IF YOU HAVE ALREADY STARTED ON FORMS OTHER THAN FORMS NMAU PROVIDES, PLEASE BE SURE THEY ARE THE MOST UP TO DATE REVISIONS (REV FOUND AT THE BOTTOM LEFT OF FORMS). ANY OUTDATED FORMS ARE OBSOLETE AND CANNOT BE ACCEPTED*

SM has 30 days and family members have 60 days to complete their screening–from the time SM receives the orders or letter of instruction.

Limited Duty (LIMDU) / Physical Evaluation Board (PEB)

Temporary Limited Duty (TLD) is defined as a documented period of medically restricted duty, in consideration of a patient’s illness, injury, or disease process. Placement of TLD is most appropriate only for Sailors whom a return to medically unrestricted duty status is anticipated. TLD may only be provided as the result of the actions of a Medical Evaluation Board (MEB) properly convened at a Military Treatment Facility (MTF).  TLD is a period when the member reports to their workspace, but during the period the member is excused from the performance of certain aspects of military duties, as defined in their individual TLD write-up. During TLD, the member undergoes continued care, recovery, and rehabilitation aimed at returning the member to a medically unrestricted status.

Physical Evaluation Board/Integrated Disability Evaluation System (PEB or IDES): A case usually enters the Integrated Disability Evaluation System (IDES) when a MEB is dictated for the purpose of evaluating the diagnosis and treatment of a member who is unable to return to military duty.  The member's condition most likely is permanent or chronic, and/or any further period of TLD is unlikely to return the member to full duty.

A condition is considered permanent when the nature and degree of the condition render the member unable to continue naval service within a reasonable period of time (normally 8–12 months or less).  Note: The term "permanent" does not necessarily mean the condition is unfitting.

Referral of a Medical Board report to the PEB can be referred for IDES by Pers-454 (service headquarters) or submitted directly to the PEB by an MTF.

The only way to be on LIMDU status is by the PCM recommendation, the only way to change the LIMDU status is the PCM recommendation.

Process Steps

1. PCM decides if the SM needs to be on LIMDU status, and complete enrollment into the LIMDU SMART system.
2. F/ U with LIMDU coordinator on monthly basis
3. Notify LIMDU Coordinator if there is any change in medical condition.
4. See your PCM 30 days prior to LIMDU expiration
5. At the 30-day mark PCM will decide if another period of LIMDU will be issued
6. If extension is granted by your PCM repeat step 2, 3, and 4
7. Member can be on LIMDU for only 12 months, if LIMDU status continues past 365 days, they must be referred for PEB.
8. The member does not have to complete a full year on LIMDU status if the PCM decides that the SM's injury prevents a return to full duty. At any point, a PCM can initiate the patient for PEB if they feel recovery will take longer than one year.

Directives Links 

MILPERSMAN 1300-1400

Physicals

All physicals (i.e., dive, submarine flight, re-enlistment and separation/retirement) are processed through the Presidio of Monterey (POM) Army Health Clinic. Questions may be directed to NMAU.

Process Steps

• 1. To begin, email sandre.s.jacob.mil@health.mil, cameron.d.ausman.mil@health.mil, and thomas.p.hanson3.mil@health.mil to schedule needed appointments.
  2. Report to the POM clinic to schedule the Part 1 portion (labs, audio, etc.).
  3. Complete these ancillary appointments and return to the package to POM to schedule a Part II with a POM provider.
  4. Once Part II is complete, bring the physical package to NMAU so they can forward to the appropriate authority for endorsement.
  5. If nothing is missing or there are no concerns, the completed physical will be uploaded into the health record and the member notified of their medical clearance.

Exceptional Family Member Program (EFMP)

The Department of the Navy (DON) EFM was established in September 1987 to coordinate early, special education and related services for children with disabilities who are attending, or eligible to attend. The DON EFM evolved to include the identification and enrollment of all family members with special needs at overseas and Continental United States (CONUS) locations. It is DON policy to ensure Navy families with exceptional family members (EFMs) are assigned only to areas where their EFMs medical and educational needs can be met. Failure to enroll family members with special needs may result in arrival at overseas or remote duty assignments with requirements beyond the capability of local medical, educational, or community resources. This may result in unnecessary family hardship and personnel practices such as the early reassignment of the Service member due to inadequate educational / medical support.

EFM enrollment is mandatory and required immediately upon identification of a special need. DD form 2792, Exceptional Family Member Medical and DD form 2792-1, Exceptional Family Member Special Education/Early Intervention Summary are used for enrollment. An IEP or IFSP is also required depending on the child’s age.

Eligible Exceptional Family Members Include:
•    Dependent(s) of an active duty service member
•    Spouse, child, or parent
•    Resides with the sponsor (51%)
•    Requires medical specialty care or has a chronic medical condition requiring more than annual visits with a primary care physician
•    Eligible for early intervention services (IFSP)
•    Eligible for special education or related services (IEP)

DD 2792 MEDICAL SUMMARY (required for all dependents enrolled in EFMP) should be completed alongside the DD 2807 during the screening appointment with the provider. This will prevent redundant provider visits in the case of newly discovered medical needs. MAKE SURE TO SIGN PAGE 2 AND BLOCK 9.

DD 2792-1 EDUCATION SUMMARY (required for all children birth to 22) is to be completed by parent and school (if applicable). Follow the form instructions block by block. MAKE SURE TO SIGN BLOCK 7 AND 9.

(IEP) INDIVIDUAL EDUCATION PLAN (required for children 3-22 that need additional educational services). This should be provided by the school that completes the DD 2792-1.

(IFSP) INDIVIDUAL FAMILY SERVICE PLAN (required for children birth-3 receiving Early Developmental Intervention Services).
 

Process Steps

1. As soon as Dependent is identified as possible EFM case, the case will be forwarded to EFM Coordinator
2. SM and possible EFM are required to fill out DD Form 2792 and DD Form 2792-1 with the EFM’s provider 
3. Once complete, email the EFM coordinator with the forms via DOD SAFE.
4. Once the EFM package is completed and reviewed by the EFM coordinator the package will be forwarded to Central Screening Committee (CSC)
5. Sponsor may view their EFM status by accessing their family member information in the Navy Family Accountability Assessment System (NFAAS)
6. EFM enrollment will need to be updated every three years or if there is a change in the medical status of the dependent, complete steps 1–4.

EFMP Coordinator

HM1 Thomas Hanson
Thomas.p.hanson3.mil@health.mil

Directives Links 

DODI 1315.19

OPNAVINST 1754.2F

BUMEDINST 1755.1A

MILPERSMAN 1300-700

International Students Health Benefits

The Naval Postgraduate School (NPS) founded in 1909, is a fully accredited university offering over 35 unique academic masters curricula to military and civilian members of the Department of Defense and allies around the world. NPS invites over 119 foreign countries educational opportunities throughout the year. There are different types of courses available for International Military Students (IMS), the length of the courses varies from two weeks to two years. For the courses longer than 12 months, IMS are encouraged to bring their family with them. IMS will get an official Invitational Travel Orders (ITO) for traveling to the United States.

The purpose of the Health Benefits Advisor (HBA) is to be a medical liaison between Military Treatment Facilities (MTF), Civilian Treatment Facilities, the International Program Office, IMS and their family members.  The HBA is a resource to guide IMS through medical systems in the United States. The HBA also provides assistance with the Uniformed Services Health Benefits Program (USHBP) and Civilian Health and Medical Program of the Uniformed Services (CHAMPUS).

Health Benefits Advisor

Health Benefits Advisor–Mr. Joseph Maniulit (Primary)
Phone: 1-831-656-3807
Email: joseph.maniulit.civ@health.mil

International Students Orientation

International Students Presentation
Welcome Aboard Package
DOD and Civilian Healthcare Under International Agreements
DD Form 2870

Minimum Required Healthcare Insurance Policy Coverage

DSCA Policy 11-32

Selecting a Doctor

Tricare Contracted Providers Near You

Billing/Claims Questions

For any billing/claims question, please have your ITO, FIN #, Military ID Card and commercial insurance card (if you have any) readily available.

Naval Medical Administrative Unit

Officer in Charge: LCDR Tamora Holland
Senior Enlisted Leader: HMC Renzon Lejarde

Contact us:

Presidio of Monterey Army Health Clinic
473 Cabrillo St, Bldg 422
Presidio of Monterey, CA 93944
Phone: (831) 242-5614/ 7581/ 2745

Hours of Operation:
Available M–F 0730–1600 (closed 1200–1300 for lunch)
*1st and 3rd Thursday of every month 0730–1200
Close for federal holidays and training holidays

Naval Postgraduate School Monterey
1 University Circle,
Herrmann Hall, Bldg # 220, 4th Floor, Room # 417
Monterey, CA 93943
Phone: (831) 656-3807
Available M–F 0730–1600 (closed 1200–1300 for lunch)
*1st and 3rd Thursday of every month 0730–1200
Close for federal holidays

Documents
Revised TRICARE Pharmacy Network
TRICARE Beneficiary Q&A
E Scripts Information

Naval Medical Admin Unit (NMAU) Monterey serves as the medical liaison office for all Navy and Marine Corps service members attached to Naval Postgraduate School, the Defense Language Institute, Naval Support Activity Monterey, Fleet Numerical and Oceanography, and several other smaller tenant commands. 

The mission of NMAU is to provide medical support services to detect and resolve issues impacting unit and individual mission requirements. 

Services provided include suitability screenings for all Operational duty screenings, the administrative portion of the Periodic Health Assessment, health benefits advisement for international students, consultation and referral authorization, limited duty, and medical evaluation board coordinator, preventive medicine and industrial hygiene inspections of Naval Support Activity Monterey.

Air Force Medical Group 

443 Chaplain Magsig Ave, Bldg # 627,
Presidio of Monterey, CA 93944
Phone: 831-242-5026
517trg.medoffice@us.af.mil

Other Services Available by the Army Health Clinic

Behavioral Health
Pediatrics
Family Advocacy
Pharmacy
Immunization
Physical Therapy
Laboratory
Preventive Medicine
Occupational Health
Primary Care
Optometry
Radiology
Readiness

Frequently Used Phone Numbers

After Hours Care Nurse Advice Line: 1-800-874-2273 Option 1

Pharmacy Refill Line: 1-800-254-3462

Army Medicine Secure Messaging Service: RelayHealth

Tricare West : 1-877-988-9378

Occupational Health Services: 1-831-242-5332

Patient Representative: 1-866-957-2256 Opt 8

Medical Records: 1-831-242-3410/7989

Clinic Hours:
Monday–Friday: 0730–1600
Closed for lunch from 1130–1230 

Checkins must bring your record and must be in person

Phone: (559) 760-0508
Fax: (831) 656-2410

Customer Service Representative: HM2 Kristine Petersen kristine.m.petersen.mil@health.mil

Our mission is to provide optimal dental care and support to our tenant commands to help them achieve and maintain the highest Operational Dental Readiness and Dental Health. Our goal is to provide the very best prompt, courteous, professional and personalized dental care possible to our active duty patients, at the highest possible state of health and readiness. We are conveniently located on the 4th floor of Hermann Hall.

MISSION
Ensuring readiness and improving the lives of our military family through the delivery of high quality healthcare in Monterey.

VISION
We will be the model of high reliability while providing the premier healthcare experience.

Guiding Principles
People First, Excellence and Character Always

Sick Call: Sick call is by appointment only. It is recommended that you call early in the morning to guarantee an appointment on the same day. If we cannot see you within 48 hours, we will make arrangements to have you seen by a different clinic.

Exam: Annual exams are routinely scheduled every 20 minutes. We ask that you allow yourself a full hour as unexpected delays and sick call patients occasionally interrupt the exam schedule. Every attempt will be made to get you in and out in a timely manner. Please understand that we are required by NAVY directives to maintain a DENTAL READINESS LEVEL to ensure MISSION READINESS. Therefore, we ask that you contact us as soon as possible for scheduling.

Overseas Screening: We ask that you call us to schedule an appointment. You should have all necessary forms (e.g., NAVPERS 1300/1 or equivalent). Dependents are seen on a case-by-case basis but are recommended to see their civilian dentist.

Cleanings: Routine cleanings are provided as needed depending on the recommendation of the Dental Officer. You must FIRST schedule an exam before your cleaning appointment or a cleaning must be indicated in your current treatment plan, if recently seen at a previous command.

Restorative Dentistry: We provide a wide variety of routine filling procedures and use both white fillings as indicated but we will take your personal preference of material choice into consideration.  

Specialty Care: Currently, complex or in-depth specialty care is referred out to local civilian facilities. We will refer out for root canals, oral surgery procedures, crowns and bridges, and implants. Orthodontic treatment is currently not authorized at this command. 

Night Guards/Sports Guards: Night guards and mouth guards require an evaluation from NPS dental officer. Referrals are made based on need and or symptoms.

TRICARE Dental Program: http://www.tricare.mil/dental.aspx
TRICARE Retiree Dental Program: http://www.tricare.mil/trdp